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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 7
SSI MEDICAID – AUTOMATED PROCESS
(IV. A.) SSI REPORTS Name of Report What It Lists Sorted By Online or Paper SSI Medicaid Cases Created/Modified by EIS Cases created/modified/terminated by EIS due to SDX Updates 1) Case Terminated 2) Individual Delete 3) SSI Medicaid 4) Review 5) New Individual 6) County Transfer 7) Inactive County, District, message type, and alpha by last name NCXPTR – last 6 versions SSI Individual In EIS Pending Application SSI Individual who had a pending application in EIS but now authorized for SSI Medicaid County, District, and date of application (oldest first) NCXPTR – Applications listed are retained on the report until dispositioned SSI/Medicaid ID Registers SSI Medicaid Straggler Run/Register Cards generated for SSI Medicaid recipients 1) Annual Run 2) Daily/Weekly Straggler Alpha by name NCXPTR – last 25 versions SSI Approval-Medicaid Denied (TPR Refusal) Denied due to failure to provide TPR info – SDX code - R County, alpha by name NCXPTR – last 8 versions Medicaid Terminated – (TPR Refusal) Medicaid terminated due to failure to provide TPR info – SDX code – R County, District, program, and alpha by name Paper mailed to the county SSI Individual Receiving SAA/SAD/HSF List of cases where client failed to provide TPR info, SDX code – R District, program, alpha by name Paper mailed to the county SSI Exempt Persons exempt from participation in Carolina Access Exempt #, alpha by name Paper mailed to the county SSI Termination Report Termination due to redetermination, death, moving out of state District, post date, type action NCXPTR - Case continues to display until the county processes the termination and deletes the case SSI Termination Alert Report The county has not redetermined eligibility, terminated the case, SSI has not been reapproved or a reapplication has not been dispositioned. County, post date, alpha name NCXPTR – Case continues to display until the county processes a redetermination.