State Supplemental Program (SSP)

365 - SSP AUTO-PAY NOT POSSIBLE, PROCESS MANUALLY A two-tiered alert generated when a client's martial status is questionable.
367 - OPEN SSI MEDICAID AU FOR ACTIVE SSP AU Generated when a user closes an SSI Medicaid AU and leaves the related SSP AU open.
368 - SSP AUTO-PAY NOT POSSIBLE, PROCESS MANUALLY A two tiered alert generated when there is a Name, DOB, SSN, or address discrepancy.

Case Assignment and Process

SSI Medicaid (S01) and SSP cash (SP) each have their own AU number.
All SSP AUs will be assigned based on the caseload parameter for the CSO or HCS office.
When ACES identifies a new SSP client. ACES automatically opens SSP during the night batch process.
There can only be one recipient on an SSP AU.
Alerts will be generated to the workers from the auto process.

Case Maintenance

Eligibility reviews are not done for SSP AUs.
SSP can be opened, reopened, reinstated, or closed manually.
You can only reopen an SSP case if the client is an SSI recipient and SDX has the coding to meet eligibility for one of the four program types. SSI living arrangement on the SDX must be A, B, C, or D.
Advance and Adequate notice rules apply to SSP cases.

EXAMPLE

If a client presents an SSI award letter, has an ineligible spouse, and requests SSP but ACES did not Auto open the case, manually open the SSP AU.Manually close the SSP AU if a client reports to you that the ineligible spouse no longer lives with him and the SDX continues to show SSP payments are being made.

EXAMPLE

A family eligible for both SSI and TANF has the following options:1. SSI benefits for the SSI eligible person, and a TANF grant for the spouse and children; or 2. SSI benefits as an SSI couple (not an ineligible spouse household), and a TANF grant for the child(ren). Notify SSA immediately if an SSI client is getting an ineligible spouse SSP and a TANF grant for their child(ren).SSA must re-determine eligibility for the SSI recipient.

Close SSP Case

Auto Closure Aces checks for all program eligibility (I, M, A, or B) before closing.

ACES auto closes for the following reasons:

109 Reason Code - You can not receive a Washington State SSI supplemental payment because you do not get a federal SSI payment
111 Reason Code - Not SSP Eligibility –SSI Eligibility Category Change.

The people who can get SSP are those who get SSI and:

Live with their ineligible spouse;

Are blind: or

Are 65 or older.

Manual Closure

SSI client no longer meets eligibility for SSP.

Notify SSA.
Manually close the SP AU using a 599 Reason Code.
Document that the ineligible spouse is no longer in the household, client is no longer blind, or why the client does not meet eligibility for any SSP programs.
Add text to Letter 006-01, Termination of AU.

You were getting a state supplemental payment because your spouse lived with you, or you were aged, or you were blind. Your spouse does not live with you anymore so you cannot get SSP, You are not aged, or you are no longer blind. See WAC 388-474-0012.

Conversion

Initial conversion

1. Clients will not be converted to SSP program if ACES did not receive an SDX record for them on or after the COLA 2002 file.

2. Case reassignment letters will not be sent and Alert 330 - Benefit Changed by Batch, will be suppressed.

Income

The SSP payment is treated as SSI income, but does not appear on (UNER) and is budgeted in the clients related FS and Medicaid AU's.

Issuance

SSP benefits will be issued by EFT / Direct Deposit or warrant.
If the SDX interface shows no existing EFT registration, ACES will automatically set the issuance method to WAR – warrant. SSP clients will then receive a check in the mail.
If the (EFTR) can be prefilled from the SDX, ACES will begin the pre-note process for that account but will not deposit funds to that account until the EFT unit has indicated they have received permission from the client to do so. An ACES EFT / Direct Deposit Enrollment Form 14-432 is sent to the client asking for their permission to use the client’s EFT account. Clients receive warrants until the EFT consent is processed.
There will be a "Client Authorization Pending" indicator that must be updated by the EFT unit (indicating that the client authorization was received.) Once this has been updated, then ACES will begin sending the EFT funds to the account.
Three new (EFTR) status codes have been added to the (EFTR).

SP - SSP Prenote Pending

SR - SSP Prenote Return

SA - SSI State Supp Prenote Authorized

If a client is eligible for one day in a month they are eligible for the whole month.

Letters

Letter 008-01 - Change in Cash / Food Assistance
- This letter is generated when there is a change in the SSP amount of the client.
- This letter includes the EFT enrollment / EFT consent form if client not already on EFT.
Letter 006-01 - Termination for AU

This letter is generated when the client’s SSP is discontinued and is sent with the new reason code text for termination.
Letter 022-05 - Redetermination for Medical at SSI Termination

This letter is generated when the client’s SSP is terminated and a redetermination of the related SSI Medicaid AU needs to be done.
Letter 002-30 - Approval for State SSI Supplemental Payment

This letter is generated when a new SP AU is opened or reopened.

