B How to Interpret the SOLQI

 

Program

Manual Section

SSI MAO

AHCCCS FTW

MA509

MA504

 

Procedures

Follow the steps below using the SOLQI to determine a customer’s disability status.

Step

Action

1

Is there a current SOLQI in HEAplus?

  • If YES, continue to step 2

  • If NO, request a new SOLQI using the re-run HUB check button on the Verification Status screen. Continue to step 2.

2

Check to make sure the demographics match by viewing the Verification section of the SOLQI. A “V” indicates that the name and date of birth match. “SSN is Verified” indicates the SSN is correct.
Is the information correct?

  • If YES, continue to step 3

  • If NO, refer to the SOLQI interpretive guide to determine the code indicated in the Verification section, correct the information and re-run the HUB.

3

Is the person under 65 years of age?

  • If YES, continue to step 4

  • If NO, STOP. The person does not need to be disabled to qualify.

4

Is there a Disability Begin Date and the credited column of the SOLQI under benefits history has a C?

  • If YES, STOP. Disability is verified

  • If NO, continue to step 5.

5

Is the customer between the ages of 18-64, receiving Title II benefits, and entitled to benefits under another person’s claim number followed by the letter “C”?

  • If YES, STOP. Disability is verified

  • If NO, continue to step 6.

6

Is the customer between the ages of 50 and 64, receiving Title II benefits, and entitled to benefits under another person’s claim number followed by the letter “D” or "W"?

  • If YES, STOP. Disability is verified

  • If NO, continue to step 7.

7

Is there a Disability Begin Date and the credited column of the SOLQI under benefits is N AND they are currently receiving Medicare?

  • If YES, STOP. Disability is verified

  • If NO, continue to step 8.

8

Does the SOLQI show an S7 payment status in the Title II section?

  • If YES, STOP. Disability is verified. S7 status means that the customer’s payment has been suspended for a reason that does not affect the customer’s disability status.

  • If NO, continue to step 9.

9

Submit a Policy Clarification Request (PCR) via the Policy Assignment Tracking System (PATS). The Policy Unit will research the disability status and contact Social Security Administration for clarification as needed.

NOTE     Do not submit a PCR to verify disability status when the customer receives SSI Cash or has 1619(b) status. 1619(b) status is indicated when SSI Cash payment is suspended with a N01 code and there is current SSI-Cash eligibility showing in WAVES.