MEMORANDUM DATE: February 9, 1998 TO: FROM: All Case Workers Rebecca Eames Chief of Field Services SUBJECT: EIS Procedure 1998-1 SDX Interface Information I. INTRODUCTION The Social Security Administration s State Data Exchange (SDX) provides Supplemental Security Income (SSI) information to the Division of Public Assistance (DPA). To accomplish this the Social Security Administration provides DPA with a tape of information and Systems Operations matches Social Security Numbers in EIS. EIS then displays a limited amount of this information on its SDX interface. This procedure will explain the following: How to access SDX information on EIS SDX Interface Fields and descriptions SDX codes and definitions
Page 2 II. HOW TO ACCESS SDX INFORMATION ON EIS SDX interface information is accessed through the INQUIRY MENU (INME). Step 1: Enter 10 in the FUNCTION (BY NUMBER) field Step 2: Tab to the CLIENT SSN field and enter the Social Security Number of the person you wish to inquire on <ENTER> EIS INME INQUIRY MENU 012698 14:01 WORKER B 1. PRIOR CONTACT CHECK 2. CASE PROFILE 3. ISSUANCE HISTORY MEDICAL 4. ISSUANCE HISTORY 5. BENEFIT HISTORY MEDICAL 6. BENEFIT HISTORY 7. NOTICE HISTORY SUMMARY 8. ACTION HISTORY 9. RECOUPMENTS 10. INTERFACE INQUIRY 11. INTERFACE SECURITY INQUIRY 12. CHILD SUPPORT INQUIRY 13. SVES INFORMATION REQUEST 14. SVES INQUIRY RESPONSE ENTER FUNCTION (BY NUMBER): 10 CASE NUMBER (FOR 2-9): PROGRAM TYPE (FOR 3,4,5,6, AND 9): CLIENT SSN (FOR 10, 11, AND 14): 543 96 2353 NEXT-->
Page 3 III. SDX INTERFACE FIELDS AND FIELD DEFINITIONS EIS ININ INTERFACE INQUIRY 012698 13:30 WORKER B SSN: 543 96 2353 SOURCE NAME DOB SEX RECEIVED PAYMENT ISSUED EIS CLIENT, A 05031957 M SDX CLIENT, A 05031957 M 011498 0.00 111997 CAN: ALIEN: K STATUS: S05 DIS PMT: F MEDICARE CD: N ALIEN SPONSOR STATUS CODE: A ALIEN ELIGIBILITY CODE: 3 NEXT--> FIELD FIELD DEFINITION SSN SOURCE NAME DOB SEX RECEIVED PAYMENT The Social Security Number (SSN) being queried. Where the SSN is matched from either the Eligibility Information System (EIS), Bendex (BNX), DOL WAGE, Alaska Longevity Bonus (ALB), or the SDX. The name of person the SSN belongs to. The Date of Birth of the person on the record. The gender of the person on the record. Date DPA received information from SSI The amount of SSI payment. ISSUED CAN The month for which the SSI payment was issued. Format is MMCCYY. The Social Security Number of the person from
Page 4 FIELD FIELD DEFINITION whom the benefits are being drawn. ALIEN STATUS DIS PMT MEDICARE CD ALIEN SPONSOR STATUS CODE ALIEN ELIGIBILITY CODE The status of an ineligible/eligible alien The payment status. This field is made up of three elements. The first position reflects the status of the SSI/State Supplemental payment. The second and third positions reflect the reason for the status. This field indicates the status of the SSI disability and blind cases. This field indicates the individuals current Medicare status. The status of the Alien s sponsor. The alien s eligibility code. IV. SDX FIELD CODES AND DEFINITIONS A. The ALIEN Field The Alien field reflects the status the eligible / ineligible alien. FIELD CODE DEFINITION ALIEN A Proven born in the United States. B C Alleged born in the United States. United States citizen born outside the country. This includes naturalized citizens of the United States. D Alleged United States citizen - pre-january 1, 1972. E No citizenship or alien status development undertaken; case denied for reason(s) other
Page 5 FIELD CODE DEFINITION than citizenship / alien status. F G H I J K L M N P Q R S T U V Refugee status Parole Status Silva versus Levi Alien Obsolete code Deferred action status alien Alien lawfully admitted to the United States for permanent residence Asylum status Resident of the Northern Mariana Islands Identity and citizenship of the individual verified by the Numident interface. Pre-January 1, 1972 alien, presumed lawfully admitted for permanent residence. Alleged born in the United States - allegation corroborated by a United States place of birth shown on the on-line Numident Lawful temporary resident - status granted as a result of the Immigration Reform and Control Act of 1986. Lawful temporary resident status - status granted as a result of the Immigration Reform and Control Act of 1986 Alien granted voluntary departure Unknown Systems override applied following interface edit
