X-410, General Policy
Revision 20-2; Effective April 1, 2020
All applicants must provide a Social Security number (SSN) or apply for one through the Social Security Administration.
If the woman applies using Form H1034, Medicaid for Breast and Cervical Cancer, and does not provide an SSN or proof that she has applied for one, certify for Medicaid for Breast and Cervical Cancer (MBCC)-Presumptive while awaiting the information.
If the woman applies using Form H2340-OS, Medicaid for Breast and Cervical Cancer, and does not provide an SSN, send Form H1020, Request for Information or Action, to request the SSN or proof of an application for an SSN. If the information is not provided, do not certify for MBCC unless good cause for not providing an SSN is applicable as outlined in A-410, General Policy.
MBCC follows the SSN policy in A-400, Social Security Number, under the All Programs or Medical Programs headings.