DFCS must make eligibility determination when SSA’s 90-day period elapses.

Topic: Medicaid Eligibility, Decided by Judge Miller 
Docket Number: ***** , Decision Date: 2015-10-26 
Attachment: Click here to download the decision. 

When a Medicaid applicant applies for Supplemental Security Income through the Social Security Administration (SSA), DFCS generally does not make an independent determination of blindness or disability. Instead, SSA makes the eligibility determination. Under federal regulations, however, if an applicant has applied for both Medicaid and SSI, and SSA has not made a determination within 90 days from the date of the individual’s application for Medicaid, DFCS is required to make its own determination.