1-004.04 Monitoring Client's SOC Obligation

In order for the client to meet his/her SOC obligation, the client will take his/her monthly SOC form (DSS-160) to medical providers as s/he receives medical services for the month noted on the form. The medical provider that provides the last service necessary to meet the SOC will send the completed DSS-160 to Central Office.

When the client has met his/her monthly SOC obligation, the Central Office makes appropriate changes to N-FOCUS.

Medical coverage is effective the first of the month for medical bills not used to meet the SOC obligation for covered services.

If the client never meet the obligation, no medical bills are paid for that month. The client may meet that obligation at a later time.

When the case is reviewed, the worker re-evaluates the case to determine if a medical need will continue. The worker then -

1. Closes the case and sends a Notice of Action if there is no medical need. On the Notice of Action the worker notifies the client that s/he may reapply if there is a medical need at a later date. Claims incurred after the close date are not paid; or

2. The case remains SOC if there is a continuing medica need.