SI DEN02302.015 District Office Verification Of-Title XIX Services And Expenditures

See SI 02302.015

The district office (DO) must verify at least one use of services reimbursed by title XIX before making a final 1619(b) determination unless the only use is expected to be in the next 12 months and no present or past use is alleged.

In addition, the DO must obtain the expenditure data for services paid for by a State's title XIX program when an individual's gross earnings exceed the State threshold amount.

The appropriate State agencies to contact for the above information are listed below. The information must be requested by mail and must include the claimant's permission to release the appropriate information (e.g., SSA-8510).

State

Title XIX

*Colorado

Appeals and Recovery Section
Division of Medical Assistance
1575 Sherman Street
Denver, CO 80203

Montana

Department of Social and
Rehabilitation Services
Medical Assistance Section
P.O. Box 4210
Helena, MT 59623

North Dakota

Director of Medical Services
State Capitol
Bismarck, ND 58505

*South Dakota

*Medical Services
Richard F. Kneip Building
Pierre, SD 57501

Utah

Assistance Payments
Administration
Department of Social Services
P.O. Box 2500
Salt Lake City, UT 84110-2500

Wyoming

Medical Assistance
Hathaway Building
Cheyenne, WY 82002

*For faster service, indicate the recipient's household I.D. number, if known.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0502302015DEN
SI DEN02302.015 - District Office Verification Of-Title XIX Services And Expenditures - 07/23/2002
Batch run: 01/27/2009
Rev:07/23/2002