2630 SSI Recipients (SI)

SSI recipients, persons determined by the Social Security Administration to be eligible for an SSI payment, and persons who qualify for continuing SSI recipient status are eligible for medical assistance if the requirements specified below are met. Individuals who receive only state supplemental payments or who meet section 1619 guidelines are included in this provision. (See 2633 and 2634 respectively.) There is no eligibility under this section for other persons in the household unless they qualify in their own right.

Elderly or disabled persons who have not applied for SSI and who appear to be potentially eligible should be referred to SSA for a determination. For cases in which an SSI determination of disability is pending, DDS may be contacted when additional information is needed related to the disability determination or a decision is still pending at the end of 90 days.

SSI provisions do not allow for payment to start to an eligible individual until the month following the month of application for SSI. However, the SSI application month shall still be treated as though an SSI payment had been provided and SI eligibility granted for that month.

NOTE : For persons who have applied or been approved for SSI disability a DD-1106, Medical Onset Date Verfication form may be submitted to DDS in order to determine the medical onset date of disability. This date would be necessary if retroactively claiming FFP on medical expenditures or determining eligibility prior to the effective date of SSI eligibility. DDS will return the completed original with the onset date information.