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Family Members Permanently Confined for Medical Reasons [HCV GB, p. 5-22] <br />If a family member is confined to a nursing home or hospital on a permanent basis, that person is <br />no longer considered a family member and the income of that person is not counted [HCV GB, <br />p. 5-22]. <br />SARA will request verification from a responsible medical professional and will use this <br />determination. If the responsible medical professional cannot provide a determination, the person <br />generally will be considered temporarily absent. The family may present evidence that the family <br />member is confined on a permanent basis and request that the person not be considered a family <br />member. <br />Return of Permanently Absent Family Members <br />The family must request SARA approval for the return of any adult family members that SARA <br />has determined to be permanently absent. The individual is subj ect to the eligibility and <br />screening requirements discussed elsewhere in this chapter. <br />3-I.M. LIVE-IN AIDE <br />Live-in aide means a person who resides with one or more elderly persons, ornear-elderly <br />persons, or persons with disabilities, and who: (1) is determined to be essential to the care and <br />well-being of the persons, (2) is not obligated for the support of the persons, and (3) would not <br />be living in the unit except to provide the necessary supportive services [24 CFR 5.403]. <br />SARA must approve alive-in aide if needed as a reasonable accommodation in accordance with <br />24 CFR 8, to make the program accessible to and usable by the family member with disabilities. <br />A live-in aide is a member of the household, not the family, and the income of the aide is not <br />considered in income calculations [24 CFR 5.609(b)] .Relatives maybe approved as live-in aides <br />if they meet all of the criteria defining alive-in aide. However, a relative who serves as a live-in <br />aide is not considered a family member and would not be considered a remaining member of a <br />tenant family. <br />A family's request for alive-in aide must be made in writing. Written verification will be <br />required from a reliable, knowledgeable professional, such as a doctor, social worker, or case <br />worker, that the live-in aide is essential for the care and well-being of the elderly, near-elderly, or <br />disabled family member. The verification must include a description of services needed and <br />number of hours per day. For continued approval, the family must submit a new, written <br />request-subject to SARA verification-at each annual reexamination. <br />In addition, the family and live-in aide will be required to submit a certification stating that the <br />live-in aide is (1) not obligated for the support of the person(s) needing the care, and (2) would <br />not be living in the unit except to provide the necessary supportive services. <br />SARA will not approve a particular person as alive-in aide, and may withdraw such approval if <br />[24 CFR 982.316(b)] <br />The person commits fraud, bribery or any other corrupt or criminal act in connection with <br />any federal housing program; <br />The person commits drug-related criminal activity or violent criminal activity; or <br />Page 3 -7 <br />~~02~2012 <br />