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20

Employeesq

Benefits

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The Code of Federal Regulations

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kJ Title 20
Employees'
Benefit#
Revised April
1,2006

of Workerst Comaellsation Pro~ran~s,
artment of Labor
Railmad Retirement Board

So~ocialSecurity Administration
Emwlayees' Cornpensation Appals Board,
Department of Lgbor
-699 -10-vment
and Training Administration,
Depaement of Labw

)
I
-

C

pi

20 CFR Ch. I11 (4-1-06 Edition)

Page I of I

Title 20-Employees' Benefits
(This index contains parts 400 to 499)
CHAPTER 111-SOCIAL SECURITY ADMINISTRATION
Part
400
40 1
402

4Q3

Privacy and disclosure of officid reeds and in foma tion
Availabilityof information and records to the pub&
Testirnony by erraployees and the ~roductiooofreords and information in
legal proceedings
Federal old-age. survivors and disabili t~ insurance I 1 950- I
Administrative review process for sdiudicatinrr initial disability claims
(Eft. 8-1-061
S~ecialbenefits far certain World War I1 veterans
Federal Coal Mine Health and Safetv Act of 1969. Title IV--Black lung

benefits 1969- 1
The Ticket to Work and Sel f-SuK~cienqPromam
. .Income for the wed,blind, and disabled
m w & l seem

WE~?EOr~aniz+afigyand ~rocedurqa
Servicc of process
[Re-dl
Administrative claims under the Federal Tart Claims Act and related
statutes

Personnel

[Reserved]
Uniform ndministl-otive requirements br mants and amcements with
institutions of hiher education.
. . hospitals. other,non-wrofit or~aaization&

-aI

-0

Govemmentw ide debarment and suspension (fionprocure~ncntJ
Uniform administrative reauirernents for grants ad cooperative
nrrreements lo
and local governments
Restrictions on lobbying
Governmentwide requirements far dmv-free workplace (.financial
assistance)

[R-edI

[Reserved]

http://www.access.gpo.gov/nardcfi/waisidxO(i120cfkv2 06.html

administration fees owed to SSA. re-

94-23: 89 Stat. 871, m amended, since
sgectively.
much mounta are not considered to be
(b) Accounting of Stub fumk. (I) As State aupg~emenbawmyments.
soon as feasible. after the end of each f40 FR 7640, Fsb. 1.1875, aa amended at 4L
calendar month. SSA will provide the FR 38010, Aug. 28,1978: 62 FR 313. Jm. 3. 1WJ
Shte. with a statement showing, cumulatively. the total amounts paid by k#416,2OB6 Pwalong of Federal benSSA on behalf of the B a t e during the
efit increcurrent Federal flscal year: the Tws
(a) General. This seokian and the four
charged by SSA to administer ~ u c h wctions that follow describe the rulea
supplementary payments; any addi- for w i n g along increases in the FAtional servima fees charged the E
i
t
a
e eral BSI benefit to recipients of State
the State's total liability therefore: a u p p l e m e n ~
payrnent8.
and the end-of-month hlmce of the
(1) Section 4lS.aOS5(b) indicates when
State's oaah on deposit with HBA.
the pass-along rules apply t o state sup(2) BSA shall provlde an acwuntlng plementary payments.
of State funds recelved as State supple
(2) Section 4 1 6 . m describe8 the
mentary paymen&. admlxrlatration m i c pawalong rulea.The Btatea must
fees, and additional services fees. with- have an amwment t o " m - a l o n g " inin three calendar months following the creases in Federal 881 benefits. A
bermination of an agreement under State w
e
s along tuo incream when it
$416.2006.
mdntains (rather than decretcses) the
(3) Adjustments will b matte because levels of dl its supplementary payof State fund8 due and payable or menta after a Federal beneflt inorease
amounta of State funds recovered for baa occurred. Qsnemlly, a me-along
calendar months for which the agree- of the Increase permits recipients to
ment w m in effect. Interest will be in- receive an additional amount in comourred by 886 and t4e States with re- bined benefits equal M the Fedemd
npect to the adjustment mid account- beneflt increa~.Ekcept for the suppleing of Stab supplementary payments
menmy m e n t level made to resifun& in accordance with applicable denm of Medloaid facilities (see
laws and regulations of the United f416.=d)),
a BWta can decrease one
Stabs Department of the Treasury.
or more of its payment levels if it
( c ) State audit. Any State entering meets an annual total exgendltum
into an agreement with SSA which pro- test.
vides for Federal administration or the
(3) Section 4 1 6 . m exglal~~i
the reStab's supplementary paymenu h a quired combined sugplementarglSSI

1

1

the right to an audit (at S t a b exwnm)
o f the payments made- by SSA on behalf of such Siate. The Secretary and
the State shall. mutually agree upon a
sathfactorg audit arrangement to

verify that supplementary payments
paid by 8 8 A on behalf of the State
were made in w o r d m c e wlth the
terma of the admlnlstmtlon sareement
under 4416.2005. Ramlutlon il audit
fhdingw shall b made in -ordance
with the provlalona of the State's
agreement wlth SSA.
(dl) Advance pa$rmb and Wwtmenb
not appHmbb. The proviatons of paragraphs (a) and (b) of this section shall
not apply with renpect to any State

