002.02(C)(ii)(2) DIRECT REFERRAL TO THE STATE REVIEW TEAM.

In the following situations a referral may be submitted directly to the state review team (SRT) for a determination of disability and its probable duration without waiting for a determination from the Supplemental Security Income (SSI) program if the individual is not eligible for another medical program, and during the initial intake it is apparent that: (A) The individual has income and/or resources in excess of the limit for the Supplemental Security Income (SSI) program. The individual’s potential eligibility for the Supplemental Security Income (SSI) program must be monitored. If income or resources fall below the Supplemental Security Income (SSI) limit, an immediate referral for the Supplemental Security Income (SSI) program must be made to the Social Security Administration (SSA). The individual is allowed 60 days to apply for this potential benefit; (B) The individual requires immediate long-term hospitalization or treatment for a severe impairment before the Social Security Administration (SSA) can make a determination for the Supplemental Security Income (SSI) program, or the individual would be required to extend a hospital stay solely because of a delay in processing the Supplemental Security Income (SSI) application. An immediate referral for the Supplemental Security Income (SSI) program must be made; (C) The individual is residing in a medical facility or public institution and the Social Security Administration (SSA) will be unable to make a disability determination for the Supplemental Security Income (SSI) program. An individual is eligible for Supplemental Security Income (SSI) benefits while institutionalized only if Medicaid will pay 50 percent of the individual’s care. Therefore, the Social Security Administration (SSA) may, in some cases, wait for a determination of eligibility for Medicaid. An immediate referral for the Supplemental Security Income (SSI) program must be made; (D) The individual is deceased and the Social Security Administration (SSA) will not make a disability determination for the Supplemental Security Income (SSI) program; or (E) The individual is a non-citizen who the Social Security Administration (SSA) will not review for the Supplemental Security Income (SSI) program.