Family and Children's Medicaid MA-3120 SSI MEDICAID

VI. RELATED MEDICAID ISSUES

A. Budgeting

Do not include SSI recipients in the budget unit or the needs unit when determining Medicaid eligibility for non-SSI recipients. Refer to MA-3305, MAF, MIC, HSF Budgeting, and MA-3310, MPW Budgeting.

B. Automatic Newborn Coverage

A child born to an SSI Medicaid recipient is eligible for automatic newborn coverage. When the mother contacts DSS obtain information regarding the child’s date of birth, name, and sex. Follow procedures in MA-3230, ELIGIBILITY REGULATIONS INDIVIDUAL UNDER AGE 21, Newborn Coverage, to authorize the child for MIC.

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(VI.)

C. Returned Cards

1. Undeliverable Medicaid cards will be returned to the county dss. It is recommended that the cards be filed in one place. If a recipient reports he did not receive his Medicaid card, research the file. The card can be given to him personally or mailed to him. Follow procedures in MA-3505, Medicaid Identification Card.

2. Advise the recipient that Medicaid cards are not forwarded. Instruct the individual to report any change in address to SSA to ensure the Medicaid address is corrected.

3. Retain cards for 3 months. If the cards have not been claimed, they may be shredded. Refer to shredding instructions in MA-3505, Medicaid Identification Card.

D. Replacement Cards

If an SSI Medicaid recipient reports he lost his Medicaid card or did not receive it, the county dss can order a replacement Medicaid card. Follow procedures in MA-3505, Medicaid Identification Card, to order the card.

E. Transportation Services

SSI Medicaid recipients are eligible for Medicaid transportation services. The Medicaid approval notice instructs the SSI recipient to contact the county dss if he needs transportation to medical care.

An SSI recipient may apply for transportation in person or by phone. When an SSI Medicaid recipient requests transportation assistance, follow instructions in MA-3550, Medicaid Transportation.

F. Community Care of North Carolina/Carolina ACCESS (CCNC/CA)

SSI Medicaid recipients who live in Community Care of North Carolina/Carolina ACCESS (CCNC/CA) counties are required to participate in CCNC/CA unless they also receive Medicare. There will be no change in CCNC/CA participation or procedures for SSI recipients who receive Medicaid under HSF or AAF (payment type 5).

G. IV-D Referral

1. Caretakers for SSI children must cooperate with IV-D to establish medical support agreements when the following applies:

a. The caretaker is applying for or receiving Medicaid for herself in any aid program/category except MPW (see MA-3365, Child Support, III.,A.), and

b. The child meets the criteria listed in MA-3365, Child Support, II. B.

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(VI.G.)

2. Caretakers of SSI children who are not applying for or receiving Medicaid for themselves may choose to cooperate with Child Support. The approval notice for SSI Medicaid instructs the recipient to contact IV-D if there is a child

3. EIS will notify IV-D of the new SSI Medicaid case when a child lacking parental support due to the absence of one or both parents:

a. Is approved for SSI Medicaid, and

b. Previously had an automated referral to IV-D completed.

This continues the link between IV-D and EIS which allows automatic updates between the two systems.

4. Individuals in a pending application or active case in EIS who are already referred to IV-D when approved for SSI may continue to use IV-D services. EIS will continue to send automatic updates to IV-D for these cases if the SSI Medicaid case is created with the same EIS Individual ID. New SSI Medicaid approvals, including individuals who have never been active in EIS, may also use IV-D services.