Institutionalized NA SSI - SSA Responsibility
SSA staff takes an SSI application while the patient is institutionalized in Arizona State Hospital (ASH) and completes the following:
Completes an SSI Pre-Release Food Stamp Addendum (SSA-4140) form, NA application, and interview.
Documents the word Pre-Release in large red letters across the top of the SSA-4140.
Sends the SSA-4140, NA application, verification, and a copy of the informal notice of SSI eligibility or ineligibility from SSA to Research and Analysis Unit (R&A).
Informs R&A when the participant's release date is known. SSA also informs the local office when the participant will not be released as expected.