Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 517.000 - MassHealth: Universal Eligibility Requirements
Section 517.006 - Social Security Number (SSN)
Universal Citation: 130 MA Code of Regs 130.517
Current through Register 1531, September 27, 2024
(A) Requirements.
(1)
Condition of Eligibility. As a condition of
eligibility for MassHealth, all persons applying in the household must furnish
a SSN or proof of application for a SSN, except as provided in 130 CMR
517.006(A)(1). The applicant is notified of the obligation to apply for a SSN
for any person applying in the household. The MassHealth agency does not
require a SSN or proof of application for a SSN for any applicant who
(a) attests to a religious exemption as
described in federal law;
(b) is
only eligible for a non-work SSN; or
(c) is not eligible to receive a
SSN.
(2)
Electronic Data Match. The MassHealth agency verifies
each SSN by an electronic data match with the Social Security Administration
(SSA).
(3)
Reasonable
Opportunity to Verify a Social Security Number. If the applicant
has provided an SSN, the MassHealth agency matches with the SSA to verify the
SSN. If the SSA is unable to verify the SSN, the individual is required to
verify his or her SSN.
(a) The MassHealth
agency provides applicants and members a reasonable opportunity period to
provide a SSN if SSA is unable to verify the SSN or the individual has not
provided the SSN.
(b) The
reasonable opportunity period begins on, and will extend 90 days from, the date
on which an applicant or member receives a Request for Information.
(c) While the verification of SSN is pending,
the individual will receive benefits if there are no other verifications
outstanding.
(B) Right to Know Uses of Social Security Numbers. All household members are given a written notice of the following:
(1) the reason the SSNs are
requested;
(2) the computer
matching of SSNs with SSNs in other personal data files within
(a) the MassHealth agency;
(b) the Federal Data Hub, which matches with
the SSA;
(c) the Department of
Homeland Security (DHS);
(d) the
Internal Revenue Service;
(e) other
federal and state agencies and other informational services; and
(3) the possible denial or
termination of benefits, if any applicant or member fails to provide his or her
SSN or proof of application for a SSN, unless an exception described in 130 CMR
517.006(A)(1) applies to the applicant or member.
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