POMS Reference

NL 00804: Manual Paragraphs for Use in SSI Initial Claims, Posteligibility and Overpayment Notices

TN 15 (12-89)

  1. Situation Where Used:

Denial for periods of confinement to a public institution.

 

   (1)    cannot be eligible to receive Supplemental Security Income payments for any full month in which    (2)    in a public institution unless Medicaid pays more than half the cost of    (3)    care. Our records show that    (4)    in a public institution and Medicaid    (5)    not pay more than half the cost of     (6)    care for    (7)          (8)    .

 

  1. Choice 1 - You

    Choice 2 - She

    Choice 3 - He

     

  2. Choice 1 - you are

    Choice 2 - she is

    Choice 3 - he is

     

  3. Choice 1 - your

    Choice 2 - her

    Choice 3 - his

     

  4. Choice 1 - you will be

    Choice 2 - she will be

    Choice 3 - he will be

    Choice 4 - you were

    Choice 5 - she was

    Choice 6 - he was

     

  5. Choice 1 - does

    Choice 2 - did

     

  6. Choice 1 - your

    Choice 2 - her

    Choice 3 - his

     

  7. Choice 1 - the full month of (Month/Year)

    Choice 2 - each full month (Month/Year) through (Month/Year)

    Choice 3 - each full month (Month/Year) on

     

  8. Choice 1 - , for

    Choice 2 - and for

    Choice 3 - .

     

  1. Situation Where Used:

Eligibility or payment stopped due to admission to a public institution.

 

   (1)          (2)    in a public institution     (3)          (4)          (5)    not eligible     (6)    for any full month in which    (7)    in a public institution unless Medicaid pays more than half the cost of    (8)    care.

 

  1. Choice 1 - You

    Choice 2 - She

    Choice 3 - He

     

  2. Choice 1 - are

    Choice 2 - is

    Choice 3 - were

    Choice 4 - was

     

  3. Choice 1 - for the month of (Month/Year)

    Choice 2 - for each full month (Month/Year) through (Month/Year)

    Choice 3 - for each full month (Month/Year) on

     

  4. Choice 1 - ,

    Choice 2 - and

    Choice 3 - .

     

  5. Choice 1 - You are

    Choice 2 - She is

    Choice 3 - He is

     

  6. Choice 1 - to receive Supplemental Security Income payments

    Choice 2 - under the Supplemental Security Income program

     

  7. Choice 1 - you are

    Choice 2 - she is

    Choice 3 - he is

     

  8. Choice 1 - your

    Choice 2 - her

    Choice 3 - his

     

  1. Situation Where Used:

The old record showed that the claimant was a resident of a public institution, but we found he/she was released for part or all of that period.

 

   (1)          (2)    not in a public institution     (3)          (4)    .

 

  1. Choice 1 - You

    Choice 2 - She

    Choice 3 - He

     

  2. Choice 1 - are

    Choice 2 - is

    Choice 3 - were

    Choice 4 - was

     

  3. Choice 1 - for the full month of (Month/Year)

    Choice 2 - for each full month (Month/Year) through (Month/Year)

    Choice 3 - for each full month (Month/Year) on

     

  4. Choice 1 - ,

    Choice 2 - and

    Choice 3 - .

     

References:

Eligibility notices for individuals eligible for continuation of benefits because they are temporarily institutionalized (section 1611(e)(1)(G))

Individuals Paid Under Section 1611(e)(1)(E), SI 02302.320, notices 1, 2, 5, 6, 9 and 12