SSI/SSP Denial Applications Procedures

SSI/SSP Denial referrals are received daily via the Daily MEDS Alert 9043. Designated clerical staff receives SSI/SSP Denials applications through a Business Object report on daily basis.

The following chart describes SSI/SSP Denial application procedures.

Step Who Action
1 Information Systems
  • On a daily basis, the SSI Denials list, containing the daily MEDS alert 9043, will be posted in Business Objects under Public Folders/ DEBS/VMC/ Administration_VMC.
  • The SSI Denials list will be auto-sent to designated clerical staff.
2 Designated Clerical Staff
  • For each person on the list, views the following MEDS screens and uses its information for application registration:
    • [INQM] - Primary Medi-Cal/CMSP Information
    • [SDX1] - Client Data from MEDS
    • [SDX2] - Client Address Data from MEDS
    • [SDX3] - Client Information
    • [SDX5] - Household Information. All the household members should be registered in the same case.
  • Completes the file clearance process for each person in CalWIN, CalHEERS and MEDS.
    • If the applicant has an open or pending case, creates an urgent TMT and enters a note as “SSI/SSP Denial Alert 9043” into the “Notes” section.
  • Completes the Application Registration process in CalWIN.
    • Uses the APPLICATION-DATE as displayed on [SDX3] screen:
      • The SSI/SSP Application Date,
      • The Residency Date if the SSI Application Date is future or later than Residency Date,
      • The initial Medi-Cal application date when the case is currently pending, or
      • The Denial Date when the application date is a future date(e.g. applicant applies as aged but is 64 years 9 months of age).
    • Selects “SSI Denial” from drop down field of the Application Source & Application Type on the Collect Applicant Information window.

    • Note: When the applicant is a child and the parents’ names are not available, registers the case in the child’s name.

  • Prints and signs a copy of “Application For Cash Aid, Food Stamps, And/or Medi-Cal”(SAWS 1).
  • Sends the following form and MEDS screens to IDM:
    • SAWS 1 - Application for Cash Aid, FS and/or MC
    • [INQM] - Primary Medi-Cal/CMSP Information
    • [SDX1] - Client Data from MEDS
    • [SDX2] - Client Address Data from MEDS
    • [SDX3] - Client Information
    • [SDX5] - Household Information
  • Mails the SSI/SSP Denials Medi-Cal packet along with SCD 2205 and a pre-addressed, postage paid envelope to each individual on the list. [Refer to MC Handbook Chapter 5, section 5.37 for the SSI/SSP Denials MC packet.]
  • Documents the Creation Date from the SSI Denials list and the date the list was received and the date the application packet was mailed to the client, in the Maintain Case Comments window
  • Creates an TMT and enters a note as “SSI/SSP Denial Alert 9043” into the “Notes” section; assigns the application to the next available intake EW.
3 Intake EW
  • Reviews five [ISDX] MEDS screens.
  • Requests additional information needed from clients.
  • Sends additional forms, informing notices, and applications, if necessary.
  • Completes processing the application to clear Medi-Cal eligibility.

For more information on SSI/SSP Denial applications, refer to Medi-Cal Handbook Chapter 11.11.

Related Topics

Medi-Cal Business Processes Overview