GIS 11 OLTC/001: Care At Home (CAH) I/II Applications for Children in Receipt of SSI
To: All Local District Commissioners, Medicaid Directors, Care At Home Coordinators
From: Mark L. Kissinger, Deputy Commissioner, Office of Long Term Care
Subject: Care At Home (CAH) I/II Applications for Children in Receipt of SSI
Effective Date: Immediately
Contact Person: Liz Morales (518)486-6562 eam04@health.state.ny.us by e-mail
The purpose of this GIS message is to advise local departments of social services (LDSS) staff of new procedures for submitting Care At Home (CAH) I/II applications for children who have a Social Security Administration (SSA) disability determination.
A requirement for CAH I/II is that the child be physically disabled based on SSA criteria. Applicants for CAH I/II, who are in receipt of Supplemental Security Income (SSI), are determined eligible for Medicaid based upon the disability and financial determinations made by SSA. The SSA information that is needed to verify physical disability is not currently shared with the State or LDSS. However, the SSA has agreed to provide this information to the Department of Health (DOH).
The LDSS CAH staff should continue to forward the child's CAH application to DOH for processing. Upon receipt of this application, DOH will contact the SSA directly for the necessary disability documentation (diary date and diagnosis) necessary to process the child's application. DOH staff will forward the disability documentation to LDSS CAH staff to maintain in the applicant's file.
