We accomplish the month-to-month operation of the State Buy-in program through automated
data exchange among the States, CMS, and Social Security Administration (SSA).
One basic concept in the design of the Third Party System (TPS) is the agency that
makes the Medicaid eligibility determination for a beneficiary, is responsible for
accreting and deleting the beneficiary to the Buy-in Program.
See Related Instructions
HI 00815.063 Systems Processing of State Responsibility Items
HI 00815.066 Systems Processing of CMS Responsibility Items (SSI auto accrete)