Common use of Effective Date of SSI Status Clause in Contracts

Effective Date of SSI Status. In accordance with Section 10.10, SSI status is effective on the date the State’s eligibility system identifies a STAR, CHIP, or CHIP Perinatal Program Member as Type Program 13 (TP 13). HHSC is responsible for updating the State’s eligibility system within 45 days of official notice of the Member’s Federal SSI status by the Social Security Administration (SSA). Once HHSC has updated the State’s eligibility system to identify the STAR, CHIP, or CHIP Perinatal Program Member as TP13, following standard eligibility cut-off rules, HHSC will allow the Member to: (1) prospectively move to Medicaid FFS (if the Member is a child in any part of the State, or an adult in a Service Area not covered by STAR+PLUS); (2) prospectively move to STAR+PLUS (if the Member is a child or adult in a STAR+PLUS Service Area); (3) remain in STAR (if the Member is a child who is already enrolled in STAR in the El Paso or Lubbock Service Areas); or (4) prospectively move to the Integrated Care Management (ICM) (if the Member is a child or adult in the ICM Service Area). HHSC will not retroactively disenroll a Member from the STAR, CHIP, or CHIP Perinatal Programs.