512 SOCIAL SECURITY ENUMERATION

512 SOCIAL SECURITY ENUMERATION

Social Security enumeration is a requirement for Medicaid eligibility. To meet this requirement, an applicant must provide a Social Security number ( SSN Social Security Number ). If an individual does not have an SSN Social Security Number , the individual must apply for one.

Exceptions: Social Security enumeration is not required for children eligible under MAGI Modified Adjusted Gross Income newborn coverage (see MAGI MS 816-1A ) or for illegal aliens needing treatment of an emergency medical condition (see Section 576 ).

There are some classes of aliens for whom the Social Security Administration will not normally issue an SSN Social Security Number , even though they are qualified aliens, unless they are required by law to have an SSN Social Security Number as a condition of receiving federally funded benefits. If this is the case for an applicant who is otherwise eligible for Medicaid, the caseworker will need to write a letter (on DPA Division of Public Assistance letterhead) to the Social Security Administration explaining the need for an SSN Social Security Number for the purpose of qualifying for Medical Assistance.

512 A. NEW SSN Social Security Number

If applying for an SSN Social Security Number for the first time, the individual can:

Use SSA’s automated application process by calling toll free 1-800-772-1213; or

Apply directly at a local SSA Social Security Administration office if one is available.

SSA Social Security Administration will send the individual a "Receipt of Application for a SSN Social Security Number " form verifying that an application has been submitted.

Parents may also apply for a newborn’s SSN Social Security Number through the Bureau of Vital Statistics "Enumeration at Birth Program". The hospital will give the parent(s) a SSA Social Security Administration -2853 form, "Information About When You Will Receive Your Baby’s Social Security Card". This form certifies that an SSN Social Security Number was requested for the baby.

512 B. VERIFICATION

Social Security Number: An SSN Social Security Number does not need to be verified unless it is questionable.

Application for SSN Social Security Number : Accept the individual’s statement that he or she has applied for an SSN Social Security Number with the SSA Social Security Administration . If questionable, request the individual to provide the receipt once it is received from SSA Social Security Administration . In addition, instruct the individual of the requirement to report the SSN Social Security Number once the SSN Social Security Number is received from SSA Social Security Administration .

512 C. FAILURE TO ENUMERATE

An individual must have or apply for an SSN Social Security Number or Medicaid eligibility for that person does not exist. However, initial eligibility may not be denied or services delayed to an otherwise eligible applicant pending issuance or verification of the individual’s SSN Social Security Number by SSA Social Security Administration .

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