Client gets Direct Deposit (14-432) form if no EFT account exists.

Client gets EFT Consent form if EFT account exists.

Return EFT enrollment and Consent forms to EFT Central Input Unit at MS 45445. See Letters.

MIL Case

MIL – Mandatory Income Level – people who were getting state disability in 1974 in Washington whose state payments were higher than the new SSI payment. DSHS required to maintain payment levels.

ACES will initially open all the MIL cases.
No new MIL cases can be added.
If the client has moved here from another State and claims to be a Washington MIL, email SSP questions for instructions to sspquestions@dshs.wa.gov.

Open SSP Case

A client must have at least an SSI Medical AU open to receive SSP.
You can only open an SSP case if the client is on SSI, who are MIL cases, who have an ineligible spouse, are AGED (65 or over), or Blind.

Auto-Open

ACES will initially open all the MIL cases.
When ACES identifies a new SP client, ACES automatically opens both SSI Medicaid (S01) and SP cash simultaneously during the night batch process.
There are four new reason codes users may encounter with the SP auto-open process.
- 109 - Ineligible payment code
- 110 - Invalid SSP living arrangement on SDX
- 111 - Not SSP Eligible-SSI Eligibility Category Change. The people who can get SSP are those who get SSI and:
1. Live with their ineligible spouse: or
2. Are blind; or
3. Are 65 or older.
- 341 - The state supplemental payment rate for all SSI recipients has changed.

Manual Open

If no SSI Medicaid AU is open and ACES is unable to auto-open one, then an alert will be sent to the user to take a manual action. See SSI State Supplemental Program (SSP) - Alerts.

EXAMPLE

If the SDX Auto Maintenance (SAM) is unable to open an SSI Medicaid and SP AU (e.g. marital status in question or discrepancy), you will get:

Alert 245 – SSI AUTO-open not possible and;
Alert 365 / 368 – AUTO-Pay not possible, process manually

Resolve problem and manually open SSI Medicaid first then the SP AU.

The following applies to opening an SSP case:

SP program type is allowed in the screening process.
Select Financial Assistance and Medical (if S01 is not open)
Indicate SI income
SP program type will appear or the user can
Manually enter [SP] as a valid financial assistance program type.
Valid program type codes will be [I, M, A, or B].
Application Date is always the 1st day of the month of the SDX processing date on the SDX.
If the application date for the SP program is prior to 9/1/02, the following new Edit message will be displayed: "Edit 2086 - APPLICATION DATE FOR AN SP AU CANNOT BE PRIOR TO 9/1/02
If program type A or B is used, each month prior to Jan 2004 will deny with reason code 245.

EXAMPLE

Client contacts user asking about SSP. Client claims he has an ineligible spouse. The client was auto opened on SSI Medicaid but SSP did not open. You confirm SSP eligibility using the award letter or by calling SSA. Manually open SSP.

Overpayment

There are no ACES overpayments for the SSP program and no overpayments for other programs can be recouped from SSP payments.

Payment Amount

The SSP program will have its own (CAFI) and the payment amount will display on the (CAFI) in the Benefit Amt field.

The amount of the payment is set by parameters so there is no computation or proration.

If the client is a MIL client, the MIL payment indicated on the SDX will be the benefit amount paid. MIL payments may range from $.54 to over $100. Regardless of the ineligible spouse, MIL clients will always receive this benefit amount.

For MIL clients, the SSP amount is effective 11/2002 forward. However, these clients will be opened from 10/2002 with this first month receiving zero benefit amounts. A MASS MOD will be run later to restore the actual SSP amount on these clients from 11/2002 forward.

Reports

ACES generates one SSP report that displays on the ACES website.

1. MILs Report for MM/CCYY

SSI State Supplemental Program (SSP)

See WAC 388-474-0001 and WAC 388-474-0012.

Distribution of SSI State Supplement to eligible clients is being assumed by the State of Washington from the Social Security Administration (SSA).
October 1, 2002 Washington State assumes responsibility for administering the state portion of the SSI payments. ACES will begin paying SSI State Supplemental to eligible clients effective 10/01/02.
A new cash program, SSI State Supplemental (SSP) has been added to ACES to administer these payments.
All eligible clients will be identified through the SDX Interface, similar to the Medical SSI opening process.
The new cash Program Code is SP.
The new Program Type Codes are:
1. I - SSI client with Ineligible Spouse, or
2. M - MIL (Mandatory Income Level) client.
3. A – Aged (65 or over)
4. B – Blind. (Codes A and B were added as of 01/01/04)

Underpayment

Users can create and issue SSP supplemental underpayments, both manually and historically.
SSP underpayments follow the normal BEG approval process.
If a user creates a supplement, the reason codes can only be AE, Administrative Error, or CH, Underpayment Due to Change in Situation. See Benefit Error Group (BEG).

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