State Supplementation Provisions: Agreements; Payments

OMB 0960-0240

OMB 0960-0240

Section 1618 of the Social Security Act contains pass-along provisions of the Social Security amendments. These provisions require states that supplement the Federal Supplemental Security Income (SSI) payments to pass along Federal cost-of-living increases to individuals who are eligible for state supplemental payments. If a state fails to keep payments at the required level, it becomes ineligible for Medicaid reimbursement under title XIX of the Social Security Act. SSA uses the information to determine a state's eligibility for Medicaid reimbursement. Respondents are state agencies administering supplementary income payment programs.

The latest form for State Supplementation Provisions: Agreements; Payments expires 2021-12-31 and can be found here.

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