Procedures

Applications are no longer reviewed under this COA.

Follow the steps below to determine Medicaid eligibility under the Former SSI-Disabled Child COA:

Step 1 Use the DMA generated report entitled SSI to Disabled Children (Section 4913) or accept an application from any A/R contacting DFCS whose name did not appear on said report. Refer to Section 2752, Continuing Medicaid Determination Reports, for instructions on processing the report. Step 2 Screen the A/R in the system to determine if they have an active Medicaid case with DFCS. Step 3 For A/R’s not appearing on the SSI to Disabled Children (Section 4913) Report, verify that the child was receiving SSI on August 22, 1996, and that the SSI was terminated due to the new definition of disability. For children whose names do appear on the report, accept the report as verification for this step. Step 4 Using SDX, BENDEX and any other available information, register the case on the system. Prior receipt of SSI is prima facie evidence of disability until the first annual review for all A/R’s who were terminated SSI as a result of the new disability decision. Step 5 Approve Medicaid, including retroactive months if requested, on the system within 10 days of receipt of the list or application unless available information determines the A/R to be ineligible. If the A/R is ineligible, see Special Considerations below. Notify DMA via the form on the GoMail bulletin board entitled Medicaid Forms if the A/R is ineligible for any COA.

loading…

Procedures

Official source

Applications are no longer reviewed under this COA.

Follow the steps below to determine Medicaid eligibility under the Former SSI-Disabled Child COA:

Step 1 Use the DMA generated report entitled SSI to Disabled Children (Section 4913) or accept an application from any A/R contacting DFCS whose name did not appear on said report. Refer to Section 2752, Continuing Medicaid Determination Reports, for instructions on processing the report. Step 2 Screen the A/R in the system to determine if they have an active Medicaid case with DFCS. Step 3 For A/R’s not appearing on the SSI to Disabled Children (Section 4913) Report, verify that the child was receiving SSI on August 22, 1996, and that the SSI was terminated due to the new definition of disability. For children whose names do appear on the report, accept the report as verification for this step. Step 4 Using SDX, BENDEX and any other available information, register the case on the system. Prior receipt of SSI is prima facie evidence of disability until the first annual review for all A/R’s who were terminated SSI as a result of the new disability decision. Step 5 Approve Medicaid, including retroactive months if requested, on the system within 10 days of receipt of the list or application unless available information determines the A/R to be ineligible. If the A/R is ineligible, see Special Considerations below. Notify DMA via the form on the GoMail bulletin board entitled Medicaid Forms if the A/R is ineligible for any COA.