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DocuSign Envelope ID: 3289A281-EC13-40C5-A56D-BE1F23756321 North Carolina Department of Health and Human Services AGED, BLIND AND DISABLED MEDICAID MANUAL MA-1000 4

SSI MEDICAID – AUTOMATED PROCESS

(III.C.4) 5. ID Cards

All SSI recipients receive a gray Medicaid card. For MAABD cases in a private living arrangement (pla), the district number is “SDX” on the EIS case and ID card to indicate the individual is an SSI Medicaid recipient. SAA, SAD, AAF, HSF, and LTC cases retain the district number assigned by the county dss.

D. Creating/Updating an SSI Medicaid Case in EIS

For all SSI recipients, EIS uses information on the SDX to create and update SSI Medicaid cases in EIS. The county dss cannot change data in EIS for SSI recipients, with certain exceptions. (Refer to EIS 4200, Part 5, for a chart which shows all allowable county changes.) This is true even when the county dss has verified information that is inconsistent with data on the SDX.

1. SSI, MAA, MAB, or MAD recipients:

The county dss can update the following fields in EIS:

a. Change the living arrangement from private living arrangement (PLA) to long term care (LTC) and from LTC to PLA.

b. Transfer the case to HSF.

c. Approve a reapplication for money payment (SAA, SAD, AAF).

d. Enter CAP date.

Refer to EIS 4200 Part 5, for instructions.

2. SSI Recipients in Special Assistance (SAA or SAD) or in Single Person AAF case (payment type 5)

The county dss can update some fields in EIS to control the issuance of the check and ensure automatic Medicaid issuance for SSI recipients in these categories. The county dss can also transfer the case to MAABD. Refer to EIS 4200 Part 5, for instructions.

3. SSI Recipients in HSF

The county dss can update some fields in EIS to indicate custody/placement responsibility. The county dss can also transfer the case to MAABD. Refer to EIS 4200 Part 5, for instructions.