2-007.03A1 Duties of the IM Worker
The IM worker shall –
1. Have the applicant complete an application for assistance;
2. If the individual has monthly income less than the referral amount (see 469-00-211), s/he may be eligible to receive SSI benefits. Refer the applicant via Form SSA-1610 to SSA for a determination of disability. SSA will determine eligibility for RSDI and/or SSI disability benefits.
3. Complete Form IM-17E or IM-17P and attach two copies to Form SSA-1610. Annotate at the top of this form that this is a new claim. This will act as a lead for SSI and protect a filing date for the reimbursement of state and/or county funds furnished for meeting basic needs during the period of eligibility determination by SSI.
4. Complete Form ASD-46 for authorizing the release of medical information by SSA if needed for a referral to the SRT; and
5. Take the following action when a determination is returned from SSA.
a. If the applicant is determined disabled and eligible for RSDI and/or SSI, determine eligibility for AABD/MA. If the applicant is determined presumptively disabled by SSI, s/he may be eligible for AABD/MA for any month s/he receives presumptive payments. For retroactive or prospective months not covered by an RSDI/SSI determination, make a referral to the SRT for a disability determination;
b. If the applicant is not reviewed by SSI because the applicant has income and/or resources in excess of SSI program standards, refer the case to the SRT for a determination of disability or blindness. If determined blind or disabled by the SRT, determine eligibility for AABD/MA or SDP/MA (see 469 NAC 2-000). If at a later date income or resources fall below SSI standards, a referral to SSI must be made. Send all pertinent medical information to SSI;
c. If the applicant is not eligible for SSI because the applicant’s disability is not anticipated to last for a continuous period of 12 months (lack of duration), refer the case to the SRT for a determination of disability. If determined disabled by the SRT, determine eligibility for SDP/MA. Advise the client that s/he has the right to appeal SSI’s denial and assist the client in completing the appeal papers, if necessary.
d. If the applicant is not eligible for SSI because the applicant is not considered disabled due to lack of severity or the ability to engage in substantial gainful activity, reject the application. Do not make a referral to the SRT/ or
e. Use the original date of request in determining eligibility for a grant and medical assistance if the applicant -
(1) Is rejected by SSI because the applicant is not considered disabled due to lack of severity or the ability to engage in substantial gainful activity;
(2) Appeals SSI's decision; and
(3) Wins his/her appeal with SSI.
See 469 NAC 2-010.01B4a for retroactive SSI benefits.