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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 29. PUBLIC WELFARE |
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Chapter 29-95. MEDICAID ELIGIBILITY |
Section 29-9504. SOCIAL SECURITY NUMBER
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9504.1 An individual, except as otherwise provided in this section, shall provide his or her SSN as a condition of Medicaid eligibility pursuant to 42 C.F.R. Section 435.910.
9504.2 An individual who cannot provide his or her SSN shall provide proof of an application for an SSN with the U.S. Social Security Administration (SSA).
9504.3 The Department shall take the following actions when an individual cannot recall his or her SSN or has not been issued an SSN:
(a) Assist with the completion of an application for an SSN;
(b) Obtain evidence required under SSA regulations to establish the age, the citizenship or alien status, and the true identity of the individual; and
(c) Send the application to SSA, or request SSA to furnish the number, if there is evidence that the individual has previously been issued a SSN.
9504.4 The Department shall not deny or delay services to an otherwise eligible individual pending issuance or verification of the individual’s SSN by the SSA.
9504.5 Individuals identified in Subsection 9504.3 shall be eligible for Medicaid on a temporary basis for ninety (90) days.
9504.6 The Department shall verify each SSN of each individual with SSA, as prescribed by the U.S. Commissioner of Social Security, to ensure that each SSN furnished was issued to that individual, and to determine whether any others were issued.
9504.7 The requirement to furnish an SSN shall not apply to the following individuals:
(a) An individual who is applying for Medicaid due to the presence of an emergency medical condition defined at 42 C.F.R Section 440.255;
(b) An individual who does not have an SSN and may only be issued an SSN for a valid non-work reason;
(c) An individual who refuses to obtain an SSN because of well-established religious objections;
(d) An individual who is an infant under the age of one (1);
(e) An authorized representative;
(f) Adult who is applying for Medicaid on a minor’s behalf; or
(g) Any other individual member of an applicant or beneficiary’s household who is not applying for Medicaid.
9504.8The Department may give a Medicaid identification number to an individual who, because of well-established religious objections, refuses to obtain an SSN. The identification number may be either an SSN obtained by the District on an individual's behalf or another unique identifier.
9504.9The Department shall advise an individual of the uses the Department will make of each SSN, including its use for verifying income, eligibility, and amount of Medicaid payments.