Medicaid Policy                                                                 

661 Fifteen Dollar State Supplemental Payment (SSP)

Effective Date: February 1, 2008

No Previous Policy

 

Eligibility for the Supplemental Payment

A recipient of Supplemental Security Income (SSI) is eligible for a $15 state supplemental payment (SSP) when:

• The recipient is a resident of a Medical Institution, and

• The recipient is eligible for Utah Medicaid, and

• The recipient receives the SSI payment, and

• SSA limits the SSI payment to no more than $30 per month because the recipient is a resident of a Medicaid funded medical institution. The SSI payment can be less than $30 because of income that SSA counts.  However, The SSI payment must be at least $1.00.

If the recipient meets these requirements, the payment amount is $15.  There are no income calculations that reduce the $15 amount.

The recipient’s income, including the $15 SSP, will determine the member’s contribution to cost of care, under Medicaid rules (463-1).

 

Month the payment starts

The $15 SSP will start the first month the recipient meets these requirements:

• The recipient is approved for Medicaid, and

• The recipient is in a medical institution, and

• SSA pays the SSI payment of no more than $30 per month  because the recipient is in a Medicaid funded medical institution.

Medical institutions that result in the $30 limit on SSI

 

Month the payment stops

The recipient's eligibility for the $15 SSP ends when :

• the recipient's Medicaid eligibility ends, or  

• the recipient leaves the medical institution, or

• the SSI payment stops, or

• SSA no longer limits the SSI payment to $30.

The Payment Process

The payment process for the $15 SSP occurs at the state level based on information in eREP about nursing home members’ Medicaid eligibility.

• Separate applications for the $15 SSP are not needed.

• Eligibility workers do not calculate, authorize, or issue the $15 SSP.