SSA determines Medicare Part B eligibility for SSI beneficiaries living in auto-accrete
states. An automated process exists to identify and process Medicare-only claims for
uninsured SSI beneficiaries as they near age 65. We refer to this process as the Medicare
Attainments and Leads Process (MALP).
One step in this process is to check the earnings record to determine if a SSI beneficiary
may be insured for Title II benefits. If so, we initiate development for the Title
II claim.
If the SSI beneficiary is not insured for Title II, but all requirements are present
on the SSR for entitlement to Medicare Part B, a Medicare Part B-only claim (BIC M)
is automatically processed and updated to the Master Beneficiary Record (MBR).
If the information needed to process the claim is incomplete or inconsistent, development
is sent to the Office of Central Operations (OCO)/Office of Earnings and International
Operations (OEIO) or to the field office (FO) for further processing. If it is sent
to OEIO, it will go to:
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the Modernized OEO System (MOS) for automated processing, or
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the Division of Earnings Record Operations (DERO) for manual processing.