R-3500, Information Maintained in Automated System

Revision 12-2; Effective June 1, 2012

When a person is certified for assistance, the following information is kept electronically:

  • Identification data
  • Client/Individual number
  • Name
  • Birth date
  • Sex
  • Race
  • Social Security account number
  • Social Security claim number
  • Client Residence County Code

The county related to the person's home address is used. For residents of a long-term care facility, record the county for the facility address. The person's residence county should be updated whenever there is a change of address involving a new county. This entry is used to identify a person who is eligible or required to enroll in managed care. It is also used by the Service Authorization System Online (SASO).