CHIP
This period of time allows individuals to test their ability to work for nine months (not necessarily consecutive) within a rolling sixty-month period.
What is Trial Work Period
Chip Path- Action, Disability/Work Incentives, Trial Work Period
What are 2 ways I can get to the QRSL in PCOM?
1. CHIP- Queries/Inputs- select query
2. PCOM- Main Menu 09, 17
Is the NUMI a input or query screen?
Query
TSCOG only:
Using TC only complete the following statement:
Social Security generally considers a student to be in full time attendance if he or she...
•
Attends an elementary or secondary level school, as determined by the law of the State or other jurisdiction in which the school is located;
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Is enrolled in a day or evening non-correspondence course at least 13 weeks in duration;
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Is scheduled to attend at the rate of at least 20 hours weekly; and
•
Carries a subject load considered full-time for day students under the school's standards and practices.
Using TC tell me when the Medicare General Enrollment Period occurs and when coverage is effective
When a caller is past his or her Initial Enrollment Period (IEP) and is not eligible for a Special Enrollment Period (SEP), missed the SEP, or chooses not to use the SEP, he or she must enroll in Supplementary Medical Insurance (SMI) during a General Enrollment Period (GEP) (January 1 through March 31 of each year). When a person enrolls during a GEP, SMI coverage begins July of that year.
Which pay cycle will I be in when I file for Retirement if my Birthday is September 21?
Cycle 4- Fourth Wednesday
CHIP path- Routine Payment Inquiries- Payment Cycling- Help Topics- Payment Dates
TC 27501.010 Payment Cycling
What screen in PCOM is accesses to review and process inputs for a T2 record? What are 2 ways to get there?
POS (T2/POS Menu) DD/COA/ replacement Medicare card/ name change
PCOM- Main Menu- 02, 01, enter
What query can be used to find the status of Disability claim?
DDSQ- DDS Query
Using TSCOG answer the following question.
What does it mean if a caller has a special message on the MBR or SSR displaying "DCN abuse- Input as C-stop through MM/YY.
Our records indicate that an individual has misused or abused the nonreceipt replacement process.
Using resources available what is the Cost of Living Adjustment (COLA) for 2024?
3.2%
How would you handle this call using CHIP? Caller wants to report that their representative payee is misusing their money.
What actions would you take and what CHIP path did you follow?
If caller makes allegation of payee fraud or misuse of bene's benefits,
What PCOM screen assist you to answer Medicare enrollment/billing questions?
HI/SMI Query Medicare Enrollment/ Billing Query
Which input screen is where overpayment remarks and recovery actions are input?
DMMU Debt Management
Using TC tell me the reference you will use when you receive a call to establish an appointment for family members filing for benefits at the same time.
TC 10010.030 Handling Special Referral Situations
Family Members Filing for Benefits TC 10010.030C
Using available resources tell me what the Medicare Part B Premium will be in 2024?
$174.70
What is the address a caller can send a check or money order to pay their Medicare premium bill? What information will you provide to them?
If caller wants to:
1) send check or money order, TELL caller to mail premiums (and premium billing notice, if he/she has it) to:
Centers for Medicare and Medicaid Services (CMS)
Medicare Premium Collection Center
P.O. Box 790355
St. Louis, MO 63179-0355
TELL individual to include his/her name and Medicare Beneficiary Identifier (MBI) or SSN on check or money order.
CAUTION: Always recommend that beneficiaries mail payments to CMS rather than taking payment to FO. Taking payment to FO can delay posting of payment to CMS records by 5 to 7 days. The only time that premium payments should be made to FO is when termination of Medicare is imminent due to non-receipt of premium payment
CHIP Path- Action, Medicare, Medicare Other Issues, HI/SMI premiums
What PCOM screen is accessed to provide benefit estimates to our callers for Retirement and Disability Benefits?
PBRQ (PEBES) Earnings History
What input screen is used to send messages for T2 benefits?
MMDW Modernized Development Worksheet
Which TC reference will help me handle this call:
I would like to set up appointments for my two minor disabled children. Can I do this in one appointment?
TC 10010.030 Handling Special Referral Situations
G Multiple SSI applicants filing at the same time
We refer callers to online services on most calls. Tell me 3 items you can find on SSA.GOV ?
Apply for benefits
Replacement SSN Card
Get tax form (1099/1042S)
Update Direct Deposit
Get a benefits estimate
Change Name
Get benefit verification letter
Check application or appeal status
Use CHIP to assist this caller.
Hello, I need to cancel by Medicare Part B coverage. I never go to the doctor and could really use the extra money to save up for tickets to see my favorite sports team. I already know I don't qualify for the QMB Program. Please help me cancel!
CHIP Path- Action, Medicare, HI/SMI, Termination
Explain Consequences of cancellation
Proceed with termination
Which PCOM screen is used to refer a caller's report of their 1099 being incorrect for review if you are unable to determine of the caller's statement is correct?
CHIP Path- Action, Taxation of Benefits, SSA-1099, Caller disagrees with benefit statement, net benefit is incorrect or unable to determine if incorrect
PCOM screen- PHU4
What Query allows us to see payment center activity?
PCACS Case Control Query
Using TC explain When SEP enrollment can occur and when coverage is effective.
Enrollment in SMI during an SEP can occur:
•
during any month in which an individual is enrolled in a GHP or LGHP based on current employment status, or
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during any of the eight consecutive months following the last month during any part of which an individual was enrolled in a GHP or LGHP based on current employment status.
while still enrolled in a GHP or LGHP based on current employment status
-or-
during the first full month when not enrolled in a GHP or LGHP based on current employment status
•
the first day of the month of SMI enrollment, or
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at the individual's option, the first day of any of the following 3 months
during any of the final 7 months of the SEP
the first day of the month after the month of enrollment
PolicyNet
On the PolicyNet homepage what are the first three topics in the "Hot Topic" section?
COSS' First 100 Days
Consolidation Claims Experience (CCE Clusters)
LEP Communication Hub