Topic: Bendex
Determine how we look at income for ABD
ITS 317:35-5-42 (12) When BENDEX is used to verify Retirement, Survivors, and Disability Insurance (RSDI) benefits, drop any cents from the gross benefit amount in BENDEX Field B27 and use only the whole dollar figure. For example, drop $349.50 to $349.00. There may be a scenario where an individual is dually entitled to receive RSDI […]
Alphabetized list of IMS Screens & Transactions
Guidelines on rounding SSI and RSDI income for Medical Eligibility Determination
Impact of Early Retirement on Eligibility
Information regarding previously denied applications and when they can be used again to certify a medical benefit.
This discrepancy is considered verified upon receipt except for T1, T01 (death) and N98 (moved). This means that once the discrepancy is received, the worker checks the appropriate screens (SDX or BEN) to see if the client is receiving new income from the Social Security Administration or if the previous income has changed or ended. […]
What is Buy-In? “Buy-in” is the procedure whereby the Oklahoma Health Care Authority (OHCA) pays the client’s Medicare premium through the Centers for Medicare & Medicaid Services (CMS). DHS determines eligibility and oversees operation of Buy-in Program CMS oversees Medicare program Social Security Administration (SSA) enrolls people in Medicare The Buy-in programs are QMB, SLMB […]
If there are any issues with the Buy-In, look over the following items to verify that they are correct on the case: Certification period 12 months Claim number on Bendex (Block B07) Medicare cards are now issued with a new Medicare number that is unique to the beneficiary instead of using SSN-based Health Insurance Claim […]
State/Agency Part A (HI) Code Part B (SMI) Code Alabama S01 010 Alaska S02 020 Arizona S03 030 Arkansas S04 040 California S05 050 Colorado S06 060 Connecticut S07 070 Delaware, Public Assistance S08 080 District of Columbia S09 090 Florida S10 100 Georgia S11 110 Guam N/A 650 Hawaii S12 120 Idaho S13 130 […]