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AGED, BLIND, AND DISABLED MEDICAID MANUAL Transmitted by Change No. 12-05

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AGED, BLIND AND DISABLED-MEDICAID WORKING DISABLED 02/01/05 (III.) C. Disabled Working Status

SSA must verify Disabled Working status.

D. Disposition

NOTE: M-WD cases will not be entered into EIS. Once the county dss determines eligibility each case will be manually processed at DMA.

1. If the a/r is eligible, approve M-WD and send a DSS-8108. On the DSS-8108 write “You meet the N.C. eligibility requirements for M-WD and are eligible to have the State pay your Medicare Part A premiums.”

2. Once eligibility has been established, send a cover letter within 5 work days to DMA providing the following information on the individual:

a. Full name

b. Medicare number

c. Date of birth

d. Sex

e. Medicare Part A Premium enrollment date

f. SSA Disabled Working status notification letter

3. Send to:

Attn: Supervisor Claims Analysis Unit Division of Medical Assistance 2501 Mail Service Center #19 Raleigh, N.C. 27699-2501

E. Retroactive Coverage

If the individual meets the eligibility criteria prior to the month of application, he may be eligible for retroactive coverage for up to 3 prior months provided he has enrolled timely at SSA.

F. Reviews

1. Since this program is not in EIS, the county dss must initiate a review notice and send the appointment letter prior to expiration of the certification period.

2. Send DMA a copy of the notice if ongoing eligibility continues.

G. Termination

If the recipient becomes ineligible, terminate the case and notify DMA.

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