I

payment level,
(4) Section 416.2098 exgJala8 bow to
compute the March 1983, December
1981, and December 1978 supplementary
payment levels.
(6) Section 416.2099 discusses what hformation a S t a t e muat provide to the
Commi~ioner concerning ih s u p
nlemenhtlon ~roarams so that the
(I.ommfssioner can- determints whether
the Stah is in complf ance. That section also W c w w s tihe Wis for findlngg of noncompliance and what will
owap if a State is round out of comgli-

ace.
(b) When the paes-along provtstons
a p p l g . (1) The p+aa-along requirements
~npglernentarypayment for which re- apply to all. Stam (aqd the District of
imbursement C available m m the So- Columbia) that make supplementary
cfd and Rehabilitation Service pursu- payments on or after June 50,1877,and
ant to the Indochina Migrabion and wlsh t o pwtidpate in the Medicaid
Refugee A ~ i s t a n c eAct oI 1975 (Pub. L. P m .

20 CFR Ch. Ill
'

(2) The pass-along requirements
apply to both optional Stntte supplemsntary gayments oS the type deeoribed in $416.2001(a) and man&tory
minimum State s u g g l e m e n ~m y ments as d e w r i w Ln 5416+2001(c),
whether or not these State supplementary payments are Federally adminiatered.
( 3 ) The requirements apply to State
SuPPlementary P a m e D b b ~ t b ,for recipients who receive Federal SSI bensfit8 and those who, because of countable income. receive only a State s u p
gIementftry payment.
(4) The requirements apply t o State
s u ~ ~ l e m e npayments
W
f*c reclplenh
elwble for w. state ;3upplemmtmY P W -

EdHbN

- Jay
1, 1982 through March 31, 1983, a
State ma9 elect to maintain the levels
described In paragraph (bX2) of this
wtion: and
(iLij For months afmr March 1983, the

must agree t o maintain supplemenmy paymenb at least taumcient
to maintain the combined supplem e n ~ I 9 S Ipayment leveb ln effect
In March lsBS. tacreolsed by llay s u b w e n t 881 beneflt increaaea, except aa
pmvldea tu )46,lrOg1(b) and #418.2oM(c).
(2) we will find that me state hm
met the requirements of paragraph
(a)(1) of thirr section Lf the State hm
the appropriate agreement in effect
md c o m p l i ~with the conditions in dther paragraph (b) or (c) of thte section.
meat on.or amr June 30,1977.
We will oonsider a State t o have made
(5) SuPP1amentar~Pagments made by supplementary paymenta on or after
a stat0 include payments made by a June 30,1977,unless the State furnlrrhes
Political subdivision tineluding Indian un &jinfmto~ eddenag to the mntribs) whotrary ,
set by the
(i) The m n t levels
(b) Meeting the paas-ulong wulreState: and
rnents-supplementary
myment Bveb.
(ii) The Payments are funded in The grovi8f ons of this paragraph do not
whole or in part by the State.
apply to the supplementary payment
10V0l for residents of Medicaid facilities
[ B FR =I.
hpt.s,
ls$~.aa mended a t w
(nee wragfagh (dl of thia section).
FR 19165. m y 4. 1989; 8a FR 58456. ~ u i yIB,
(1) We will consider h State to have
IWl
met the regulrementa for maintaining
k041&~088uc
WOW
rule&
its supplementRry payment levels tde(a) Skate ragreemmts to maintain s u p scribed in 9416,20981 for a particular
plemenLary paynsnt levah. (1) b older montb or months after March 1983 if
to be eligible to reoefve Medicaid reirn- the oomblnea aupplementarylS81 paybursement, any State that makes s u p ment levels have not been reduced
plementm paymen&, other than pay- below the levels in effect in March 1968
menta ta residents of Medic Jd facili- (or i f a State flrst m&desupplementam
ties where Medicaid pays more than W wrnenh a h r March 1983, the cornpercent of the cost of their care (see bhed slzpdementarg/SBI Pa~mentIevwapb (d) of this seotion for deflni- ela in effent the fimt month the State
tion of Medicaid facility and f 416.414 made ~upplementary Pwments). infor dlscusaion of the reduaed 881 ben- cr8at3#d by any aubeguent Federal SSI
eflt amount payable to midents of benefit inomaws, exmgt as provided in
Medicaid racilitiee), on or aFter June 8416.2OW(b) m d 1416.a097(cj. We will
20. 1911. muat have in effect an agree- consider a State t o have met the rement with the Commisfioner. Ln this quiremens for msintainLng its supple
menpayment leveb Sor a paragreemen&
ticular month or months between June
(i) The State mu& a g to~wntlnue
~
to make the supplementary payments: 1977 and April 1988 if the supple(ti) For months ftom July 1917 mentary m e n t levels have a o t been
through Mhlreb 1 9 I . the State must reBuced below the levels in effect h
agree to nlalntain the supplementary December 1W6 (or if a State flmt made
gaymenta at levels at least eaurrl to the ~upplernenwmymen& aiter D m m December lW6 levels (or, if a State flrst b r 19?6, the levels in effect the flmt
makes supplementary payment8 alhr month the B a t e made supplementary
Deoember 1976. the levels for the flmt paymenta. or in certain cases described
month the 8kte makes supplementary in paragraph (b)(a) of this section. the
paymental. For months In t h e geriod r levels In effect in Docamber 1981.)
State