III Supplemental Security Income (SSI)

 

 

Revised 12/27/2022

Policy

Supplemental Security Income (SSI) Cash payments are treated as follows:

Programs

Treatment

  • ALTCS

  • SSI-MAO

  • MSP

  • Excluded for income eligibilty

  • Counted for ALTCS Share of Cost see MA1201B for details.

  • Counted for the child allocation for SSI-MAO and MSP

NOTE     An SSI-Cash recipient in Arizona who has free Medicare part A is automatically eligible for the QMB MSP without needing to apply for it separately.

  • Caretaker Relative

  • Child

  • Pregnant Woman

  • Adult

  • KidsCare

Excluded

NOTE     An SSI-Cash recipient in Arizona is automatically eligible for MA without needing to apply for it separately.

 

NOTE     When an ALTCS customer receives SSI-Cash and lives in a Long-Term Care (LTC) medical facility, no more than $30 of the customer’s SSI-Cash payment is counted for Share of Cost. See MA1201B for details.

When a customer is receiving SSI Cash and is in an LTC medical facility, see Notifying SSA when an SSI Cash Customer is in an LTC medical facility. Do not manually reduce the SSI Cash benefit in HEAplus. HEAplus will calculate the reduced SSI Cash benefit and use that amount for the Share of Cost.

Definitions

Term

Definitions

Supplemental Security Income (SSI)

Need-based payments to aged and disabled individuals that meet certain income and resource eligibility requirements. These benefits are sometimes referred to as Title XVI.

SSI Aged Benefits

Payments to individuals or couples age 65 years or older who have limited resources and income. The maximum amount payable is the individual or couple Federal Benefit Rate (FBR).

SSI Disability Benefits

Payments to individuals or couples who are blind or disabled and have limited resources and income. The maximum amount payable is the individual or couple Federal Benefit Rate (FBR). Children as well as adults may qualify for benefits. Disability is determined by DDSA.

 

Proof

Income is first obtained through the Federal and State Data Services Hubs. If needed, other proof includes:

 

See the SOLQI interpretive guide for instructions on how to find this information on the SOLQI

Legal Authority

This requirement applies to the following programs:

Program

Legal Authorities

ALTCS

SSI-MAO

Medicare Savings Program

20 CFR 416.1102 and 1103

Adult

Caretaker Relative

Pregnant Woman

Child

KidsCare

42 CFR 435.603

42 CFR 457.10, 300, 301 and 315