Identification Number:
SI 00604 TN 24
Intended Audience:See Transmittal Sheet
Originating Office:ORDP OISP
Title:Completion of Form SSA-8000-BK, Application for Supplemental Security Income
Type:POMS Transmittals
Program:All Programs
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM
Part SI – Supplemental Security Income
Chapter 006 – The SSI Application Process
Subchapter 04 – Completion of Form SSA-8000-BK, Application for Supplemental Security Income
Transmittal No. 24, 05/14/2020

Audience

OCO-OEIO: CR, FCR, FDE, RECONE;
OCO-ODO: CR, CST, CTE, CTE TE;
FO/TSC: CS, CS TXVI, CSR, CTE, DRT, FR, OA, TA, TSC-CSR;

Originating Component

OISP

Effective Date

Upon Receipt

Background

This is a Quick Action Transmittal. These revisions do not change or introduce new policy or procedure.

 

Summary of Changes

SI 00604.078 Transfer of Resources: Question 49

We corrected the question number in the title from "Question 47" to "Question 49."

Section A

No changes.

Section B

  • We corrected the question number in the subtitle in Section B from "question 49" to "question 47."

  • We corrected the question number in the first sentence in Section B from "47(a)" to "49(a)" to read the following: "Complete 49(a) and (b) for all claimants."

  • We corrected the question number in the third sentence in Section B from question "48" to question "50" to read the following: "Otherwise, go to question 50."

  • We corrected the question number in the first sentence in Section B.1 from question "47(a)" to "49(a)"

  • We corrected the question number in the first sentence in Section B.2 from question "47" to question "49" to read the following: "Provide all claimants with the Transfer of Assets language regardless of the answer to question 49."

Section C

We removed the obsoleted link to the MSSICS reference to the RGIV screen, MSOM MSSICS 013.014, to the current SSI Claims System reference, MS 08113.034.

SI 00604.078 Transfer of Resources: Question 49

A. Transfer of resources policy

Public Law (P.L.) 100-169 (Foster Care Independence Act of 1999) requires us to determine if a claimant is ineligible for Supplemental Security Income (SSI) due to transfer of resources for less than fair market value within 36 months prior to the filing date month. Section 1917(c) of the Social Security Act requires us to obtain transfer of resource information needed for State Medicaid eligibility determinations. (For required development, see SI 01150.001.)

B. When to complete question 49

Complete 49(a) and (b) for all claimants. Complete (c) if either (a) or (b) are answered "YES"; otherwise, go to question 50.

1. Explanation of resource transfers to claimants

Regardless of the response to question 49(a) and (b), inform all claimants that resource transfers at less than fair market value may have an effect not only on SSI eligibility but also on Medicaid eligibility.

a. Use of Transfer of Asset handout

Using the Transfer of Asset Handout in SI 01150.010, explain that the Medicare Catastrophic Coverage Act (MCCA) provision in 1917(c) affects Medicaid covered nursing care services eligibility for claimants:

  • entering medical institutions;

  • currently in institutions; and

  • receiving nursing care services at home and in the community.

b. Explanation of sharing obtained information

Explain that we will share the information we obtain with State agencies for Medicaid eligibility purposes.

2. Notice requirement

Provide all claimants with the Transfer of Assets language regardless of the answer to question 49. For instructions on notifying claimants of the effect transferring resources may have on Medicaid eligibility, see SI 01150.010. For instructions on notifying a State Medicaid Agency about transferred resources, see SI 01150.012.

NOTE: Providing this language is in addition to any other automated or manual notice.

C. References


SI 00604 TN 24 - Completion of Form SSA-8000-BK, Application for Supplemental Security Income - 5/14/2020