APPENDIX D

APPENDIX D - MAINTENANCE OF SUPPLEMENTAL SECURITY INCOME (SSI) CLAIMS

CONTENTS

1. ADDRESSES FOR RECORDS

2. EXCHANGE OF INFORMATION BETWEEN THE SOCIAL SECURITY ADMINISTRATION AND THE STATES

1. ADDRESSES FOR RECORDS

SSI claims records are maintained in Social Security field offices (see Appendix E for address and telephone information) until a decision has been made regarding eligibility . If payment has been awarded, or the appeal period has closed on claims with unfavorable determinations, the claims records are sent to locations as discussed below.

Claims for SSI payments are maintained in the Wilkes-Barre Folding Staging Facility. Access to those claims based on age may be made through a Payment Service Center (see Appendix A for address information), or through a Social Security field office. Access to claims for payments based on disability or blindness may be made through the Office of Disability Operations (see Appendix B for address information), or through a Social Security field office.

2. EXCHANGE OF INFORMATION BETWEEN THE SOCIAL SECURITY ADMINISTRATION AND THE STATES

Information exchanged between SSA and the States because of the State supplementation and Medicaid provisions of the SSI program is maintained at the following State Department of Public Welfare Agency addresses:

Alabama

Commissioner
Alabama Medicaid Agency
2500 Fairlane Drive, Executive Park
Montgomery, AL 36130

Alaska

Commissioner
Department of Health and Social Services
P.O. Box H-07
Juneau, AK 99811

Arizona

Arizona Health Care Cost Containment System (AHCCCS)
MIS Operation - 4th Floor
801 East Jefferson
Phoenix, AZ 80534

Arkansas

Division of Social Services
Data Processing
P.O. Box 2579
Little Rock, AR 72203

California

Department of Social Services
Computing Facilities Division
744 P Street
Sacramento, CA 95814

Colorado

Chief, Bureau of Economic and Social Services
Colorado Department of Social Services
Petro-Lewis Building
717 17th Street
12th Floor
Denver, CO 80218-0899

Connecticut

Director
Connecticut State Welfare Department
Systems and Information
Attn: Control Section Chief
110 Bartholomew Avenue
Hartford, CT 06115

Delaware

Administrator
Payments Section
Division of Business Administration and
General Services
State Hospital Administration Building
Third Floor Annex
New Castle, DE 19820

District of Columbia

Director
Office of Information Systems
Department of Human Resources
D.C. General Mental Health Center
Building 25, Fifth Floor
1905 E Street, S.E.
Washington, DC 20017

Florida

Deputy Assistant Secretary for Medicaid
Department of Health and
Rehabilitative Services
1317 Winewood Boulevard
Tallahassee, FL 32399-0700

Georgia

Commissioner
Department of Medical Assistance
West Tower
Floyd Veterans Memorial Building
2 Martin Luther King Jr. Drive
Atlanta, GA 30334

Hawaii

Department of Human Services
Information Systems
P.O. Box 339
Honolulu, HI 96809

Idaho

Director
Department of Health and Welfare
Tower Building
450 West State Street
State House Mail
Boise, ID 83720

Illinois

Director
Illinois Department of Public Aid
316 South Second Street
Springfield, IL 62762

Indiana

Administrator
Department of Public Welfare
Room 701
State Office Building
100 North Senate Avenue
Indianapolis, IN 46204

Iowa

Commissioner
Iowa Department of Social Services
5th Floor, Hoover State Office Building
Des Moines, IA 50319

Kansas

Secretary
Department of Social and
Rehabilitation Services
6th, State Office Building
Topeka, KS 66612

Kentucky

Commissioner
Bureau of Social Insurance
Department for Medicaid Services
Cabinet for Human Resources
275 East Main Street
Frankfort, KY 40621

Louisiana

Office of Family Security
Louisiana Department of Health and
Human Resources
P.O. Box 94065
Baton Rouge, LA 70804

Maine

Director
Division of Data Processing
Department of Health and Welfare
221 State Street
Augusta, ME 04330

Maryland

Director
Data Processing Division
Maryland State Department of Human
Resources
Department of Employment and
Social Services
Room 301
1100 North Eutaw Street
Baltimore, MD 21201

Massachusetts

Director
Executive Office of Human Services
Information Systems and Services
Computer Center
Room 801
1 Ashburton Place
Boston, MA 02108

Director
Massachusetts Commissioner for the Blind
110 Tremont Street
Boston, MA 02108

Michigan

Director
Department of Social Services
P.O. Box 30037
300 South Capitol Avenue
Lansing, MI 48933

Minnesota

Director
Department of Public Welfare
Centennial Office Building
658 Cedar Street
St. Paul, MN 55155

Mississippi

Director
Division of Medicaid
P.O. Box 16786
Jackson, MS 39236-0786

Missouri

Director
Department of Social Services
P.O. Box 1527
Broadway State Office Building
Jefferson City, MO 65102

Montana

Director
Department of Social and
Rehabilitation Services
Economic Assistance
P.O. Box 4210
Helena, MT 59604

Nebraska

Director
Department of Social Services
5th Floor, State Office Building
301 Centennial Mall, South
Lincoln, NE 68509

Nevada

Nevada State Welfare Division
2527 North Carson Street
Carson City, NV 89710

New Hampshire

Director
Department of Health and Welfare
Division of Welfare - Claims
Processing Unit
Hazen Drive
Concord, NH 03301

New Jersey

Director
Blue Cross - Blue Shield
Systems Division Tech Services
33 Washington Street
Newark, NJ 07102

New Mexico

Secretary
New Mexico Human Services Department
Income Support Division
P.O. Box 2348
Santa Fe, NM 87504-2348

New York

Director
Department of Social Services
Income Maintenance Section
1450 Western Avenue
Albany, NY 12203

North Carolina

Director
Division of Medical Assistance
Department of Human Resources
325 North Salisbury Street
Raleigh, NC 27611

North Dakota

North Dakota Department of Human
Services
Judicial Wing/State Capitol
Bismarck, ND 58505

Ohio

Director
Ohio Department of Public Welfare
32nd Floor
State Office Tower
30 East Broad street
Columbus, OH 43215

Oklahoma

Director
Department of Human Services
P.O. Box 25352
Oklahoma City, OK 73125

Oregon

Director
Department of Human Resources
318 Public Service Building
Salem, OR 97310

Pennsylvania

Director
Data Control Section
Department of Public Welfare
Health and Welfare Building, Room 106
Harrisburg, PA 17120

Rhode Island

Director
Department of Human Services
Aime J. Forand Building
600 New London Avenue
Cranston, RI 02920

South Carolina

Executive Director
State Health and Human Services
Financing Commission
P.O. Box 8206
Columbia, SC 29202-8206

South Dakota

Director
20 North 200
West Salt Lake City, UT 84103

Vermont

AABD/ANFC Director
Department of Social Welfare
4 East State Street
Montpelier, VT 05602

Virginia

Director
Data Control, Department of Social
Services
Ratcliffe Building
8007 Discovery Drive
Richmond, VA 23288

West Virginia

Director
Division of Computer Services
West Virginia Department of Human
Services
1900 East Washington Street
Charleston, WV 25305

Wisconsin

Secretary
Department of Health and Social Services
Room 341
1 West Wilson Street
Madison, WI 53702

Wyoming

Department of Health and Social Services
Hathaway Building
Cheyenne, WY 82002

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