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SSA Data Sharing for State Benefit Programs: Maximizing Eligibility Determination

Section 1137 of the Social Security Act allows SSA to disclose data to agencies for determining entitlement or eligibility for federally funded, state-administered benefit programs such as TANF, Medicaid, S-Chip, SNAP, WIC, MSP, unemployment compensation, and LIHEAP. Under routine use provisions, SSA provides UI agencies with essential master files and claims folders for verification purposes. States receiving verifications for UI programs operate under different key types depending on the data shared. To participate in a state data exchange, states must have secure data transmission methods and sign Computer Matching Privacy Protection Act and Information Exchange Agreements with SSA. These agreements are crucial for facilitating a valid data exchange, covering legal provisions and data delivery methods. By working together to adhere to these agreements, improper payments in benefit programs can be reduced effectively.

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SSA Data Sharing for State Benefit Programs: Maximizing Eligibility Determination

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  1. Authority To Provide SSA Data To The States Section 1137 of the Social Security Act allows SSA to disclose its data to specified agencies to determine entitlement or eligibility to federally funded, state administered, benefit programs. Types of Federally Funded Benefit Programs: • TANF (Temporary Assistance to Needy Families) • Medicaid • S-Chip (State Children’s Health Insurance Program) • SNAP (Supplemental Nutritional Assistance Program) • WIC (Women, Infant, and Children Program • MSP (Medicare Savings Program) • Unemployment Compensation programs • LIHEAP (Low Income Heating and Energy Assistance)

  2. Under Routine Use, Systems of Records Provisions, SSA Provides UI Agencies With: 60-0058—Master Files of Social Security Number (SSN) Holders and SSN Applications System, 60-0059—Earnings Recording and Self-Employment Income System, 60-0089—Claims Folders System, 60-0090—Master Beneficiary Record, and 60-0320—Electronic Disability Claims File.

  3. States Receiving Verifications For UI Programs Key: Type 1: (SSN Verification Only) States with no offset of UI benefits Type 2: (SSN Verification and Title 2 data) States that offset UI benefits

  4. Unemployment Data Unemployment Data Unemployment Data Unemployment Data States ICON Payment Name SSA Date of birth Information Sharing Eligibility SSN

  5. What’s Necessary to Participate in a State Data Exchange ? The state must: • Have an approved and secure data transmission method. • Sign the following agreements with SSA: • Computer Matching Privacy Protection Act (CMPPA) Agreement. • Information Exchange Agreement (IEA).

  6. Why Are These Agreements Required… CMPPAs and IEAs are dependant upon each other to be valid working agreements in acquiring a data exchange. CMPPAs cover provisions for a computer matching agreement (legal authority, disclosure, re-disclosure restrictions, notifications, security procedures, and protection of PII) IEAs provide details about the: • Data exchange system the State Agency is eligible to receive, • Program for which it is disclosed, and • Data delivery method.

  7. Working Together to Reduce Improper Payments

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