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III. DISABLED ADULT CHILD (DAC) PASS-ALONG

A. Eligibility Requirements 1. Currently entitled to and receives RSDI benefits as a DAC on a parent’s record due to the retirement, death, or disability of a parent; 2. Has blindness or a disability which began before age 22 (RSDI benefits did not have to begin prior to age 22);

3. Lost SSI or SA due to receipt of or increases in the RSDI benefit; and

4. Would currently be eligible for SSI or SA if you disregard the current RSDI benefit.

5. If DAC Pass-along eligibility is based on former receipt of SA (not SSI), the individual must currently reside in an adult care home.

B. Identify Individuals Who Lost SSI or SA Eligibility Due to Receipt of DAC RSDI Benefits. Applicants/beneficiaries need not claim Pass-along status. Many individuals may not be able to remember when or if they received SSI or SA.

1. Fully investigate Pass-along eligibility in every case where the individual is otherwise over income for Categorically Needy-Medicaid Disabled (CN MAD) because of income from Social Security.

2. Use the following resources to identify individuals who lost SSI or SA eligibility:

a. SDX - The Medicaid Eligibility Code field indicates an eligibility status code of “D” for a Disabled Adult Child.

i. Refer to NC FAST Help job aid, Requesting and Viewing Online Data (OVS) to request SDX information in NC FAST.

ii. SDX will not show SSI terminations prior to 01-01-95. If an SSI termination may have occurred prior to that date, contact SSA. b. SSI Termination/Alert Report and Ex-Parte Review for SSI Termination tasks are available in NC FAST.

i. It is the responsibility of the county to monitor termination of SSI benefits and evaluate individuals for all Medicaid programs.

ii. Refer to MA-1000, SSI Medicaid – Automated Process

iii. Refer to NC FAST Help job aid, SDX Overview, Tasks, and Work Queues.

c. For individuals receiving RSDI DAC benefits who may have lost SSI prior