Identification Number:
SI 00604 TN 41
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. 41, 05/19/2020

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 00604.065 Changes In Living Arrangements: Question 38

We corrected the question number in the title of this POMS from "Question 39" to "Question 38."

Section A

We corrected the question number from "question 39" to "question 38" in the first sentence in Section A to the following: "The purpose of question 38 is to determine if there are living arrangement (LA) changes since the first moment of the reference date month."

Section B

  • We corrected the question number in the subtitle of Section B from "question 39" to "question 38."

  • We corrected the question number from "question 39" to "question 38" in the first sentence in Section B to the following: "Complete 38 for all claimants."

SI 00604.065 Changes In Living Arrangements: Question 38

A. Introduction

The purpose of question 38 is to determine if there are living arrangement (LA) changes since the first moment of the reference date month. For more information on the reference date, see SI 00604.008A.

B. When to complete question 38

Complete 38 for all claimants. Explain changes in "Remarks."

1. Effect of changes in residence on payment

Consider changes in residence as well as any other change in the living arrangement or other breakpoints (e.g., change in household composition). For breakpoints, see SI 00835.510.

NOTE: A breakpoint may affect the LA and in-kind support and maintenance (ISM) determinations, which in turn, may affect payment or eligibility.

2. Documentation of previous LA

If there is a need to document the previous living arrangement, use an SSA-8006-F4 (Statement of Living Arrangements, In-Kind Support and Maintenance).

C. References

  • SI 00835.005 Sequential Development of Living Arrangement and In-Kind Support and Maintenance: Flowchart

  • SI 00835.600 SSA-8006-F4: Statement of Living Arrangements, In-Kind Support and Maintenance

  • SI 00835.500 First-of-the-Month (FOM) Residence and ISM Determinations


SI 00604 TN 41 - Completion of Form SSA-8000-BK, Application for Supplemental Security Income - 5/19/2020