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

When customers who get SSI Cash automatically get MA (acute care), this income is only counted as unearned income for the ALTCS share of cost and child allocation for SSI-MAO and MSP.

·        Caretaker Relative

·        Child

·        Pregnant Woman

·        Adult

·        KidsCare

Excluded

 

Customers receiving SSI-Cash in Arizona are automatically eligible for MA Acute Care services and do not need to apply separately.

Customers who receive SSI-Cash and have free Medicare Part A are also automatically eligible for QMB without a separate application.

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.

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:

·        Award letter from Social Security;

·        Collateral contact with Social Security.

 

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