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COMAR 10.09.24.12

1211 State of Maryland Medical Assistance Manual Revised July 2012 the SDX as “D” (Deemed in the Medicaid status field and “N01” (no payment) in the payment status field.

Anyone meeting all of the following criteria must be certified without a lapse in coverage from the time SSI was terminated. Although income exceeds the MNIL, these individuals are categorically needy (S02) and do not need to complete an application form or have a financial eligibility determination: The person is at least 18 years old; The person is a former SSI recipient; The person‟s SSA claim number differs from his social security number; and The claim number ends with a “C” suffix followed by a numeric, e.g. “212-22-1212C1”.

The following procedures are to be applied: o Delete the SSI income from the “UNIC” screen, effective the on-going month. If necessary use standard procedures for Recoveries Issues. o Enter the SSA income, effective the same month that the SSI benefits were terminated. o At the bottom of the “UINC” screen, enter “SI” in the “Appl type” field, and “S” in the “Stat” field. Then enter the date SSI was terminated. o If the SSI eligibility has been closed (per SDX/SVES), enter these changes as interim changes. o If the SSI has been terminated, the case will have to be rescreened, and changes entered before finalization.

(4) Disabled Widowed Beneficiaries (DWB)

A widow or widower who receives SSI based on his /her own disability, but later begins receiving Supplemental Security Income based on the account of the deceased spouse, is referred to as a disabled widowed beneficiary (DWB). These persons may also be referred to as “Kennelly Widows”. The SSA benefit is generally greater than the SSI benefit, resulting in the DWB‟s loss of SSI eligibility for Medical Assistance benefits as a SSI recipient.

These persons are required to file an application. Resources may not exceed the SSI resource standard of $2000. Even if the income exceeds the medically needy income level (MNIL), they are still considered categorically needy (S02).

Anyone meeting all of the following criteria may be certified: The person is a former SSI recipient; The person is not yet 65 years old; Resources do not exceed the SSI resource standard of $2000; The person is ineligible for Medicare; and The person‟s SSA claim number is the Social Security number of the deceased spouse,