If the MBR reply shows the individual is eligible for SMI and the HIM code is 52 (i.e.,
no record), the problem is either one of timing or an exception in the MBR/HIM exchange.
Prepare an CMS-2178 according to HI 00930.080. Check item 6 under “Reason for Referral.” Enter the following in the “Correction Needed” section: “Establish HIM according to information on the MBR.” Attach the MBR and HIM replies to the CMS-2178 and send to CMS, OMB, OAS, DMOS, Transaction
Branch, P.O. Box 17078, Baltimore, MD 21203. Requery every 30 days until a good MBR
and HIM is received. Then advise the State to reaccrete under code 62.