Page 10

COMAR 10.09.24.12

1209 State of Maryland Medical Assistance Manual Revised July 2012 (c)Redeterminations for Former SSI Recipients CARES Procedures

For an individual who is active in S02 but has lost SSI eligibility (per SDX, SVES), the following CARES procedures have been developed to complete the ex parte determination cycle, unless the SSI termination is due to death. Be sure to fully narrate in CARES.

(1) SSI terminations for Adults Determine the SSI termination date by completing the SDX on-line screen inquiry. Access the Au on CARES via the “R‟ option If the individual is under 65 years of age, go to the “DEM2” screen. If there is no disability source code entered on the “DEM2” screen complete the following: Enter “O‟ for Disab/Incap, “CF” for Approval Source Code, use the MA STAT DATE from the SDX as the Approval Source Date and as the Begin Date (MM/YY). The Disab/Incap End Date should be 90 days from the first day of the ongoing month. For example, an AU that is being reviewed in 05/02 would have the Disab/Incap, End Date of 08/02. If there is a disability source code entered on the “DEM2” screen change the disability approval source to Case Files „CF”

If the individual is 65 or older, disability is not an issue, since the individual satisfies the age requirement. Go to the “UINC” screen and delete the SSI income from the on-going month. If other income is present, it should also be deleted. NOTE: If there is an associated food stamp AU all income (earned or unearned) must be counted as food stamp countable only. At the bottom of the “UINC‟ screen, indicate “SI” for “Appl Type”, “T‟ for the status and the termination date from the SDX online inquiry. Fast Path to the “DONE” screen and press enter. The “ELIG” screen should show an “S98” coverage group in pink. Confirm on the “ELIG” screen and then press enter. Confirm on the “MAFI‟ screen and show a “ Redet End Date” of three months from the current month. For example, a case is being reviewed in April. The “Redet End Date” on the “MAFI‟ screen should be set to 07/02. In some situations the system will force you to show a past “Redet End Date” of 11 months from the “Redet Begin Date” month. In this circumstance; initiate a redetermination and set the desired end date when completing the redetermination. The notice should not be suppressed when completing the redetermination.

(2) SSI Termination for Children