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North Carolina Department of Health and Human Services AGED, BLIND AND DISABLED MEDICAID MANUAL

MA-1100 AGED, BLIND AND DISABLED

SSI MEDICAID – COUNTY DSS RESPONSIBILITY

3 REVISED 10/01/05 - CHANGE NO. 28-05 (I.) C. SSI Approval With Authorized Multiple Person Case in EIS (MAF, MIC, AAF)

1. Each individual in an authorized multiple person case in EIS who begins to receive SSI is identified to the county dss on the DHREJ SSI MED CREATED/MODIFIED Report. The message is: IND DEL-EIS has created an SSI Medicaid case. This report is generated in XPTR each time a case in EIS is modified as a result of an SSI approval. Refer to EIS 4200 for additional information on the report.

2. React to the non-SSI case within 30 days.

3. Delete the SSI individual's income from the ongoing non-SSI case effective the month of SSI Medicaid authorization.

4. Change the maintenance allowance to delete the SSI individual's need.

5. If the change causes the case to have a deductible, send a timely notice.

6. Refer to the Family and Children’s Manual, MA-3410, Terminations and Deletions for instructions on deleting an assistance unit member.

D. SSI Approval with Deductible Case in EIS (MAABD or MAF)

1. An SSI approval for an individual in a single person MAABD or MAF case in deductible status in EIS is identified to the county dss on the DHREJ SSI MED CREATED/MODIFIED Report. The message is: CAS TRM-EIS has created an SSI Medicaid case. This report is generated in XPTR each time a case in EIS is modified as a result of an SSI approval. Refer to EIS 4200 for additional information on the report.

2. SSI Medicaid is authorized effective the month of approval for SSI, but not prior to January 1, 1995.

a. Recompute the six month deductible based only on the income in the months in the certification period prior to SSI Medicaid authorization.

b. Notify the individual of the revised deductible.

c. If the revised deductible is met, authorize for the period of time prior to SSI Medicaid authorization.

3. If the SSI individual has a non-SSI spouse, review the spouse's case: