When it is determined that an individual entering a Family Care home is in need of
financial assistance, the OMH Patient Resource Agent will assist the individual in
completing an SSI claim as well as an IAR authorization form BPR-912. Both the SSI
claim and the BPR-912 will then be submitted to the FO servicing the local Patient
Resource office. The state/county code 33990 is the GR code designated for OMH. The
33990 code should be used for all OMH cases regardless of the individual's address
or the location of the Family Care facility, as this will ensure that the retroactive
SSI check is directed to OMH's Bureau of Patient Resources in Albany. NOTE: IAR payments
to OMH have NOT been automated; therefore, it is a manual process.
When a BPR-912 is received for an individual whose SSI application is pending a reconsideration
decision, a decision by an ALJ or the Appeals Council, the FO should immediately input
the IAR data via the SSA-450S/PR9 procedure. No attempt should be made to forward
a BPR-912 to the DDS, ALJ or Appeals Council. When the claims folder is returned to
the FO for filing, the BRP-912 should be associated with the folder.
Upon receipt of the retroactive SSI check, the Bureau of Patient Resources in Albany
will deduct an amount equal to the amount of OMH voucher payments made during the
pendency of the SSI claim. The Bureau of Patient Resources will issue a check for
the balance (if any) to the recipient together with a notice, the BPR-913, describing
the apportionment of the SSI funds. (See SI NY02003.080 for large retroactive checks due after 12/01/96.) Should an individual dispute the
distribution of the SSI check, he/she should contact the local Patient Resources Agent
for an explanation. If the individual is still dissatisfied, he/she has the right
to file an appeal with the Office of Mental Health's Office of Counsel, 44 Holland
Avenue, Albany, New York, NY 12229.