Report costs incurred in the processing of Fed/Med claims in the totals reported on
Form SSA-4513 (State Agency Report of Obligations for SSA Disability Programs). Include
personnel services and all other costs for Fed/Med claims in the cost categories as
used for other disability claims. Medical costs for Fed/Med claims should, however,
be included with title II medical costs. Consequently, there is no need to report
separately the costs of processing Fed/Med cases. These costs should also be included
in the amounts reported on the monthly obligations report and likewise do not need
to be reported separately.
SSA central office will use the reported information to obtain reimbursement from
the Medicare trust fund for the cost of DDSs processing Fed/Med claims. An average
cost per workyear (WY) will be calculated for each State. This average cost will be
multiplied by the number of Fed/Med WY's used in that State as derived from the SAOR
to determine the cost of processing the Fed/Med claims for reimbursement purposes.
Therefore, it is essential that the workload and obligations reports be accurate.