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West Virginia Income Maintenance Manual Chapter 10

West Virginia Income Maintenance Manual Page 78 Chapter 10 The Case Maintenance Process

Match Result Example 1: If the customer receives both RSDI and SSI, and each benefit was updated successfully, the Worker sees the individual name on the printout twice with the match result Record Successfully Updated. This message appears once with the match result for the RSDI update and again with the match result for the SSI update. There are no indicators to identify which entry is for RSDI and which is for SSI. Match Result Example 2: If the SSA file indicates the RSDI and/or the SSI amount is zero, the match result indicates that the case was not updated. The match result displayed is either Record Not Updated – $0 RSDI Amount or Record Not Updated – $0 SSI Amount. This is because the amounts of these benefits are rarely this amount by the time of the COLA Mass Change. Use SOLQ to determine the current amount of the RSDI and/or SSI. Match Result Example 3: If the customer receives more than one type of RSDI, the Social Security Administration combines all amounts. The RSDI amount appearing on the COLA tape and the Match Report is the total of all combined updated amounts for that individual. However, the eligibility system identifies each specific type of RSDI separately. Because the amount on the COLA tape is a combined amount and the amount in the eligibility system is specific to each type of RSDI received, it is not possible for an automatic update to occur on these cases. The Worker must manually update each RSDI amount. The Match Result for this situation is Multiple Records for a Type. If the individual receives SSI, in addition to multiple types of RSDI, the SSI amount is automatically updated even though the RSDI amounts are not. Match Result Example 4: If the RSDI is garnished, the amount is not updated. The match result is RSDI Not Updated Due to Garnishment. A Mass Change report provides the new RSDI gross amount and the amount of the garnishment. Match Result Example 5: If the automatic update resulted in an update of Medicare information, the Worker sees two entries for an individual. The match result for the premium update is Record Successfully Updated. A separate match result appears for updated information. Only the Medicare Part B premium information is updated by the COLA Mass Change. Match Result Example 6: If there is a Medicare premium amount other than zero and no Medicare amount on the COLA tape, one entry for the individual is on the Match Report. The match result is Person is Not Part B Entitled. To prevent possible disruption of Buy-In, the Medicare information is not updated. Workers must determine if a change in the Medicare information is needed. Match Result Example 7: If there is a Medicare premium amount of zero and the COLA tape shows the individual is eligible for Medicare, the match result for