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widow(er)s before age 60 who were entitled to widow(er)s benefits based on disability since January 1984. 3. Would currently be eligible for SSI or SA except for the receipt of RSDI benefits.
4. If Pass-along eligibility is based on former receipt of SA, the individual must currently reside in an adult care home.
B. Identify Individuals Who Lost SSI Eligibility. Applicant/beneficiaries need not claim Pass-along status. Many individuals may not be able to remember when or if they received SSI or SA.
Fully investigate Pass-along eligibility in every case where the individual is otherwise over income for CN MAD because of income from Social Security.
Use the following resources to identify individuals who lost SSI or SA eligibility:
1. The RSDI Claim number suffix will be “D” or “W” if the a/b receives as a disabled widow(er)/surviving divorced spouse.
2. SDX - The Medicaid Eligibility Code field indicates the eligibility status of “W” for a widow(er).
3. SSI Termination/Alert Report is available in NC FAST.
a. It is the responsibility of the county to monitor terminations of SSI benefits and evaluate individuals for all Medicaid programs.
b. Refer to MA-1000, SSI Medicaid-Automated Process
c. Refer to NC FAST Help Job Aid, SDX Overview, Tasks, and Work Queues. 4. For individuals receiving as a Disabled Widow(er) prior to January 1, 1995, verify status by the case record or through SSA.
C. Verify Disabled Widow(er)’s Eligibility Factors. 1. The date SSI benefits were terminated.
2. The current amount of the a/b’s RSDI Disabled Widow benefit.
D. Disabled Widow(er)’s Eligibility If the Individual is determined Disabled Widow(er)’s Pass-along Eligible, Disregard All the RSDI Income.
E. Determine Countable Income