TN 19 (07-20)

SI KC01150.012 KAN — Notifying State Medicaid Agency

See SI 01150.012

A. IOWA

SSA makes the Medicaid eligibility determination pursuant to a section 1634 agreement. Normally, in a 1634 State the transfer information is sent to the same address used for assignment of rights (AOR) and third party liability (TPL) information. However, for Iowa send the transfer of resource information to the local office of the Department of Human Resources, to the attention of the County Director.

B. KANSAS

SSA does not have an agreement to make Medicaid eligibility decisions for the State. Send the transfer information to:


KanCare
P.O. Box 3599
Topeka, KS 66601-9738

C. MISSOURI

SSA does not have an agreement to make Medicaid eligibility decisions for the State. Send the transfer information to:

Family Support Division:
Camden.CoDFS@dss.mo.gov
Camden CO FSD
146 Rodeo Road
Camdenton, MO 65020

D. NEBRASKA

SSA does not have an agreement to make Medicaid eligibility decisions for the State. Send the transfer information to:

Attention: George Kahlandt
Department of Social Services
Public Assistance and Food Programs
P.O. Box 95026
Lincoln, NE. 68509-5026

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0501150012KC
SI KC01150.012 - KAN — Notifying State Medicaid Agency - 07/22/2020
Batch run: 07/22/2020
Rev:07/22/2020