Reduction Of Pension And Benefit Checks For Recoupment Of Overpayments
If a person’s pension or benefit checks are reduced because of recovery of overpayments, the following apply:
All overpayments except Retirement, Survivors, and Disability Insurance .
If a person was receiving Supplemental Security Income or assistance under a Medicaid-funded program for the elderly and people with disabilities at the time of overpayment, the Texas Health and Human Services Commission disregards as income the amount being recovered. HHSC counts the net amount of the benefit for the purpose of determining eligibility and calculating a co-payment.
If a person was not receiving SSI or assistance under MEPD at the time of overpayment, HHSC counts the recovered amount as income. HHSC counts the gross amount of the benefit for the purpose of determining eligibility and calculating a co-payment.
If a person receives an overpayment of Social Security benefits, recoupment is not voluntary. HHSC counts the net amount of the RSDI benefit for the purpose of determining eligibility and calculating a co-payment.
If a person receives an overpayment of SSI benefits and the person is still eligible for SSI, the recoupment is voluntary. HHSC determines if the person signed a voluntary agreement for recoupment. If there is a signed agreement, HHSC counts the gross RSDI for the purpose of determining eligibility and calculating a co-payment. If there is no signed agreement, there should be no recoupment from RSDI benefits.
Corpus Christi Social Security Office Visit Tips
Get there early: Youre not the only one who needs to visit the Corpus Christi Social Security office! Please understand that every single person needs to provide their Social Security number when a business or government organization needs it, so its more than likely going to be crowded. In order to make sure that your appointment with the Social Security Office goes as smoothly as possible, please arrive at least 15 minutes before your scheduled appointment.Come prepared with all your documents: To keep the process moving smoothly and to make sure that you dont have to come back, double and triple check that you have all of the documentation needed to prove your identity. You dont want to have to schedule another appointment for a future date if youre in a hurry to get a Social Security card!Youll probably wait: With many people at the office, if you arrive late youll most likely end up waiting a few minutes. Be sure to bring some reading material, work, or something to do to the office to help make sure you have something to do in case you have to wait.Stay calm: Your local Social Security office will try its best to keep things moving quickly, but it can be easy to get frustrated if that isnt the case. You must remember that theoffice workers are there to help you.
Transfer Of Assets On Or After February 8 2006
This section applies to a person in an institutional setting whose date of application or program transfer request date is on or after October 1, 2006, and who takes an action defined by this section to be a transfer of assets on or after February 8, 2006.
The Texas Health and Human Services Commission uses the definitions under the provisions of §1917 of the Social Security Act ).
Assets include all income and resources of a person and of the person’s spouse, including any income or resources that the person or the person’s spouse is entitled to but does not receive because of action:
The term “income” has the meaning given such term in §1612 of the Social Security Act .
The term “resources” has the meaning given such term in §1613 of the Social Security Act , without regard to the exclusion of the home.
In this section, “person” includes the applicant or recipient as well as:
the person’s spouse
an individual, including a court or administrative body, with legal authority to act in place of or on behalf of the person or person’s spouse and
any individual, including a court or administrative body, acting at the direction or upon the request of the person or the person’s spouse.
HHSC applies the penalty for transfers of assets under the provisions of §1917 of the Social Security Act ). The provisions of §358.402 of this division continue in effect for transfers on or after February 8, 2006, except to the extent that they are inconsistent with this section.
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How Do I Make An Appointment With The Corpus Christi Texas Office
Even in situations where your local office is open normal hours, it is always better to schedule an appointment to help cut down on your wait time. You can call the Corpus Christi, Texas office at 866-613-2859 to schedule your appointment. When you make the call, they can also let you know what documents you need to bring to your appointment.
General Treatment Of Income
The Texas Health and Human Services Commission follows §1612 of the Social Security Act and 20 CFR §§416.1101 – 416.1104 regarding the definition and general treatment of income for the purpose of determining financial eligibility and calculating a co-payment.
A lump sum payment is countable income in the month of receipt and is a resource thereafter.
A person in an institutional setting may retain a personal needs allowance in an amount set by the HHSC executive commissioner in accordance with Chapter 32 of the Texas Human Resources Code.
The PNA is not applied toward the cost of medical assistance furnished in an institutional setting.
For a person receiving the reduced SSI federal benefit rate, HHSC issues a supplement to give the person a PNA at the minimum level set by the HHSC executive commissioner.
An action by a fiduciary agent is the same as an action by the person for whom the fiduciary agent acts.
Monies received by a fiduciary agent for another person are not income to the fiduciary agent. If the fiduciary agent is authorized to keep part of the money as compensation for services rendered, the compensation for services rendered is unearned income to the fiduciary agent.