Page 6 FIELD CODE DEFINITION W X Y Z Alien granted stay of deportation Cuban / Haitian entrant Legalized agricultural worker pursuant to the Immigration Reform and Control Act of 1986 Alien on whose behalf an immediate relative petition has been approved
Page 7 B. The ALIEN ELIGIBILITY CODE Field The eligibility codes listed below identify those aliens who remain eligible for SSI based on the new requirements in the Welfare Reform Act of August 1996. All asylees (Alien status code L - see above) are eligible for seven (7) years from the date they were granted asylee status by the Immigration and Naturalization Service. FIELD CODE DEFINITION ALIEN ELIGIBILITY CODE 1 Alien admitted to the United States as a refugee under section 207 of the Immigration and Nationality Act (INA) - can receive SSI for 7 years beginning with the date of entry into the United States. 2 Alien whose deportation has been withheld under section 243(h) or 241(b)(3) of the INA - can receive SSI for 7 years beginning with the date the deportation was withheld. 3 Alien lawfully admitted for permanent residence who has been credited with 40 work credits. These credits can be earned from the alien s own work or from work done by a parent or spouse of the alien. For initial claims filed after 8/22/96, these aliens cannot receive SSI for the first 5 years they are in the United States. 4 Alien on active duty in the military or an honorably discharged veteran. 5 Spouse of active duty military or veteran. 6 Child of active duty military or veteran.
Page 8 C. The ALIEN SPONSOR STATUS CODE Field The status codes listed below are in reference to the status of the alien s sponsor: Alien Sponsor Status Codes A, C-H, J, and L apply to aliens for whom the sponsor(s) signed the old affidavit of support. Regular deeming rules (spouse-to-spouse or parent-to-child) supersede sponsor-to-alien deeming if the sponsor is also a regular deemer on the alien s record. Alien Sponsor Status Codes M-S and V apply to aliens for whom the sponsor(s) signed the new affidavit of support. Sponsor-to-Alien deeming rules apply regardless of the sponsor s status as a regular deemer on the alien s record. Alien Sponsor Status Codes B, T, and U can apply to both groups of alien s listed above. FIELD CODE DEFINITION ALIEN SPONSOR STATUS CODE A B C D E F No sponsor or the 3 year deeming period has ended. Sponsor legally exempt from deeming (institution, church, etc.) Sponsor liable for support. Sponsor has no other status, so deeming from sponsor only. Sponsor liable for support. Sponsor also has status as regular deemer, so regular deeming (spouse-to-spouse or parent-tochild) applies. Sponsor liable for support. Social Security Record has a regular deemer plus the sponsor, so deeming occurs from both the regular deemer (parent/spouse) and the sponsor. Same as C, but with the addition that the sponsor has a spouse. G Same as D, except sponsors are specifically identified as parents of the alien, and both parents (sponsor and sponsor s spouse are
Page 9 FIELD CODE DEFINITION liable for deeming. H J L M N P Q Same as E, except sponsor has a spouse, for example, deeming has been considered from at least three potential sources: The sponsor, The sponsor s spouse, and The regular deemer on the SOCIAL SECURITY RECORD (alien s ineligible spouse or parent) Multiple legal sponsors exist. One or more of the sponsors may have status as a regular deemer on the SOCIAL SECURITY RECORD, or one or more of the sponsors may also have a spouse whose income is deemable. Sponsor is liable for support, however, recipient s disability onset date is later than his/her date of entry into the United States, therefore exemption applies. No sponsor-toalien deeming. Sponsor liable for support. Sponsor does not have other status on the alien s SOCIAL SECURITY RECORD, so deeming occurs only from the sponsor. A new affidavit of support is in effect. Sponsor liable for support. Sponsor also has status as regular deemer on the alien s SOCIAL SECURITY RECORD; however, sponsor-to-alien deeming rules apply since a new affidavit of support is in effect. Same as M, with the addition that the sponsor has a spouse. Same as N, with the addition that the sponsor has a spouse, and the sponsors are specifically identified as parents of the alien, and both parents (sponsor and sponsor s spouse) are liable for deeming.
