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3 The payments will be generated by a private contractor, Paychex, Inc. KHPA is responsible for providing a list of eligible individuals to Paychex each month who have been identified as meeting all necessary criteria for SSPP.

V. Identifying Eligible Participants Eligible individuals will be initially identified through a search of the EATSS file, specifically the SDX. The process will involve identifying persons in current pay status with the appropriate living arrangement, as noted in item III above. Social Security records these individuals with a Federal Living Arrangement (FLA) of ‘D’ and a Payment Status Code of C01 (current pay status). A list of those individuals who meet this criteria will be produced by SRS-EES Central Office staff on a monthly basis. The list will be generated at the beginning of each month based on SSI recipient status information at the beginning of the previous month. The list of possible SSPP eligibles will be sent to KHPA. KHPA will then match the list with the current MMIS beneficiary data. Only those eligible for full Medicaid in the prior month will be eligible for SSPP. Persons who have not reached their 18th birthday in the payment month will also be eliminated. The check will be sent to the same address as the beneficiary’s medical card. The list of eligibles will then be sent to the SSPP contractor, Paychex, Inc. each month. Payments will be generated on or about the 20th of each month. Paychex will provide KHPA staff with payment information for accounting and audit functions. Except for the special one-time retroactive benefit noted below, the on-going automated process will only consider payment eligibility for the current month and not prior months.

VI. New Eligibles Because benefits are only paid for the current month, some persons who become newly eligible for SSPP may not be identified for all possible benefits. The eligibility worker is responsible for notifying KHPA Policy staff for when these instances occur. If the eligibility worker suspects an individual may not have received a benefit or if the worker has approved a new case where the recipient may be eligible for additional payments, an e-mail summarizing the situations, including specific eligibility information, is sent to the KHPA program manager. Following a check of the EATSS file, the MMIS and other relevant information, if the individual is eligible for new or additional benefits, KHPA will add the beneficiary onto the roster sent to Paychex. The results of the determination will be communicated back to the eligibility worker. Example: 20-year old John enters Valley Nursing Home in 02-2007 following a car accident. .His application for SSI benefits is approved on 05-02-2007, with $30.00 monthly payments beginning in January. John is first identified on the SSPP list for May benefits. However, he is eligible for additional benefits for January - April. The eligibility worker notifies KHPA Policy staff with John’s information. KHPA staff investigate the SDX record and the MMIS. It is confirmed that John is eligible and he is added to the SSPP roster for a one-time payment of $80.00.