DEPARTMENT OF HEALTH AND SOCIAL SERVICES
Division of Medicaid and Medical Assistance
FINAL
ORDER
Delaware Social Services Manual (DSSM) Section 17000
NATURE OF THE PROCEEDINGS:
Delaware Health and Social Services (“Department”) / Division of Medicaid and Medical Assistance initiated proceedings to amend the Delaware Social Services Manual (DSSM) regarding section 17000, specifically, to update the table of contents. The Department’s proceedings to amend its regulations were initiated pursuant to 29 Delaware Code Section 10114 and its authority as prescribed by 31 Delaware Code Section 512.
The following regulatory action is exempt from the Administrative Procedures Act in accordance with 29 Delaware Code, Ch. 101, §10113(b)(4), which exempts from the procedural requirements of the Administrative Procedures Act (APA) regulations for existing regulations to make non-substantive changes in existing regulations to alter style or form or to correct technical errors.
SUMMARY OF PROPOSAL
Purpose
The purpose of the amendment is to ensure consistency within the sections of the DSSM.
Effective for services provided on and after October 11, 2019 Delaware Health and Social Services/Division of Medicaid and Medical Assistance (DHSS/DMMA) proposes to amend Delaware Social Services Manual (DSSM) regarding section 17000, specifically, to remove the table of contents.
Background
Portals and websites provide the government with the opportunity to share details about operations, policy and practices. Information posted should be easy to access, clear and consistently formatted.
The Delaware Social Services Manual (DSSM) is part of Title 16 of the Delaware Administrative Code which is the official version of the regulation of the State of Delaware.
These are regulations used in determining eligibility for cash assistance, food benefits, medical assistance, and child subsidies. These are programs administered by the Division of Social Services (DSS) and the Division of Medicaid and Medical Assistance (DMMA).
Statutory Authority
31 Del.C. §512
Citation
29 Del.C. Ch. 101 §10113, Adoption of Regulations; Exemptions
Fiscal Impact Statement
There is no anticipated fiscal impact to the agency.
FINDINGS OF FACT:
The Department finds that the proposed changes as set forth in the August 2019 Register of Regulations should be adopted.
THEREFORE, IT IS ORDERED, that the proposed regulation to amend the Delaware Social Services Manual (DSSM) regarding section 17000, specifically, to remove the table of contents, is adopted and shall be final effective August 12, 2019.
6/25/19
Date of Signature
Kara Odom Walker, MD, MPH, MSHS, Secretary,
DHSS
17000 SSI Related Programs
The following section describes the eligibility groups that are categorically related to the SSI program.
17100 SSI Beneficiaries
17110 Individuals Who Would Be SSI Beneficiaries Except for July, 1972 Increase in OASDI Benefits
17120 Recipients of Mandatory State Supplementary Payments
17130 1619 (b) Eligibles
17130.1 Eligibility Determination
17140 “Pickle Amendment” – Loss of SSI Benefits Due to COLA Increases
17140.1 Eligibility Determination
17140.2 Computation of COLA Disregard
17140.2.1 Computation of COLA Disregard for Pickles
17150 Widows/Widowers (Age 60-64)
17150.1 Eligibility Determination
17155 Widows/Widowers with Disabilities (Age 50-59)
17155.1 Eligibility Determination
17160 Adult Children with Disabilities
17160.1 Eligibility Determination
17170 Section 4913 Children with Disabilities
17200 Disabled Children - Program Renamed (See 25000 Section)
17300 Qualified Medicare Beneficiaries
17300.1 Application Process
17300.2 Medicare Entitlement
17300.3 Financial Eligibility
17300.3.1 COLA Disregard
17300.3.2 Income
17300.3.2.1 Excluded Income
17300.3.2.2 What is Not Income
17300.3.2.3 Gross Income
17300.3.2.4 Earned Income
17300.3.2.5 Unearned Income
17300.3.2.6 Income Computation
17300.4 Effective Date of Coverage
17300.4.1 Retroactive Coverage Precluded
17300.5 Benefits
17300.6 Redetermination of Eligibility
17300.7 Identification of Beneficiaries
17300.8 Payments to Providers
17400 Specified Low Income Medicare Beneficiaries
17400.1 Income Limits
17400.1 SLMB Income Limits
17400.1.1 COLA Disregard
17400.2 Retroactive Coverage
17400.3 Redetermination of Eligibility
17500 Qualifying Individuals
17510 Qualifying Individuals 1
17520 Qualifying Individuals 2
17530 COLA Disregard
17540 Retroactive Coverage
17550 Capped Allocation
17560 Redetermination of Eligibility
17700 Qualified and Disabled Working Individuals (QDWI)
17700 Income Limits
17700.1 Application Process
17700.2 Medicare Beneficiary
17700.3 Financial Eligibility
17700.3.1 Income
17700.4 Effective Date of Coverage
17700.4.1 Retroactive Coverage
17700.5 Redetermination of Eligibility
No Retroactive eligibility
17800 Medical Assistance During Transition to Medicare
17801 Status Eligibility
17802 Financial Eligibility
17803 Determination Eligibility
17804 Income Standard
17805 Payment Level
