DSL Memo Series
2002-08
August 21, 2002
STATE OF WISCONSIN
Department of Health and Family Services
Division of Supportive Living
To:
County Departments of Human Services Directors
County Departments of Social Services Directors
From:
Sinikka McCabe, Administrator
Re: REVISED INTERIM ASSISTANCE REIMBURSEMENT (IAR) AGREEMENT
Interim Assistance Reimbursement (IAR) is a means by which states or
their county agency partners may receive reimbursement from federal
Supplemental Security Income (SSI) payments to people who received
emergency funding at county human and social services agencies. Under IAR,
a county agency provides emergency funding to a needy person who is
awaiting approval of or reinstatement of his or her application for SSI.
When SSI is approved for the applicant, the federal Social Security
Administration (SSA) sends the initial SSI benefit check to the county
agency that provided emergency funding to the SSI recipient. The county
agency releases any SSI benefits in excess of the emergency funding it
provided to the SSI recipient or his or her representative payee.
Attached to this memo is the current Agreement for Interim Assistance
Reimbursement between the Wisconsin Department of Health and Family
Services (DHS
) and the Social Security Administration. This document uses
a standardized format for all states and the reader is advised to
substitute "county" whenever the word "state" appears.
Please read the agreement carefully and review and revise any of your
agency policies or procedures that are inconsistent with this Agreement.
This Agreement includes several model letter formats for use by county
agencies when providing IAR to individuals needing emergency funding. You
may use these model letter formats as they appear or you may place these
model letter formats on your agency letterhead. Electronic versions of
these model letter formats are available at www.DHS
.state.wi.us/ssi/publications_1.htm
Note the underscore after the word "publications" in this
address. The three model letter formats are as follows:
Letter Format A: | Authorization for Reimbursement of Interim
Assistance-Initial Payment
Use this language when emergency assistance is provided to individuals
whose initial application for SSI is pending. |
Letter Format B: | Authorization for Reimbursement of Interim
Assistance-Initial Post-Eligibility Payment
Use this language when emergency assistance is provided to individuals
whose eligibility for SSI was suspended by SSA and retroactive SSI
benefits are anticipated. |
Letter Format C: | Authorization for Reimbursement of Interim
Assistance-Initial Payment or Initial Post-Eligibility Payment
This format combines the language in Letter Formats A and B and may be
used by agencies that wish to limit the number of forms they have in use. |
Thank you for your assistance and cooperation with this request.
REGIONAL OFFICE CONTACT:
Area Administration Team
CENTRAL OFFICE CONTACT:
Kathleen Luedtke
SSI Coordinator
(608) 266-6890
Attachments
cc:
Area Administrators/Assistant Area Administrators
Bureau Directors
County Departments of Community Programs Directors
County Departments of Developmental Disabilities
Services Directors
County Long Term Support Coordinators
County IM Managers
Licensing Chiefs/Section Chiefs
Tribal Chairpersons/Human Services Facilitators
Bureau Director, Health Care Eligibility
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