PROGRAM OPERATIONS MANUAL SYSTEMPart SI – Supplemental Security IncomeChapter 006 – The SSI Application ProcessSubchapter 04 – Completion of Form SSA-8000-BK, Application for Supplemental Security IncomeTransmittal No. 18, 05/06/2020
This is a Quick Action Transmittal. These revisions do not change or introduce new policy or procedure.
Summary of Changes
SI 00604.098 Leads For Other Benefits: Question 60
We removed the obsoleted link MSOM MSSICS 019.002, and added the link MS 08119.001.
We removed the obsoleted link to MSOM MSSICS 019.010, and updated it with MS 08119.018.
Complete (a) for all claimants (including children).
Complete (b) for all claimants and spouses/parents whether or not the spouse is filing and even if the claimant and spouse are separated.
Record answers about a claimant's former spouse in the "Your Spouse" blocks.
When the claimants answer (b) "YES" (provide dates as needed).
Complete 60(c). For any "YES" answer about a former spouse change "Your Spouse" to "Your Former Spouse" in (c). If filing for a child, change “Spouse” to “Parent(s)”. For every "YES" response, complete the "Filed for Benefits" column. Explain the requirement to file for other benefits.
NOTE: "YES" answers in 60(b) may serve as leads to possible third party insurance (question 59).
To refer claimants to other agencies and for title II benefits,use the form SSA-L8050-U3 (SSI Claim Information Notice.
To complete the SSA-L8050-U3, see SI 00510.020.
00601.035 Adjudicating Title II When a Title XVI Application is Filed
SI 00510.001 through SI
00510.025 Requirement to File for Other Program Benefits
08119.001 Potential Eligibility for Other Benefit Leads Overview
08119.018 Social Security Lead
02309.010 Processing the Insured Status (KZ) Diary: Supplemental Security Income (SSI)