Department for Community Based Services

Standards of Practice Online Manual

31.9 Concurrent Receipt of Title IV-E and SSI

Cabinet for Health and Family Services

Department for Community Based Services
Division of Protection and Permanency
Standards of Practice Online Manual
Chapter:
Chapter 31-Standards of Practice Regarding Title IV-E, Medicaid and Other Applicable Benefits
Effective:
9/24/2013
Section:
31.9 Concurrent Receipt of Title IV-E and SSI
Version:
3

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Legal Authority/Introduction

LEGAL AUTHORITY:

The Social Security Act allows reimbursement of foster care payments under title IV-E in any month in which a child receives Supplemental Security Income (SSI) benefits. A child may be IV-E reimbursable in a month when the child receives SSI. If a child is eligible for both SSI and IV-E benefits in a month in which the child is in foster care, the state reports the amount of IV-E reimbursement to the Social Security Administration (SSA). When the SSA is informed that the child is receiving IV-E benefits, "the child’s SSI payment shall be reduced dollar for dollar without application of any exclusion," decreasing the SSI benefit by the amount of the title IV-E payment (SSI Program Operation Manual).

Factors to consider when determining whether to continue concurrent receipt of IV-E and SSI include:

  • Title IV-E maintenance cost reimbursement income exceeds the SSI income limit (this includes title IV-E and state match);
  • Suspension of SSI exceeds one year;
  • The extent of the child’s disability and likelihood of receiving SSI again when the child is returned home, placed in an alternative permanent situation or reaches age eighteen (18) or nineteen (19) and is no longer eligible for title IV-E;
  • The selection of concurrent receipt of IV-E or SSI is made with the child’s best interest in mind. The fiscal advantage to the agency is a secondary consideration. The decision to request termination or suspension of SSI benefits is made by the Family Services Office Supervisor (FSOS) with input from the SSW, CBW, and the child’s parents (unless TPR has occurred).

Procedure 

The CBW:

  1. Notifies the central office Division of Administrative and Financial Management (DAFM), Children’s Benefits Coordinator, that the child is SSI eligible and IV-E eligible and reimbursable by submitting the DCBS-1274 via TWIST;
  2. Notifies the central office Division of Administrative and Financial Management (DAFM), Children’s Benefits Coordinator, if the child becomes IV-E non-reimbursable by submitting the DCBS-173 via TWIST.
 

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