Page 274

UPDATED: JANUARY 2011

700

OTHER ELIGIBILITY REQUIREMENTS

SOCIAL SECURITY ENUMERATION

validated as correct on WMS. Validation occurs after the case is opened or whenever a change in demographics occurs.

Medicaid A/Rs no longer have to provide documentation of their SSN, except in those cases where either the verification or the validation process fails to confirm the SSN. A copy of the A/R’s Social Security card is always acceptable. The district may accept a printed pay stub indicating the SSN, or W-2 Form as documentation.

If the SSN does not validate through this process, the A/R must be notified to provide documentation of the SSN within 10 days (14 days NYC) from the date of notification. If the A/R does not provide documentation of the SSN, Medicaid benefits must be discontinued or denied.

Form SSA-2853 (message from Social Security), verification that an application was made through the Enumeration at Birth (EAB) process, or a copy of the birth certificate indicating enumeration at birth are the primary evidence that a newborn has applied for an SSN. An SSN is not required for a child born to a woman eligible for, and receiving Medicaid, at the time of the child’s birth for up to one year.

MRG

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Page 274

Official source

UPDATED: JANUARY 2011

700

OTHER ELIGIBILITY REQUIREMENTS

SOCIAL SECURITY ENUMERATION

validated as correct on WMS. Validation occurs after the case is opened or whenever a change in demographics occurs.

Medicaid A/Rs no longer have to provide documentation of their SSN, except in those cases where either the verification or the validation process fails to confirm the SSN. A copy of the A/R’s Social Security card is always acceptable. The district may accept a printed pay stub indicating the SSN, or W-2 Form as documentation.

If the SSN does not validate through this process, the A/R must be notified to provide documentation of the SSN within 10 days (14 days NYC) from the date of notification. If the A/R does not provide documentation of the SSN, Medicaid benefits must be discontinued or denied.

Form SSA-2853 (message from Social Security), verification that an application was made through the Enumeration at Birth (EAB) process, or a copy of the birth certificate indicating enumeration at birth are the primary evidence that a newborn has applied for an SSN. An SSN is not required for a child born to a woman eligible for, and receiving Medicaid, at the time of the child’s birth for up to one year.

MRG