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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M02 July 2022 Subchapter Subject Page ending with Page M0240 SOCIAL SECURITY NUMBER REQUIREMENTS M0240.400 6

b. Discrepancy Not Caused by Data Entry Error If the discrepancy is not the result of a typographical or other data entry error, the individual must be given a period of 10 calendar days to resolve the issue or provide written verification from SSA of the individual’s correct SSN. The eligibility worker must send a written notification to the enrollee that informs the enrollee of the SSN discrepancy and gives him 10 calendar days from the date of the notice to either resolve the discrepancy with the SSN or to provide written verification of his correct SSN to the worker. The notice must inform the individual that if he does not verify his SSN by the deadline, his Medicaid coverage will be canceled. c. Individual Provides SSN Verification If verification of the SSN is received within the 10 calendar days, update the eligibility/enrollment system accordingly so that the enrollee’s information will be included in a future data match. d. SSN Verification Not Provided If verification of the SSN is NOT received within the 10 calendar days, send the individual an advanced notice of proposed cancellation and cancel the individual‘s coverage in the eligibility/enrollment system.

M0240.400 SOCIAL SECURITY NUMBER DISCREPANCIES

A. Policy To be eligible for medical assistance (MA), an individual must provide his Social Security number (SSN) as well as the SSN of any person for whom MA is requested, or must provide proof of application for an SSN.

As required by 42 CFR 435.910(g), “the agency must verify each SSN of each applicant and recipient with the SSA [Social Security Administration], as prescribed by the Commissioner, to insure that each SSN was furnished to that individual, and to determine whether any others were issued.”

In addition, 42 CFR 435.920 states, “In redetermining eligibility, the agency must review case records to determine whether they contain the recipient’s SSN or, in the case of families, each family member’s SSN.”

The Medical Assistance enrollment system generates a Social Security number and citizenship report (RS-O-485-A) and makes the report available to the local departments of social services (LDSS) on a monthly basis. LDSS agencies are responsible for reviewing the monthly report and correcting any discrepancies. If the agency is not able to resolve SSN discrepancies in a timely manner, an ineligible individual should not receive Medicaid services. Refer to Medicaid Policy M0240.300 regarding SSN Verification Requirements.