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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

5 REVISED 10/01/05 – CHANGE NO. 28-05 (I.F.) 3. The county dss continues to be responsible for county custody and placement.

4. The county dss retains the capability to update address, county, district number, and county case number. The following fields cannot be updated:

a. SSI status b. Certification thru c. RSDI Claim number d. First Name, Middle Initial, Last Name e. SSN f. Date of Birth g. Sex

G. SSI Approval With Existing SAA or SAD Case

1. When an individual in SAA or SAD is approved for SSI, the case remains in SAA or SAD.

2. EIS sets the SSI status to “Y”. This prohibits the county dss from terminating Medicaid even when SAA or SAD terminates.

3. Refer to the Special Assistance Manual for further instructions for SA recipients.

H. SSI Approval with Existing AAF Case

1. Single Person Case

a. For AAF (payment type 1, 2, S, or 4) the case is closed. An SSI Medicaid case is created for the individual.

b. For AAF (payment type 5) case, EIS sets the SSI status to "Y." The case remains AAF. The individual will receive automatic Medicaid.

2. Multiple Person Case (All payment types)

a. The SSI individual is deleted from the case. An SSI Medicaid case is created for the individual.

b. The AAF case is not altered in any other way.

Refer to the Work First Manual for instructions for AAF cases.