Md. Code Regs. 10.09.11.05

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.09.11.05 - Application: Additional Requirements

A. Social Security Number.

(1) As a condition of eligibility, an applicant shall furnish to the local health department or the local department of social services a Social Security number for the applicant. If the applicant cannot furnish a Social Security number, the applicant shall apply for a number. Assistance may not be denied, delayed, or discontinued pending the issuance or verification of the number if the applicant complies with this subsection.

(2) Eligibility may not be established until the applicant:

(a) Furnishes a Social Security number; or

(b) Requests the assignment of the number through the Social Security Administration.

(3) Failure to provide the required Social Security number shall result in ineligibility for the applicant.

(4) If an applicant lacks the resources to meet the requirements of this regulation, the local health department or the local department of social services shall assist the applicant in obtaining the necessary documents, and any costs incurred by the local department shall be paid for out of administrative funds.

(5) If the application indicates that a Social Security number was issued previously, the local health department or the local department of social services shall request validation of the number by the Social Security Administration.

(6) Individuals described under Regulation .06A(2) of this chapter who are applying for limited benefits to treat an emergency medical condition are not subject to the requirements in §A(1)-(4) of this regulation.

(7) The requirements described under §A(1)-(5) of this regulation are not applicable to members of the applicant's family.

B. Third-Party Liability.

(1) A recipient shall notify the local health department or the local department of social services within 10 working days when medical treatment has been provided as a result of a motor vehicle accident or other occurrence in which a third party might be liable for the recipient's medical expenses.

(2) A recipient shall cooperate with the local health department or the local department of social services in completing a form designated by the Department to report all pertinent information and in collecting available health insurance benefits and other third-party payments.

(3) In accident situations, a recipient shall notify the local health department or the local department of social services of the:

(a) Time, date, and location of the accident;

(b) Name and address of the attorney;

(c) Names and addresses of all parties and witnesses to the accident; and

(d) Police report number if an investigation is made.

C. The local health department or the local department of social services shall:

(1) Maintain a case record including documentation of any required elements of eligibility;

(2) Restrict disclosure of information concerning a recipient to purposes directly connected with the administration of the Program, including:

(a) Establishing eligibility;

(b) Determining the extent of coverage under the Program;

(c) Providing services for recipients; and

(d) Conducting or assisting an investigation, prosecution, or civil or criminal proceeding related to the administration of the Program; and

(3) Conduct a wage-screening inquiry to determine wages, benefits, and claimant history for each unemployed individual in the applicant's family unit who is 18 years old or older, but younger than 65 years old, and who is neither blind nor disabled.

D. An applicant shall sign consent forms, as needed, authorizing the Department or its designee to verify from sources such as an employer, banks, and public or private agencies, information needed to establish eligibility.

Md. Code Regs. 10.09.11.05

Regulations .05 adopted as an emergency provision effective July 1, 1998 (25:15 Md. R. 1182); adopted permanently effective November 30, 1998 (25:24 Md. R. 1773)
Regulations .05 amended as an emergency provision effective July 1, 2001 (28:14 Md. R. 1319); amended permanently October 29, 2001 (28:21 Md. R. 1856)