Virginia’s SSA Data Match Project  Project Teams  Project Timeline  Data Match Process  Opportunities/Challenges  Results.

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Presentation transcript:

Virginia’s SSA Data Match Project  Project Teams  Project Timeline  Data Match Process  Opportunities/Challenges  Results

Project Teams CHIPRA Workgroup – developed work plan based upon legislative interpretations and CMS guidance MMIS enhancements Existing SSN verification process expanded to include citizenship SSA challenges Medicaid (DSS) and CHIP (CPU) eligibility systems changes required for capturing data and managing response information

Project Timeline

Data Match Process SSA Citizenship Verification Extract File Members added or reinstated since last file submission Members with renewal date within next two months Limited to those required to provide citizenship verification SSA match requires verification of SSN Name, DOB and SSN must match SSA database File sent monthly; response file received within two days If SSN is verified, SSA returns citizenship information Values A and C (citizenship verified); citizenship field updated in MMIS Values B and D (citizenship not verified); information is written to a report for follow-up action Reports are generated for unverified SSNs and unverified citizenship status

Opportunities/Challenges Resubmission for citizenship verification based on change Corrected SSNs for new and reinstated members SSN, name or DOB are updated in the MMIS CHIP does not require and cannot now require SSN; does not meet maintenance of effort Development of system generated letter to member for correcting SSN and information not consistent with SSA data

Results 3/3/20103/20/20104/16/2010 NumberPercentNumberPercentNumberPercent Total Records Updated 34,894 2,695 12,981 Records with Unverified SSN's % % % Total Records Updated for Citizenship 34,135 2,095 12,126 Records Verified Citizen (A, C) 33, %2, %11, % Records Not Verified (B, D) % 90.43% % Virginia has completed three exchanges since the March 1 st implementation 98% – 99% of members are verified for citizenship and identity 98% – 99% of members are verified for citizenship and identity