SI DEN02302.015 District Office Verification Of-Title XIX Services And Expenditures
See SI 02302.015
The district office (DO) must verify at least one use of services reimbursed by title
XIX before making a final 1619(b) determination unless the only use is expected to
be in the next 12 months and no present or past use is alleged.
In addition, the DO must obtain the expenditure data for services paid for by a State's
title XIX program when an individual's gross earnings exceed the State threshold amount.
The appropriate State agencies to contact for the above information are listed below.
The information must be requested by mail and must include the claimant's permission
to release the appropriate information (e.g., SSA-8510).
|
State
|
Title XIX
|
|
*Colorado
|
Appeals and Recovery Section
Division of Medical Assistance
1575 Sherman Street
Denver, CO 80203
|
|
Montana
|
Department of Social and
Rehabilitation Services
Medical Assistance Section
P.O. Box 4210
Helena, MT 59623
|
|
North Dakota
|
Director of Medical Services
State Capitol
Bismarck, ND 58505
|
|
*South Dakota
|
*Medical Services
Richard F. Kneip Building
Pierre, SD 57501
|
|
Utah
|
Assistance Payments
Administration
Department of Social Services
P.O. Box 2500
Salt Lake City, UT 84110-2500
|
|
Wyoming
|
Medical Assistance
Hathaway Building
Cheyenne, WY 82002
|
*For faster service, indicate the recipient's household I.D. number, if known.