Page 10 FIELD CODE DEFINITION R S T U V Same as O, with the addition that the sponsor has a spouse. Therefore, deeming is considered from three potential sources: The sponsor, The sponsor s spouse, and The regular deemer on the SOCIAL SECURITY RECORD (alien s ineligible spouse or parent). Multiple legal sponsors exist. One or many may have other status as a regular deemer on the SOCIAL SECURITY RECORD, or one or more of the sponsors may have a spouse whose income is also deemable. A new affidavit of support is in effect. Sponsor no longer liable, e.g. sponsor is deceased. Unknown; systems-generated prior to the advent of sponsor-to-alien deeming. Cannot be input by the Social Security Field Office. New affidavit of support is in effect and deeming terminated because alien has acquired 40 work credits.
Page 11 D. The DIS PMT Field The Disability Payment (DIS PMT) field indicates the status of the SSI Disability or Blind case. Codes F or S only are used for disability allowance cases. Codes R, P, or T are used for initial disability denials. FIELD CODE DESCRIPTION DIS PMT F Final determination - allowance P R Presumptive finding. Referred to State agency. Code indicates pending determination or final determination - SSI denied. S State determination (conversion cases only) - SSI allowance. T X Presumptive finding - state conversion record. No disability claim determination made. Claim was denied on basis of non-disability issues).
Page 12 E. The MEDICARE CD Field The Medicare Entitlement Code (MEDICARE CD) field indicates the individual s current Medicare entitlement status. FIELD CODE DESCRIPTION MEDICARE CD A The individual is covered for Hospital Insurance, but not for Supplementary Medical Insurance. B C N The individual is covered for Supplementary Medical Insurance, but not for Hospital Insurance. The individual is covered for both Hospital Insurance and Supplementary Medical Insurance. The individual is not covered for either Hospital Insurance or Supplementary Medical Insurance.
Page 13 F. The STATUS Field This is a three digit alpha/numeric field three spaces in length. This field is made up of three elements. The first position reflects the status of the SSI payment. The second and third positions reflect the reason for the status. The code begins with one of the letters in Section IV (F) (i.). The two digits in the code indicate the reason for the status, refer to Section IV (F) (ii.). i.) The First Position Code CODE DESCRIPTION C E H M N S T Indicates the recipient is eligible for SSI payments and payments due. Indicates eligibility for Federal benefits based on the eligibility computation, but no payment is due to the client. Indicates a case in hold status, final determination is pending. Indicates a case is under manual control. Case is known as forced payment although payment may not be involved. No auto-authorization of payments. Indicates the claimant / recipient is not eligible for SSI payments or that a previously eligible recipient is not currently eligible. Administrative suspense. Indicates the recipient may still be eligible for SSI benefits, but payment is being withheld. Indicates SSI eligibility is terminated.
Page 14 ii.) Full Code Definitions CODE DEFINITION C01 E01 H10 H20 H30 H40 H50 H60 H70 H80 H90 M01 N01 N02 N03 N04 N05 N06 N07 Current payment Eligible for Federal benefits based on the eligibility computation, but no payment is due. Living arrangement change is in progress. Marital Status change is in progress. Resource change is in progress. Student status change is in progress. Head of Household change is in progress. Hold pending receipt of date-of-death. Hold pending transmission of one-time payment data. Early input Systems limitation. Payment must be manually computed and entered by Social Security District Office. Force payment - Recipient may be in payment or non-payment status. Non-pay - Recipient s countable income exceeds Title XVI payment amount and his/her State s payment standard. Non-pay - Inmate of public institution. Non-pay - Outside the United States. Non-pay - Non-excludable resources exceed the Title XVI limitations. Non-pay - Unable to determine if eligibility exists. Non-pay - Failed to file for other benefits. Non-pay - Recipient no longer disabled.
