Basic Considerations

Enumeration is the process by which an SSN is obtained and validated.

SSNs are used to secure information from other sources to achieve the following:

complete reviews necessitated by federal benefit changes

discover unreported income or resources

prevent duplicate benefits

verify reported information.

An attempt should be made to obtain the SSNs of non-AU individuals whose income and/or resources are considered in determining eligibility. Clearly state that the provision of the SSN by non-AU members is voluntary and explain what the SSN will be used for, as defined above.

Eligibility is not adversely affected if the applicant fails to furnish the SSN of a non-AU individual unless questionable/conflicting income information can be resolved only with the SSN. This should be a rare occurrence. A case may not be closed solely for the failure to provide the SSN of a non-AU member.

Benefits will not be denied during the application for, or the validation of, an SSN.

Refusal to be enumerated without Good Cause results in denial of Medicaid coverage for the non-enumerated AU member.

Enumeration is not required for Emergency Medical Assistance (EMA) and Newborn Medicaid COAs.

The A/R’s verbal or written statement of the SSN, intent to apply or that s/he has applied for the SSN of an AU member meets the enumeration requirement. If the A/R’s statement of intent to apply or that s/he has applied for an SSN is accepted (not questionable), follow-up is required in the third month after the month of approval. If the SSN or verification of an application for an SSN is not received within 30 days of the follow-up request, the individual is not eligible for Medicaid unless Good Cause is established. Refer to Good Cause and Chart 2220.2 in this Section.