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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M01 April 2022 Subchapter Subject Page ending with Page M0130 APPLICATION PROCESSING M0130.200 5

M0130.200 Required Information and Verifications

A. Identifying Information An application must contain basic identifying information about the applicant. Basic identifying information is the applicant's name, address, Social Security number (SSN) or proof that the individual applied for the SSN, if required for the applicant’s eligibility, and date of birth. 1. Name The name entered in the official case record and computer enrollment systems for an applicant must match the applicant’s name on his Social Security card or Social Security Administration (SSA) records verification. This is important because of the Medicare Buy-in and other computer matches the Medicaid Enterprise System (MES—formerly the Medicaid Management Information System [MMIS]) performs with SSA. At the time of the initial MA application, verify the SSA record of the individual’s name. The Federally managed Data Services Hub verifies the individual’s name and SSN with the SSA for cases processed in VaCMS (see M0130.200 B.1 below). For an individual whose name and SSN cannot be verified in VaCMS and for all individuals whose cases are not processed in VaCMS, either SVES or the State Online Query- Internet system (SOLQ-I) SSA Title II and Title XVI results may be used. If the individual says his name is different from the name on his Social Security card, he must first notify SSA and have his name changed on SSA records. When SSA changes his name and SSA verification of the name change is received, the worker can change his name in the case record and on the eligibility and MES computer systems. For purposes of the case record only, the agency may choose to set up the case in the individual’s alleged name before it is changed on the Social Security card. 2. SSN The SSN of an individual for whom medical assistance is requested and for whom having an SSN or proof of application for one is an eligibility requirement, must be provided by the applicant and verified by the worker through SSA. The Hub or SOLQ-I may be used to verify the individual’s SSN. See M0240.001. B. Required Verifications 1. The Federally- managed Data Services Hub The Hub is a data center that links the following federal systems: • Social Security Administration • Internal Revenue Service (IRS) • Systematic Alien Verification for Entitlements (SAVE).

Income verification by the Hub is acceptable for retroactive eligibility determinations provided that reasonable compatibility is met (see M0420.100 B.9). Information from other sources, such as the Work Number, may become available via the Hub in the future. 2. Other Verification Sources An individual must provide verifications of certain MA eligibility requirements when they cannot be verified through EDSV. Before taking action on the application, the applicant must be notified in writing of the required information. The verification request (checklist) must be sent to the authorized representative, if one has been designated.