Monies received by a fiduciary agent for another person are charged as income to the person when the monies are received by the fiduciary agent.
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Date Of Death Matches
HHSC matches recipients on active TIERS Eligibility Determination Groups with records from the Social Security Administration , Texas Bureau of Vital Statistics , the Centers for Medicaid and Medicare Services , and DADS Webservices to identify deceased persons and automatically remove them from active EDGs. If unable to process the death data automatically, TIERS creates tasks for staff to perform more research to determine the validity of the computer match. TIERS will attempt to update the Date of Death information for all active and inactive person.
Instructions For Processing The Program Transfer
- After reviewing the case, if the person is eligible for a waiver and is already an institutional or CAS MEPD Medicaid recipient, process a program transfer directly to ME Waivers. The QMB or SLMB coverage must be continued if the person continues to meet the QMB/SLMB eligibility criteria.
- When a program transfer for a noninstitutional MEPD Medicaid recipient is processed to ME Waiver and waiver services have been authorized/received before the program transfer effective date, request a force change to ensure retroactive coverage of the waiver services.
- See Appendix XLV, Program Transfer with Form H1200 Guide, to determine if a Form H1200 is needed. Verify resources and income including transfer of resources and substantial home equity. If there is a community spouse, verify all income and resources and treat according to spousal policy.
Here Are The Basic Steps You’ll Go Through At The Corpus Christi Social Security Office:
1.Fill out the SS5-Form2.Gather all of the required documents, which include:Divorce decreeCourt order for a new nameCertificate of Naturalization with your new name on it
Once you’ve gathered all documentation, you can submit all of the above information to your Social Security Office in Corpus Christi, Texas in person or via mail.
Hhs Oig Vulnerability Disclosure Policy
The HHS Office of the Inspector General is committed to ensuring the security of the American public by protecting their information from unwarranted disclosure. We want security researchers to feel comfortable reporting vulnerabilities they have discovered so we can fix them and keep our users safe. We developed our disclosure policy to reflect our values and uphold our sense of responsibility to security researchers who share their expertise with us in good faith.
Submit a vulnerability: Unfortunately, we cannot accept secure submissions via email. Please use our website to submit vulnerabilities at . HHS maintains an acknowledgements page to recognize your efforts on behalf of the American public, but you are also welcome to submit anonymously.
Please review the HHS Disclosure Policy and websites in scope:. This policy describes what systems and types of research are covered under this policy, how to send us vulnerability reports, and how long we ask security researchers to wait before publicly disclosing vulnerabilities.
If you have other cybersecurity related questions, please contact us at .
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How Do I Make An Appointment At The Corpus Christi Social Security Office
It is always advisable to make an appointment before visiting the Corpus Christi Social Security office. You can make an appointment by calling 1-800-772-1213 between 8:00 am and 7:00 pm, or directly call the local office you want to visit. Appointments are rarely available the same day or even the same week, so it is advisable to plan ahead.
Spouse Of Veteran/active Duty Member
Eligibility as a spouse of a veteran or active duty member of the armed forces ends with the month after the month any of the following occur:
- Remarriage after the veteran’s or service member’s death.
- Divorce or annulment of the marriage.
- A determination that a marital relationship does not exist.
- The active duty member separates from the armed forces with a discharge that is not characterized as honorable or that is based on alien status.
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Chart A Entry Before 1996
|If the alien entered the U.S. before Aug. 22, 1996, and the USCIS document is an …||then the alien is …|
eligible if the alien meets the criteria in Section D-8320, Qualified Aliens Not Subject to a Waiting Period or Limited Period.
Unless the alien meets the criteria in Section D-8320, consider Medicaid for the treatment of an emergency medical condition.
Note: Follow your policy clearance request procedures for questions about documents or immigration statuses not listed in this chart.
Exceptions To Treatment Of Excess Real Property
The Texas Health and Human Services Commission follows 20 CFR §416.1245 regarding the treatment of excess real property, except the property continues to be excluded for as long as:
the person continues to make reasonable efforts to sell it and
including the property as a countable resource would result in a determination of excess resources.
Once the property is sold, the equity value received is a countable resource in the month following the month of sale. If the sale was for less than the fair market value or current market value, the sale of the property is subject to the transfer-of-assets provisions in Division 4 of this subchapter .
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State False Claims Act Reviews
The OIG, in consultation with the Attorney General, is required to determine whether states have a false claims act that meets Federal requirements. Submissions by fax, email or other electronic media are not permitted.
