Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.11 - Maryland Children's Health Program
Section 10.09.11.05 - Application: Additional Requirements
Universal Citation: MD Code Reg 10.09.11.05
Current through Register Vol. 51, No. 19, September 20, 2024
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.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.