DIB Reviews
Social Security must periodically review recipients’ eligibility to benefits. This review process is called what?
Continuing Disability Review or CDR
All medical reviews are conducted in 3, 5, or 7 years.
False - It depends on the 3 improvement categories
Medical Improvement Expected - 6 - 18 months
Medical Improvement Possible - 3 years
Medical Improvement Not Expected - 5-7 years
What program do we use to report a DIB's claimaint's work has started, stopped, or changed and where would you find the application?
eWork, it can be accessed from your desktop or Kitchen Sink in PCOM.
True or False: All withdrawals must be in writing. If true, what is the preferred method/ form that we use?
SSA-521
Which U.S. State has the highest number of HBCUs, boasting 15 institutions?
Alabama
What are the two types of reviews and define each.
•Medical CDRs - occur when SSA performs an evaluation of the beneficiary’s impairment to determine their continued eligibility
•Work CDRs - review of the beneficiary’s work activity to determine if benefits should continue
We always discuss a beneficiarie's likelihood for improvement with the caller so that they will know when to expect a medical review.
False - You won’t discuss beneficiaries’ likelihood for improvement, but you should understand that SSA delays CDRs when medical improvement is less likely.
SSA ______ the CDR timeframe when there is a lower likelihood of the beneficiary’s impairment improving.
delays
What is an Abatement? Do CSR's handle them, and are there any appeal rights?
A dispose of an application without making a determination. CSR's do not handle them, and there are no appeal rights.
The annual football classic game between Southern University and Grambling State University, held in New Orleans, is known as what?
The Bayou Classic
What are the 4 exxamples of CDR Forms that was discussed in today's lesson?
SSA-455 (Disability Update Report)
SSA-454 (Continuing Disability Review Report)
SSA-827 (Authorization to Disclose Information to the Social Security Administration)
SSA-3368 (Disability Report-Adult)
TC 17001.070
To check the status of a Medical CDR you would select Queries and Inputs to open the QCDR Query.
False - The query is DCFQ and one of the useful screens that provides historical records of the events entered on the control file for the beneficiary is QCDR.
This starts the month after the TWP ends and can continue indefinitely depending on an individual’s work activity. It offers the NH a 36-month re-entitlement period
Extended Period of Eligibility (EPE)
What is the reference that the CHIP Path takes you to in order to provide information on Withdrawal of benefits?
TC 10025.010
Which HBCU were five of the "Divine Nine" (NPHC) original Greek letter organizations, founded at?
Howard University
Medical CDRs can either be scheduled or unscheduled and this effects how often the reviews are conducted. For scheduled reviews, what is the timeframe based on?
The timeframe is based on the severity of the beneficiary’s condition and likelihood of their condition to improve. This is determined by the diary set by the Disability Determination Service when a medical decision is made or after a subsequent review.
The QMID screen provides medical information about the beneficiary.
True
True or False:
On eWork, if the caller does not have their salary information or Job title, you would send a MDW with the information that you do have in order to get the employment information reported to the FO?
False, you are required to enter the Employer Name, Address, and work start date. We want to enter as much information as possible and you should ask for the information. If it is unavailable, you would submit the report with the information that is required and the FO will develop any additional information that they need.
What are the withdrawal criteria that must be met whether the request is made before or after adjudication?
1. Request must be submitted in writing
2. There are no appeal rights after the request has been approved. The action is voluntary.
3. You must advise that caller that once a request has been approved, a subsequent or new application may result in the loss of benefits as the claim may not cover the same time period as the withdrawn application.
4. You must advise the caller if deemed filing rules apply, for example, if they filed a retirement and aux spouse claim, both claims must be withdrawn.
5. Advise the caller that if there are any other auxiliaries such as children drawing on the record, they must consent to the withdrawal if their payments would be affected.
6. Advise the caller that withdrawing their application could affect their SSI and state benefit eligibility.
Media mogul, philanthropist, and billionaire, Oprah Winfrey, graduated with a degree in speech communication and performing arts from which HBCU?
Tennessee State University
The beneficiary’s potential for improvement is split into 3 categories. What are they?
3 diary categories:
•Medical Improvement Expected (MIE)
•Medical Improvement Possible (MIP)
•Medical Improvement Not Expected (MINE)
To find more information about mailing forms that may be lost or accessing the i454 online, which reference would you use?
TC 17001.070
What is the CHIP path directs you to enter a work report in eWork for T2 DIB?
Work Reports / Disability / Benefit type - T2/ Inquiry type - Processing work reports via eWork/ Read I&I
What are the requirements for a withdrawal prior to adjudication and after adjudication?
Prior -
1. Advise the caller the request must be in writing, preferably on the SSA-521,
2. NH must be alive, and
3. Advise the caller this could affect SSI and state benefit eligibility, and when request is received, the field office will process the request with payment center (PC) involvement.
After -
1. Advise the caller the request must be in writing, preferably on the SSA-521, NH must be alive,
2. The claimant must repay all benefits received since their initial entitlement month before the withdrawal request can be finalized,
3. If the claim is for retirement benefits, the claimant is limited to only one withdrawal request per lifetime, and that request must be submitted within 12 months of their initial entitlement month,
4. Any auxiliaries (except independently entitled divorced spouses) that may be adversely affected by the claimant’s withdrawal request, must also consent in writing to the withdrawal request and also repay any benefits received since their initial entitlement month, and
5. The Processing Center takes the necessary actions to finalize the withdrawal request. The PC will calculate the total amount of benefits to be repaid, send the notices to the claimant, and update the MBR when complete.
What are the 2 remaining all-women HBCU's in the U.S.
Bennett College and Spelman College