Page 15 CODE DEFINITION N08 N09 N10 N11 N12 N13 N14 N17 N18 N19 N20 N27 N30 N31 N32 N33 Non-pay - Recipient no longer blind. Non-pay - Recipient refused vocational rehabilitation without good cause. Non-pay - Recipient refused treatment for drug addiction. Non-pay - Recipient refused treatment for alcohol addiction. Non-pay - Recipient voluntarily withdrew from program. Non-pay - Not a citizen or an eligible alien. Non-pay - Aged claim denied for age. Non-pay - Failure to pursue claim by claimant. Non-pay - Failure to cooperate. Non-pay - Recipient has voluntarily terminated participation in the SSI program. Non-pay - Recipient failed to furnish a required report or requested information. Non-pay - Disability terminated due to Substantial Gainful Activity. Non-pay - Slight impairment - medical consideration alone, no visual impairment. Non-pay - Capacity for Substantial Gainful Activity - customary past work, no visual impairment. Non-pay - Capacity for Substantial Gainful Activity - other work, no visual impairment. Non-pay - Engaging in Substantial Gainful Activity despite impairment, no visual impairment. N34 Non-pay - Impairment is no longer severe at time of adjudication and did not last twelve months, no visual impairment.
Page 16 CODE N35 N36 N37 N38 N39 N40 N41 N42 N43 N44 N45 N46 N47 N48 N49 DEFINITION Non-pay - Impairment is severe at time of adjudication but not expected to last twelve months, no visual impairment. Non-pay - Insufficient, or no, medical data provided, no visual impairment. Non-pay - Failure or refusal to attend consultative examination, no visual impairment. Non-pay - Applicant does not want to continue development of the claim, no visual impairment. Non-pay - Applicant willfully fails to follow prescribed treatment, no visual impairment. Non-pay - Impairment(s) does not meet or equal listing (disabled child under age eighteen only), no visual impairment. Non-pay - Slight impairment - medical condition alone, no visual impairment. Non-pay - Capacity for Substantial Gainful Activity - customary work, visual impairment. Non-pay - Capacity for Substantial Gainful Activity - other work, visual impairment. Non-pay - Engaging in Substantial Gainful Activity despite impairment, visual impairment. Non-pay - Impairment no longer severe at time of adjudication and did not last twelve months, visual impairment. Non-pay - Impairment is severe at the time of adjudication but not expected to last twelve months, visual impairment. Non-pay - Insufficient, or no, medical evidence provided, visual impairment. Non-pay - Failure, or refusal, to attend consultative examination, visual impairment. Non-pay - Applicant does not want to continue development of the claim, visual impairment.
Page 17 CODE DEFINITION N50 N51 Non-pay - Applicant willfully failed to followed prescribed treatment, visual impairment. Non-pay - Impairment(s) does not meet or equal listing (disabled child under age eighteen only), visual impairment. N52 Non-pay - Deleted from the State rolls after January 1973 payment. N53 Non-pay - Deleted from the State rolls after January 1973 payment. N54 S01 S04 S05 S06 S07 S08 S09 S10 Non-pay - Social Security District Office unable to locate the applicant. Suspended - Suspension of payments due to report of date by Treasury, potential automated death case. Suspended - System is awaiting disability determination (system generated). Suspended - Substantial Gainful Activity decision pending. Suspended - Recipient address unknown. Suspended - Returned check for reasons other than death, address, payee change, or death of representative payee. Suspended - Representative payee development pending. Suspended - Miscellaneous suspense code. Suspended - Adjudicative suspension. S21 T01 T20 Suspended - The recipient is presumptively disabled or blind and has received six months of payments. Terminated - Recipient is deceased. Terminated - Received payment under two different accounts.
Page 18 CODE DEFINITION T22 T30 T31 T50 T51 Terminated - Received payment under two different accounts, termination resulted from electronic screening. Terminated - Manual termination (payment previously made). Terminated - System generated termination (payment previously made). Terminated - Manual termination (no previous payment made). Terminated - System generated termination (no previous payment made.