All SSI records which appear on the buy-in files in accrete States are the result
of an accretion action taken by CMS for SSI recipients. It is CMS responsibility to
delete these individuals if they lose SSI payment status or move to another State
regardless of SSI eligibility. Additionally, CMS will transfer buy-in responsibility
to the State in several situations where SSI payments have terminated but the individual"s
Medicaid eligibility is retained for one of several reasons. (The States have been
provided with instructions regarding these individuals.) Accrete States cannot delete
SSI records. If the State submits a deletion action, it will be rejected. The States
have been provided with specific procedures to follow when there is a discrepancy
with an SSI record.
SSI termination events are conveyed to the Third Party System within the same framework
as accretion actions. Each month the Third Party System receives SSI termination events
and deletes the items from the accrete State"s account. CMS will generate a deletion
record to the State in the billing file. The deletion date will be the last month
that the individual received an SSI payment.
When an SSI recipient moves to another State, SSA will correct the SSI record to reflect
the new State. When this change of State residency is entered in the SSI record, the
SSI system will generate a change record to the Third Party System for appropriate
action. The Third Party System, upon receipt of the State residency change record,
will delete the individual from the accrete State"s account. The deletion date will
be the individual"s last month of residency in that State. The new State of residency,
which can be an alert State or accrete State, will receive the appropriate CMS-initiated
transaction record if SSI entitlement continues.