SSI ADM

ABSTRACT: Directive explains change in Medicaid district of fiscal responsibility rule for SSI recipients.

Introduction
The Department of Health (DOH) issued an administrative directive to notify local social services districts of a change in the Medicaid district of fiscal responsibility rule (DFR) for Supplemental Security Income (SSI) recipients.  Historically, when a person relocated to an adult home or nursing home in a different district, the process by which the DFR was determined and/or changed was administratively burdensome and could result in gaps or duplication of coverage.  The directive outlines a new process to help ameliorate some of these issues. 

Change in District of Fiscal Responsibility
Chapter 58 of the Laws of 2008 added paragraph 7 to Section 62 of the Social Services Law (SSL) to allow the “where found,” or new district, to be the Medicaid DFR for Medicaid SSI recipients, regardless of the recipient’s type of living arrangement (such as an adult home or nursing home).  SSI recipients who move into a new social services district will become eligible for Medicaid in the new district, and a Medicaid SSI case must be opened by the new district following the closing of the Medicaid SSI case in the former district.  An exception to this rule applies to Medicaid SSI cases for children who are in the care and custody of the Commissioner of the Local Department of Social Services.

The directive is provided as an attachment at the bottom of this screen, for your reference.

Conclusion
If you have any questions regarding the contents of this memo, please contact Diane Darbyshire at ddarbyshire@nyahsa.org or 518-449-2707, ext. 162.

N:\NYAHSA\Policy\ddarbyshire\SSI\Memo ADM SSI district of responsibility.doc