Social Security Numbers 510-05-35-80

(Revised 9/1/2023 ML 3751)

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(N.D.A.C. Section 75-02-02.1-13)

 

1. A valid social security number (SSN), of verification of application for SSN, must be furnished as a condition of eligibility, for each individual requesting coverage.

• Members of the Medicaid Household who are not seeking coverage may voluntarily provide their SSN; however, they are not required to do so.

• Individual who do not have a number must be referred to the Social Security Administration to apply for one. The zone may assist the applicant as needed.

 

Examples of verification of application for SSN includes but is not limited to:

• A copy of the Parent Verification document the hospital submitted to Vital Records or written verification from the hospital

• Refugee Global boarding letter

• Refugee travel document

• Any proof from the Social Security Administration

 

The following individuals are exempt and do not have to provide an SSN or verification of application for an SSN:

1. A newborn who is eligible during the birth month, beginning on the date of birth and through the last day of the twelfth month, or if the newborn is continuously eligible, for the remaining days of the newborn's first eligibility period;

   Note: If a newborn is NOT eligible in the birth month, but is eligible for months following the birth month an SSN or Application for SSN is required.

2. An individual who is currently eligible for Transitional or Extended Medicaid Benefits;

3. An illegal alien seeking emergency services. (see 510-03-35-70 for a description of emergency service.), and

4. An individual who is determined eligible under Hospital Presumptive Eligibility (HPE)

    

When the exempt period ends, a social security number or verification of application for SSN must be provided to continue Medicaid coverage.

 

2. The Medicaid household must be informed, at the time of application that the agency will use the SSN in the administration of the Medicaid Program. The SSN will be used to verify income and asset information from the Social Security Administration. Internal Revenue Service, Job Service, Unemployment Compensation, SNAP, TANF Program, Child Support Enforcement, State Motor Vehicle, Department of Vital Statistics and other states.

 

The informing requirement is met by the appropriate language found on the Application for Assistance.

 

3. Social Security numbers are electronically verified through the NDVerify interface in SPACES for all individuals. When a number is reported as not valid, the individual must provide their valid SSN to continue to be eligible for Medicaid.

   Refer to the Administrative Manual Section 448-01-50-15-60.

    

The eligibility system may be incorrect or the individual's record at SSA has incorrect information. The worker should check the information entered into the system for accuracy. If the worker is unable to determine if the information in the system is accurate, the worker must contact the household (via phone or notice) to determine the correct date of birth or gender and then correct the information in the system.

 

If the worker contacts the household by phone, the contact must be thoroughly documented in the narrative. The worker must document the request and give the household 10 days to provide the number.

• If the household refuses to provide the SSN, or fails to respond to the request, that individual's coverage must be ended or denied.

• If the household requests additional time, another 10 days may be allowed.

• Household members who are not requesting coverage are not required to provide an SSN.

   

If the individual can only show a request date and not a number, they have until the next review to provide an SSN, or eligibility will end for that individual. Newborns may be eligible until the month of their first birthday with a request date, after that, an SSN must be provided.

 

4. Except for individuals exempt in Subsection 1, individuals who provided verification of application for an SSN must provide an SSN by the next review. If a child is within a continuous eligibility (CE) period when the case review is being completed, and the SSN is not provided, the child is eligible through the end of the current CE period. However, the child's SSN must be provided for eligibility to continue past the end of the CE period.