Family and Children's Medicaid Admin. Letters

DMA ADMINISTRATIVE LETTER NO: 03-10, DSS ADMINISTRATIVE LETTER PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM-AL-02-10, DAAS ADMINISTRATIVE LETTER NO: 10-07, (OTHER UNEARNED INCOME FIELD)

TO: COUNTY DIRECTORS OF SOCIAL SERVICES

INCOME MAINTENANCE DIRECTORS

MEDICAID CASEWORKERS AND SUPERVISORS

NCHC CASEWORKERS AND SUPERVISORS

WORK FIRST CASEWORKERS AND SUPERVISORS

SPECIAL ASSISTANCE CASEWORKERS AND SUPERVISORS

DATE: APRIL 19, 2010

SUBJECT: NEW ELIGIBILITY INFORMATION SYSTEM (EIS) 8125 OTHER UNEARNED INCOME FIELD

I. BACKGROUND

Currently, in EIS, other unearned income (VA benefits, cash, contributions, etc.,) is entered into the Total Net Unearned Income (TOT NET UNEARN) field on the DSS-8125. Fields are already available on the DSS-8125 to identify the RSDI and SSI income amounts. Effective April 26, 2010, a new field titled ‘OTHER UNEARN’ will be created to allow for an entry of unearned income other than the RSDI and SSI amounts.

ii. DSS-8125 INCOME ENTRY

A. For SAA and SAD programs, the ‘TOT NET UNEARN’ income field should equal the sum of the RSDI, SSI, and ‘OTHER UNEARN’ income.

B. For all Medicaid programs, the ‘TOT NET UNEARN’ income field should equal the sum of the RSDI and ‘OTHER UNEARN’ income.

C. For AAF and RRF the TOT NET UNEARN’ income field should equal the sum of the RSDI and ‘OTHER UNEARN’ income. The ‘OTHER UNEARN’ income field will be populated from the Automated Budget for Work First (AAF Pay Type 1, 2, and S) and Refugee (RRF) programs.

If you have any questions, please contact your Medicaid or Adult Services Program Representative, your Work First Program Consultant or the Information Support Unit at (919) 733-8938.

Sincerely,

Sherry S. Bradsher

Craigan L. Gray, MD, MBA, JD, Director

Division of Medical Assistance

Dennis W. Streets, Director

Division of Aging and Adult Services