AA       SSI Cash Eligibility Ends

 

 

 

Revised 12/31/2019

Policy

The Social Security Administration determines eligibility for Supplemental Security Income (SSI) Cash.  Customers who are approved for SSI-Cash are automatically eligible for AHCCCS Medical Assistance (MA) and do not have to apply for it separately.

Except for customer’s receiving ALTCS, the customer’s eligibility for other MA programs is ended once they start receiving SSI-Cash because they get MA automatically.

When a customer loses SSI-Cash eligibility, the customer must be evaluated for eligibility in another MA program (see MA1403).

The following table describes how the loss of SSI Cash affects eligibility:

If the Customer was receiving.... Then...

Medical Assistance automatically due to SSI Cash eligibility

The customer is given a two-month extension of coverage while determining eligibility for any other MA category.

SSI-Cash and ALTCS

The customer is no longer categorically eligible once the SSI-Cash ends. ALTCS eligibility must be redetermined to see if the customer still qualifies for ALTCS.

 

Definition

Term

Definition

SSI-Cash

Payments from the Social Security Administration (SSA) under Title XVI of the Social Security Act to low-income people who are at least age 65, or have been determined by SSA to have a disability or blindness.

NOTE          Some people do not receive a cash payment because their work income is too high, but are still considered to be receiving SSI-Cash.

 

Proof

Proof that a person is receiving any of these payments includes:

·         AHCCCS records that show the person is currently receiving MA related to SSI-Cash;

·         Copies of check stubs for an SSI-Cash payment;

·         Social Security award letter;

·         Contact by telephone with the agency providing the payment, or

·         An electronic record from SSA.

 

Programs Affected

This applies to all programs.

 

Timeframes

Changes must be reported as soon as the future event becomes known.  Unanticipated changes must be reported within 10 calendar days of the date the change occurred.

 

Legal Authority

Program

Legal Authorities

All Programs except KidsCare

42 USC 1383c(a)

42 CFR 435.120

42 CFR 435.916

KidsCare

42 CFR 457.310(b)(2)(ii)

AAC R9-31-303