State Of Indiana INDIANAPOLIS, IN 46204-2747

Eric Holcomb, GovernorState of IndianaDivision of Family Resources402 W. WASHINGTON STREET, ROOM W392INDIANAPOLIS, IN 46204-2747TO:FROM:RE:DATE:Field StaffOV&V OperationsSocial Security Administration (SSA) Denials7/9/19Social Security Administration (SSA) SSI and SSDIdenials of MASI and MA D recipients ALWAYSoverride MRT decisions. Even if MRT has waived theprogress report or the recipient is a child, the SSA decisionstill overrides MRT.Note: When SSI recipients lose1619 status because they are nolonger considered disabled, aprogress report must immediately besubmitted to MRT to determine ifthey are eligible for MEDworks.HCPPM 2414.10.00If a recipient has been denied or discontinued from SSIand/or SSDI, they have 65 days to file an appeal with SSA.A pending verification checklist / form 2032 must be sentwith a deadline of 65 days from the SSA denial. Thebenefit cannot be closed during this 65 day period. Ifthe recipient files a timely appeal, the benefit cannot beclosed until the SSA makes an appeal determination.www.IN.gov/fssaEqual Opportunity/Affirmative Action Employer

How can I tell if a member has been denied/discontinued?ICES: For SSDI, refer to the payment status on DEBN. Table TBPC shows the “DIS VER” for eachpayment status. For SSI, refer to the payment status on IQSSA/DESX. Table TSPS shows the “DISVER” for each payment status. If the “DIS VER” equals “T’, this means the SSDI/SSI has beenterminated. An MRT decision cannot override this determination.What if the “DIS VER” for the payment status shows a “P”?“P” means SSI/SSDI payments are not being made, but the disability status has not necessarilychanged – in this instance, if no longer showing disability DE verified on AEIDP, an MRTdetermination would be appropriate. SSDI and SSI income should be terminated and, if working inICES for former SSI recipients, the recipient should be marked as not receiving SSI on AEIDC(otherwise MASI will continue to form).For example, forSSDI, check thepayment status codeof “ND”. TBPCshows that the “DISVER” is P. AndMRT determinationmight be needed ifAEIDP shows thedisability is not DEverified

For SSI, look at thepayment status onIQSSADAILYor DESXSSA/SSIFILE DISPLAYand find thecorrespondingLAST UPDATED“DIS11/21/2018VER” UPDATEDon TSPS11/21/2018FIRSTIQSSARECIPIENT IDRECIPIENT NAMEPAYEE NAMEPAYEE ADDRESSSSI CATEGORYLIVING ARRANGEMARITAL STATUSRESOURCE IND1619 STATUSTID CODETPL CODEALIEN INDUNEARNED TYPEAP CDDCPAR HH0YQFREQ04/12/19 07:34SSNSSNBRSSCLAIMCLAIMNBRPAY STATUSH10 OCT-2018OCT-2018PAYSTATUSN07HISTORYN04 JUN-2018C01 MAY-2018E01 JUL-2015SSI PAYMENT0.00DATE OF BIRTHSSI ENTITLEMENT0.00SSI ELIG DATEEI AMOUNT0.00DATE OF DEATHEI EXCLUSION AMT0.00EI PERIODNET SELF-EMP INC0.00DENIAL DATEOVER/UNDER INDDENIAL CODECURR RECOVERY0.00TRANSACTION CODE07PRESUMPT IND FPF24-IQSS1BEGINENDAMOUNT CLAIM NBRAP DTDESXRECIPIENT IDRECIPIENT NAMEPAYEE NAMEPAYEE ADDRESSSSI CATEGORYSSICATEGORY DC DCPAY STATUSH10PAYMENTSTATUSN07LIVING ARRANGE PAR HHMARITAL STATUS 0RESOURCE IND1619 STATUSTID CODEALIEN INDQUNEARNED INC: TYPE FREQRSNAP DEC CDAP DEC DTDATA EXCHANGE INQUIRYSDX INFORMATIONCURRENT MATCHDATE OF BIRTHSSI ELIG DATEDATE OF DEATHEI PERIODDENIAL DATEDENIAL CODETPL CODEYPRESUMPT IND FBEGIN END12/14/18AP RSN04/12/19 07:35SSNCASE NOSS CLAIM NO 000000000WORKERSSI PAYMENTSSI ENTITLEMENTEI AMOUNTEI EXCLUSION AMTNET SELF-EMP INCCURRENT RECOVERYOVER/UND PAY INDAMOUNTCLAIM NBR0.000.000.000.000.000.00

IEDSS: The first step in IEDSS is to navigate to the BENDEX (SSDI) or SSI (SDX) interfaces.Click on the “Others” caret and select “Interfaces” from the drop down menu.This will bring up the interface options on the sub-menu navigation bar. Select the appropriateinterface and search by the recipient’s SSN or Person ID (RID #).Select the pencilicon next to therecipient’s name inthe search results.This will take youto the IndividualInformation page.From the IndividualInformation page,select “Next” tonavigate to thePaymentInformation page.

Below is an example of what you might see on the SDX (SSI) Payment Information page. If there isa “Payment Status Code” of non-pay, and the Medicaid Eligibility Code shows “Referred to State forDetermination (1634 States)”, this means MRT must render a decision.By clicking this link and filling out the following form, you agree that you have read and understoodthe above material.Disclaimer: Hub Caps have been written to assist in providing clarification and as a quick guide for workersto reference. Hub Caps do not replace policy; please continue to use the appropriate policy manuals fordetailed information. If you have any additional questions about policy, please contact the policy answer line.

disability is not de verified . corresponding “dis . resource ind ei period net self . payee name . iqssa ssa/ssi daily file display 04/12/19 07:34 and find the . last updated 11/21/2018 . recipient id first updated 11/21/2018 ssn . recipient name ss claim nbr payee name pay status n07 oct-2018 payee address history n04 jun-2018 . c01 may-2018 . e01 jul-2015 . ssi payment 0.00 . ssi category .