Although CMS initiates buy-in accretions under the SSI program for individuals in
an auto-accrete State, most States will make buy-in eligibility determinations for
some or all claimants. There will be occasions when the State will ask the DO/BO for
assistance in identifying an individual.
When the State decides to enroll a person under a buy-in agreement, the State must
furnish the individual"s social security or railroad claim number and buy-in effective
date to CMS as part of the accretion record. CMS screens the incoming transaction.
If CMS cannot identify the individual or verify their eligibility, CMS will reject
the item and return it to the State.
When the State receives the reject it reviews its records to determine whether the
claim number and other identifying information was input correctly. If the State determines
that its original input record was incorrect, it will resubmit the transaction using
the correct data.
However, if the information submitted on the original accretion is correct according
to State files, the State will request assistance from the parallel DO directly or
from the servicing DO/BO through the local welfare offices.
In addition, to requests to verify the claim number or other identifying information,
the State may request DO/BO assistance in investigating possible erroneous death deletions
or termination of Medicare entitlement. The State may also ask the DO/BO to establish
the individual"s claim number in the unearned income field on the SDX (see HI 00815.036B, SM 02001.040, and SM 01301.325). The DO/BO should be responsive to the requests
from the State so that the integrity of the buy-in record can be maintained.