How & Where to Get Mental Health Services if Homeless or Indigent
 

Income Available To Individuals With A Serious Mental illness Who Are Unable to Work

Income in the form of government benefits for individuals with severe mental illness who are unable to work can greatly assist in efforts to find housing and get them out of homelessness and highly undesirable living arrangements.

It may be helpful to ask individuals with mental illness if they are receiving monthly checks in order to help them find housing. If they are not receiving benefits, then you might be able to encourage, or even assist them in applying for disability benefits.

Many men and women with a severe, persistent mental illness may be eligible to receive SSI disability or regular Social Security disability insurance benefits (SSDI), or they might already be receiving these benefits. Virtually every homeless person is eligible for food stamps.

Here is a brief rundown on what government benefits the homeless mentally ill may be eligible for:

SSI and SSDI
SSI, SSDI, and Medicare are federal programs. There are two disability programs administered by the Social Security Offices. One is SSI (Supplemental Security Income) and SSDI (Social Security Disability Insurance). Both are designed to provide monthly income to people with severe, long-lasting disabilities that would preclude self-supporting work or who are 65 or older for SSI and 62 or older for Social Security retirement benefits.

To be eligible for SSDI disability checks, a person must meet two primary requirements: 1. Must have worked at least 5 years in the last 10 years before becoming disabled. 2. Must be totally and permanently disabled. This means a person must be unable to work and the disability must last at least 12 months or longer.

SSI, unlike SSDI, is not based on a person's work history. SSI is based on need and is intended for individuals with little or no income who have resources valued under $2000. Those who have not worked long enough under Social Security may be eligible but they must meet the same disability requirements as those under SSDI--be totally and permanently disabled as defined above.

People who are eligible for SSDI but their amount is less than the SSI maximum amount ($564 in 2004) will receive SSI disability if their income and the things they own are within the limits allowed. Many people receive SSI and SSDI disability benefits.

Most men and women with a serious mental illness will probably meet all medical and non-medical eligibility requirements.
Often their biggest hurdle is not meeting the medical requirements but finding someone willing to help guide them through the lengthy process that it takes (up to four months or longer). They might not have any friends or relatives who are able or willing to help them.

People interested in applying for SSI or SSDI benefits can do so (1) by telephone, (1-800) 772-1213, 7am-7pm Mon-Fri except holidays, or (2) by mail or (3) in person at your local Social Security office. In fact, just about any kind of Social Security business can be done by calling the 1-800 telephone number (which is a national number)such as changing an address, reporting working or stopping work. Social Security welcomes the assistance of people who want to help individuals with mental illness apply for benefits.

Addresses for all metro Atlanta offices are as follows:
55 Marietta St., Atlanta, GA 30303 404-331-4155
6425 S. Lee St., Morrow, GA 30260 678/422-1144
1395 S. Marietta Pkwy., Bldg. 100, Ste. 130, Marietta, GA 30067 770/424-4871
2630 Martin Luther King Dr., SW, Ste. A, Atlanta, GA 30311 404/691-3419
2853 Candler Rd. Ste. 8, Decatur, GA 30034 404/244-4018
100 Crescent Center Pkwy., Ste. 800, Tucker, GA 30084 770/934-1320

If Social Security office tells a person is required to go to the office nearest where they live, they should be reminded that social security policy allows anyone at any time to be served by any office of their choosing.

Individuals who apply for SSI or SSDI and are turned down should appeal the unfavorable decision by requesting reconsideration. Reconsideration must be filed within 60 days of the date of the denial of the initial application. If reconsideration request is denied, the individual should ask for a hearing. A request for a hearing must be filed within 60 days of the reconsideration decision. Since the hearing level takes many months, consider getting a lawyer at the reconsideration stage rather than waiting until the hearing state. There are a number of good lawyers who do not charge unless benefits are awarded. It is suggested that individuals who are turned down should get a lawyer who specializes in handling Social Security cases since he or she is more likely to know the social security law and regulations, and how best to win the appeal.

