Identification Number:
EM-18063
Intended Audience:All RCs/ARCs/ADs/FOs/TSCs/OCO-CSTs
Originating Office:ORDP OISP
Title:Payment of Retroactive Increase in New Jersey’s State Supplement Amount for Individual/Couples in Medicaid Facilities-- One-Time-Only Instructions
Type:EM - Emergency Messages
Program:Title XVI (SSI)
Link To Reference:See Reference at the end of this EM.
 
Retention Date: June 22, 2019

A. Purpose

The purpose of this EM is to provide background and guidance regarding retroactive New Jersey (NJ) supplement payments for individuals and couples in Medicaid facilities that we will issue on February 2, 2019.

B. Background for New Jersey’s Retroactive Increase in the State Supplement Amount

    To achieve compliance with the New Jersey State Fiscal Year 2018 Appropriations Act, NJ is raising the state supplement for Optional Supplement (OS) code G to $20 for individuals and $40 for couples.

    For more information related to the state supplement rates for the New Jersey, see SI 01415.050J.

    C. How to identify the Social Security Payment (SSP) on the Supplemental Security Record (SSR)
      The retroactive payment for New Jersey OS code G will post to the Payment History (PMTH) segment on the SSR as a 2E payment dated 2/2/2019. The retroactive payment will include $20 per month for individuals and $40 per month for couples ($20 per month for each member of the couple) for July 2017 through December 2018.

      The retroactive payment will not include the $20/$40 increment for months that the SSI recipient was ineligible for payments in calendar year 2017/2018.

      The retroactive payment will be issued following the computation run on 1/26/2019.

      EXCEPTION: Initiating an event in the SSI Claims System (formerly MSSICS) during the period from 1/21/2019 through 1/25/2019 and transmitting the change(s) to the SSR will cause the system to issue the 2E payment covering the period from 07/2017 through 12/2018 on the date of the input. Non-SSI Claims System cases processed via 1719b input during the period from 01/21/2019 through 01/25/2019 will cause the system to issue the 2E payment on the date of the input.

      D. How to handle public inquiries
        Notices addressing this matter will be issued between 01/21/2019 and 01/25/2019, if the SSR has updated prior to the computation run, or following the computation run on 01/26/2019. The notice will address the change in the State supplement rate for July 2017 through December 2018. Assure SSI recipients who receive the retroactive payment that the payments are legitimate and owed to them. Also, explain that this payment will not result in an overpayment.

        Direct all program–related and technical questions to your RO support staff or PSC OA staff. RO support staff or PSC OA staff may refer questions or problems to their Central Office contacts.

        References
        SI 01415.050 Federally Administered Optional Supplementary Payment Programs for 01/18 Payment Levels
        EM-18063 - Payment of Retroactive Increase in New Jersey’s State Supplement Amount for Individual/Couples in Medicaid Facilities-- One-Time-Only Instructions - 01/22/2019