455: CITIZENSHIP UNABLE TO VERIFY VIA SSA CROSS MATCH

DESCRIPTION

This alert generates to the supervisor of CSO 127 – Citizenship Unit when the SSA cross match returned verification code is:

  • B - SSN is verified, there is no indication of death, and the allegation of citizenship is not consistent with SSA data.
  • D - SSN is verification, there is indication of death, and the allegation of citizenship is not consistent with SSA data.

This alert generates daily when the following conditions are met:

  • Client status is Active (A) or Pending (P). If the client is in pending status, the second line of the alert displays “PENDING CLIENT”;
  • Client Citizenship code is US Citizen (C), US National (N), or US Born Child of Refugee (R);
  • Client Citizenship verification code is NOT T2, T3, T4, EW or FV with an identity valid value V or E; and
  • Client Financial Responsibility code is:
    • Recipient (RE)
    • CA Ineligible Person Receiving MA Only (RM)
    • CA Sanctioned Receiving MA Only/FAP Recipient (RN)
    • Recipient of Cash Only (RC)
    • Pending (PN) or blank
  • The client does NOT have a Third Party Liability page coded with MEDA or MEDB.
  • Med Coverage Group code is NOT:
    • Blank
    • M99 (Psychiatric Indigent Inpatient Spenddown)
    • D01 (FC/AS/JRA/SSI CN), D02 (FC/AS/JR Medical), D26 (Washington Apple Health Post-Foster Care Coverage)
    • S01 (SSI Categorically Needy)
    • S03 (Qualified Medicare Beneficiary (QMB), Medicare Savings Programs)
    • S04 (Qualified Disabled Working Individual)
    • S05 (Specified Medicare Beneficiary (SLMB), Medicare Savings Programs)
    • S06 (Qualified Individual (QI-1)
    • L01 (SSI Long Term Care)
    • L21 (SSI CN Waiver or Hospice)

 

PROCEDURE

  1. In ACES 3G, review the case and request verification of citizenship and identity, if needed. For more information, see Citizenship and Identity Verification for Medicaid.

 

DISPOSITION

In ACES 3G, to delete an alert place a checkmark next to the alert on the Case Actions page. In ACES Mainframe, enter [Y] in the D field and <TRANSMIT>.