The Georgia Law Center for the Homeless (404/681-0680) and Atlanta Legal Aid (404/524-5811) will be glad to recommend the names of lawyers who specialize in representing people who have applied for SSI or SSDI disability and been turned down. These lawyers do not charge unless they win the appeal.

Medicare and Medicaid
SSI payments begin the month that Social Security determines your disability began and all other eligibility requirements are met. SSI recipients in Georgia automatically receive full Medicaid coverage, which pays for all doctors and hospital bills and for medicines (except SSI recipients must pay $1.00 per prescription).

SSDI payments can start the sixth month after the month Social Security says you became disabled and met all the requirements for benefits. After two years on SSDI, the disabled person will for the first time become eligible for Medicare and will at that time automatically receive Medicare Part A (hospital) benefits. Medicare Part B (doctor's) is not automatic. It costs $66.60 a month (2004 amount) and is optional. SSDI beneficiaries can elect to have it or not have it. (See section labeled "QMB" below for important information for those whose total monthly income is below $1100 or so.

Both the SSI and the SSDI disability programs allow its recipients to work and earn limited amounts each month and there are a variety of work incentives available for those attempting return or entry to work. However, it is untrue that people getting SSI or SSDI checks can earn as much as they want without their checks being reduced. It is very important to tell Social Security about all work so they can make any necessary adjustments in the amount of the check.

Almost everyone 65 or older is guaranteed either SSI or Social Security retirement benefits. If they are not receiving these benefits, they should call or visit the nearest Social Security Office as soon as possible.

General Assistance
A person can apply for general assistance (also called interim assistance) while he or she is waiting for Social Security to make a decision regarding their disability claim. The State of Georgia through the Department of Family and Children’s Services (DFCS) county offices administers general assistance. To get general assistance, a person needs to show DFCS that (1) he or she has applied for SSI and/or SSDI and (2) submit a doctor's statement that he or she is disabled. If approved, general assistance will continue until Social Security makes a decision on his or her SSI/SSDI application. The amount of general assistance ranges from $80 to $225 in Fulton County depending on an individual's living arrangements. It takes about 8 weeks to process a general assistance application. If Social Security denies the application for disability, the applicant should always appeal since the general assistance payments will continue (if still determined by DFACS to be disabled) until all appeals have been exhausted or until the application is approved. If the disability claim is approved, DFACS will get the lump sum Social Security check and deduct all general assistance payments before the remainder goes to the disabled person. If not approved, the general assistance payments do not have to be repaid.

Food Stamps
Individuals who have no income (including homeless individuals) may be eligible for food stamps. Getting food stamps is fairly easy and takes just a short time to be approved. Any Department of Family and Children's Services office takes applications for food stamps. The one nearest downtown Atlanta is at 84 Walton St. It is best to arrive around 8:30am or earlier when applying.

VA Disability Benefits
Veterans can call 1-800-827-1000 for information about benefits and claims assistance. Homeless veterans can call the "Homeless Program" located at the Veterans Administration Medical Center at 1670 Clairmont Rd. Decatur, GA 30033 404/321-6111 for counseling and referral for benefit assistance.

QMB
QMB stands for “qualified Medicare Beneficiary”. Only people who have received SSDI disability benefits for two years or longer or who are 65 years or older and who receive Social Security retirement benefits are eligible for Medicare. Part A (Hospital coverage) is free. Many people with total monthly income of less than $987 (2001 amount) and who have resources (things owned) of less than $4000 (for a single person) may be eligible for QMB if Social Security is taking $50 out of their monthly check for the Part B premium.

This means the State of Georgia may pay the $50 Part B premium for these individuals; and depending on how much below of the $987 the individual's income is, the state might pay some of their medical bills.

Contact your DFCS (Dept. of Family and Children's Services) at 404/657-8000 if you think you are eligible. For more information about QMB, you may call Fulton County Medicaid Office at 404/656-6060.