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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M02 July 2021 Subchapter Subject Page ending with Page M0240 SOCIAL SECURITY NUMBER REQUIREMENTS M0240.400 7
Staff at the Department of Medical Assistance Services will oversee and monitor the process of SSN resolution on a monthly basis to ensure that action has been taken to correct Social Security Numbers in the system.
B. Process 1. Generation of the RS-O- 485-A Report The RS-O-485-A Report is produced monthly and posted for LDSS review.
2. VDSS Requirements It is the responsibility of the LDSS to review the report and research each entry to resolve any discrepancies concerning an individual’s social security number. An ineligible individual should not receive Medicaid services. VDSS is responsible for implementing the necessary procedures to ensure that all corrections or changes will be made within a 30-day period and updated in the MMIS system accordingly. Policy guidelines are located in the Medicaid Policy Manual. See Policy M0240.300
3. DMAS Review DMAS staff will concurrently review an internal report showing how long each individual discrepancy continues to appear. The number of new (first time) and repeat (not first time on report) occurrences will be noted. Repeat occurrences will be further broken down by those that have appeared from prior month, in the prior two months, in the prior three months, and the total that have been on the report for four or more months.
4. Forward List to VDSS DMAS will provide a monthly outcome report of the number of discrepancies reported and the individuals with discrepancies that remain on the report after 90 days.
This report will be forwarded to the VDSS Medical Assistance Programs Manager and to the VDSS Regional Medicaid consultants for review. VDSS will review the report and provide to DMAS a corrective action plan for resolving the discrepancies. All discrepancies must be resolved within 30 days of receiving the report from DMAS.