126-3          MEDICARE PART D LOW-INCOME SUBSIDY ( LIS Low-Income Subsidy )

The Social Security Administration ( SSA Social Security Administration ) has primary responsibility for determining eligibility for the Medicare Part D LIS Low-Income Subsidy .  The majority of these applications will be processed at the Wilkes Barre Data Operations Center in Wilkes Barre, Pennsylvania.   Some LIS Low-Income Subsidy application may be sent to DPA Division of Public Assistance for processing.

126-3 A.      DPA Division of Public Assistance LIS Low-Income Subsidy DETERMINATIONS

In the event a LIS Low-Income Subsidy applicant insists on DPA Division of Public Assistance making the LIS Low-Income Subsidy determination staff must:

1. First, ensure the inquiring applicant is not a Medicaid recipient.  If the person is already a Medicaid recipient there is no need for the applicant to complete the LIS Low-Income Subsidy application, as Medicaid recipients are automatically deemed eligible for the LIS Low-Income Subsidy .  

2. If the person is not on Medicaid provide the applicant with the SSA Social Security Administration -1020B application form.

3. After the applicant completes the SSA Social Security Administration -1020B application form:

1. • Register it in EIS Eligibility Information System as a General Assistance case to the full service office 030 9 99.

1. • Forward the completed application with a CAP1 and CAP2 attached, to the Senior Benefits Office located within the Mat-Su District Office.

126-3 B.      LIS Low-Income Subsidy CASE NUMBERING

• Only one person per case number.

• Register the application as a General Assistance ( GA General Relief Assistance ) case.

• Couples can apply on the same application; however, each individual must have a separate case number.