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REV. MAY 3, 2018 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY MANUAL LETTER #43-2018 HEALTH AND HUMAN SERVICES 477-000-041

477-000-041 – RSDI Verification

Generally RSDI (Social Security) is verified by the Bendex for current recipients of ABD. Changes in benefits for current recipients are reported on N-FOCUS via the BDE interface and are used to determine the following month’s budget, taking into consideration the Request. This procedure does not apply to discrepancies with the buy-in. When a client is current pay SSI verification of other income or resources are not required.

The State Data Exchange (SDX) must be used to verify receipt of SSI benefits and determine the correct federal benefit rate. Changes in SSI benefits for current recipients are reported on N- FOCUS via the SDX interface. The ten-day notice requirement must be used. When there is a discrepancy in the verified amount of the check and the Bendex for the month of the check, a SVES SDX must be initiated to verify the amount of periodic extra earned income or periodic unearned income to be used in a client’s ABD budget if s/he is in non-pay status for SSI for one month due to the receipt of this periodic income.

This may be Net Countable Unearned Income, Deemed Income, or Net Countable Earned Income of the client. The amount of income from any of these fields may be used from the SDX and counted in the client’s budget, if it has been updated by SSI. No income disregards are allowed as they have already been allowed by SSI. If the client receives periodic unearned income, e.g., life estate income received annually or semi-annually, or deemed income from a spouse/parent, it is counted for medical budgeting. Approval of an application must not be delayed if all eligibility factors are met but is unable to obtain verification of the amount of any RSDI and/or SSI benefits due to SSA’s delay in determining the amount(s).

If a disabled client is not yet receiving RSDI, medical budgets must be computed without the RSDI income. At the time of approval, the client must be notified on a Notice of Action that s/he must report receipt of any RSDI and/or SSI benefits. The RSDI must be included in the budget in the first month possible considering the ten-day notice requirement.