Worker responsibilities
Medical redetermination when SSI ends:
- Continue CN coverage until eligibility for other health care programs has been determined WAC 182-504-0125. This includes a determination of coverage using MAGI methodology.
- Refer the individual to Disability Determination Services (DDS) only when SSI ends due to not meeting the federal disability criteria and:
- There is evidence that the individual’s condition has changed; or
- There is a new disability; and
- Review eligibility for another health care program.
- When SSI ends due solely to excess income.
- Make a referral to DDS for the end date of their disability approval; and
- Do not delay approval for SSI-related coverage while waiting for DDS disability end date; and
- Make appropriate changes to the DEM 2 when DDS provides the information.
Note: Process and finalize applications (including redeterminations) in the same manner as for other programs except with SSI income.
ACES procedures
For ACES processing details, visit the ACES Information Center in ACES online.