Adult Medicaid Manual MA-1100 SSI MEDICAID-COUNTY DSS RESPONSIBILITY

IX. COUNTY DSS RESPONSIBILITY FOR AN SSI CHILD IN HSF

A. SSI Child Receiving in HSF

1. A child who receives SSI can be in HSF. This allows the county dss to continue to update certain data elements in EIS. This is necessary because children in dss custody may have an address and county number on the SDX other than the Medicaid county of residence. Also, this allows the State to identify children in dss custody for federal reporting purposes.

2. The county dss updates all fields in EIS except the following:

a. Certification Period

b. RSDI Claim Number

c. First Name, Middle Initial, Last Name

d. SSN

e. Date of Birth

f. Sex

NOTE: When there is a conflict between SSA records and dss records for one of the above elements and it causes a problem, use the DMA-5049, Referral to Local Social Security Office to report the conflict. For example, an error in the date of birth or name may cause claims to deny.

3. When the SSI status is "Y" in an HSF case, Medicaid cannot be terminated by the county dss.

4. The county dss continues to have placement responsibility for the SSI child.

B. SSI Child in HSF is No Longer in County Custody

1. When an SSI child who is in HSF is no longer in county custody, he must be taken out of HSF.

2. As long as he receives SSI his Medicaid cannot be terminated.

3. Enter a DSS-8125 to transfer the HSF case to MAABD. Refer to EIS 4200 for instructions.

REVISED 11/01/09 - CHANGE NO. 16-09

(IX.)

C. SSI Medicaid Child Enters County Custody

1. When an SSI recipient who is receiving Medicaid under MAABD enters county custody, the county dss can transfer the child to HSF.

2. Enter a DSS-8125 to transfer the MAABD case to HSF. Refer to EIS 4200 for instructions.