Office of Inspector GeneralOffice of Counsel to the Inspector GeneralU.S. Department of Health & Human ServicesCohen Building, Mail Stop 5527330 Independence Avenue, SWWashington, DC 20201
Ineligible With Respect To Need: Material Change In Income Or Resources During Last Six Months
A change in income or resources should be regarded as material only if the additional income is substantial in relation to the need for assistance. A material change in income or resources may result from the conversion of nonliquid assets into cash or other non-income producing assets into income producing assets, as well as from earnings or other direct income. A material change in income or resources does not necessarily mean a change with respect to cash income. For example, a recipient who has been keeping house may go to live with another person who provides food, clothing, and shelter.
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How Do I Talk To A Real Person At The Social Security Office
To speak to a Social Security Representative either in person or on the phone, you can do any of the following:
- Go to your local Social Security office in person
- TTY 1-800-325-0778 8:00 a.m. â 7:00 p.m. local time
Medicare information is everywhere. What is hard is knowing which information to trust. Because eHealthâs Medicare related content is compliant with CMS regulations, you can rest assured youâre getting accurate information so you can make the right decisions for your coverage.Read more to learn about our Compliance Program.
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How To Find The Correct Application Forms
Once you have researched applying for benefits and collected the required documents you will need to complete the application form.
. This article covers the forms you will need when applying for retirement benefits, child benefits, survivors benefits, mothers and fathers benefits, and lump-sum death benefits.
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Urgent Requests Records For Your Physician
For immediate continuity of care, your healthcare provider can request records.
The physician office must fax a written request on their letterhead to 519-9683 indicating the patient’s name, date of birth, date of visit and the name of the facility where you were treated. Please indicate “STAT” for all urgent requests. For assistance, call .
General Exclusions From Resources
The Texas Health and Human Services Commission follows 20 CFR §416.1210 in determining what resources to exclude, and also excludes:
patrimonial assets that are irrevocably turned over to a religious order following a vow of poverty, which are not considered a transfer of assets
reparation payments received under Sections 500 – 506 of the Austrian General Social Insurance Act
payments received under the Netherlands’ Act on Benefits for Victims of Persecution 1940 – 1945 and
payments made in the class settlement of the Susan Walker v. Bayer Corporation lawsuit.
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Citizenship And Qualified Alien Status
In accordance with 42 CFR §435.406, to be eligible for a Medicaid-funded program for the elderly and people with disabilities , a person must be:
a citizen or national of the United States
an alien who entered the U.S. before August 22, 1996, who has lived in the U.S. continuously since entry, and who meets the definition of a qualified alien at 8 U.S.C. §1641 or
an alien who entered the U.S. on or after August 22, 1996, who has lived in the U.S. continuously since entry, and who meets the definition of a qualified alien at 8 U.S.C. §1641 with the eligibility limitations in 8 U.S.C. §1612 and §1613.
A person must provide proof of eligibility under subsection of this section that establishes both identity and citizenship or alien status, unless the person:
receives Supplemental Security Income or has ever received SSI and was not denied due to citizenship
is entitled to or enrolled in any part of Medicare, as determined by the Social Security Administration or
is entitled to federal disability benefits based on SSA disability criteria.
Revision 09-4 Effective December 1, 2009
An individual may become a U.S. citizen by birth or naturalization.
For Medicaid eligibility purposes, a person meets the citizenship requirement if he/she:
The Immigration and Nationality Act of 1952 provides that a child of unknown parentage found in the U.S. while the child is under five years old is a citizen of the U.S. unless it is shown that the child was not born in the U.S.
Treatment Of Annuities With A Purchase Or Transaction Date On Or After February 8 2006
This section describes the Texas Health and Human Services Commission’s treatment of nonemployment-related annuities purchased or having a transaction date on or after February 8, 2006. In this section, a nonemployment-related annuity means a revocable or irrevocable annuity a person may purchase to provide income.
A nonemployment-related annuity is not a countable resource if the annuity:
provides for payments in equal amounts during the term of the annuity, with no deferral and no balloon payments made
is guaranteed to return within the person’s life expectancy at least the person’s principal investment and
names the state of Texas as the remainder beneficiary in the first position for at least the total amount of Medicaid paid on behalf of a person in an institutionalized setting.
If a person in an institutionalized setting is married and the spousal impoverishment provisions of §358.413 of this subchapter apply, a nonemployment-related annuity is not a countable resource if the annuity meets the requirements of subsection – of this section and the annuity:
names the state of Texas as the remainder beneficiary in the first position for at least the total amount of Medicaid paid on behalf of the person in an institutional setting or
names the state of Texas in the second position if the community spouse or a minor or disabled child is named in the first position.
uses fair market value to determine the value of the resource and
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