ROs establish procedures that ensure that SSA promptly receives notification of certification.
When the RO receives a certification notification directly from the State Medicaid
certifying agency or from the Centers for Medicare and Medicaid Services (CMS), the
RO is responsible for notifying the appropriate field office (FO).
The RO can negotiate with the State Medicaid certifying agency or have the parallel
FO negotiate, to establish a system of direct reporting of certifications from the
certifying agency to the retirement and survivors insurance (RSI) and SSI Programs
Branch of the SSA RO or to the parallel FO. Appropriate reports show the name of the
facility, the date the State Medicaid agency made the certification, and the effective
date of the certification.
RO staff should maintain a close working relationship with CMS to ensure that prompt
notification of certification to SSA is routine.
The ROs have flexibility in determining who uses what system or systems. ROs and FOs
should attempt to develop a system of receiving reports, including negative reports,
at least monthly.