CHIP & Online Resources
Is Access/Disclosure an Action or Call folder?
Action
When identifying the Representative Payee following Access/Disclosure rules and there is no place of birth on his/her record, what should you do?
Go to the local office or ask another piece of identifying information
When the FLA is "D" how much is the per month payment for SSI?
$30
What form should be sent to an individual requesting a reconsideration?
SSA-561-U2
What is a state-run medical program that is often associated with SSI and other needs-based programs?
Medicaid
Is a 1099 a query or input?
Query
If the Representative payee does not know the SSN of the beneficiary...what do you do?
Go to the local office
Who determines the payment of a State-Administered OSS payment?
The State
In what order should the following be placed beginning with the first step in the appeal process and ending with the last? Appeals Council, Reconsideration, Federal Court, ALJ Hearing
Reconsideration, ALJ Hearing, Appeals Council, Federal Court
If you are age 65 or older, you or your spouse are still working and you are covered under a group health plan based on that current employment, you may not need to apply for Medicare medical insurance (Part B) at age 65. What enrollment period is it?
Special Enrollment Period
Which query would you select if a caller needed a Benefit Verification?
QRSL
If the Representative payee cannot provide the full address, can you ask them if he or she has a letter from SSA or from another business such as a credit card or a utility company and then ask them to read the mailing address to you from the letter?
Yes TC 01005.030
Pricilla Comeaux, Seth's older sister in the example above, age 19, also lives with her parents. Miss Comeaux is also a disabled SSI recipient. She does not contribute anything toward the household expenses and does not purchase her food or shelter separately. The parents and 2 other children in the household do not receive assistance based on need. What is her FLA code?
B
When an individual requests EAP, what level of the appeal process will his/her appeal be reviewed by?
Hearing level
If you don’t enroll in Medicare Part B during your initial enrollment period, you have another chance each year to sign up during a “_____ _____ _____” from January 1 through March 31.
general enrollment period
What is the primary source for the laws, rules and regulations that govern the actions you will take on a call?
CHIP
When providing the mailing address, the Rep Payee forgets to specify that the address is "street". Should you ask the caller "Is this a street?" or "Is this a street, road, lane, etc?" Why is one better than the other?
Is this a street, road, lane, etc? Because it is considered coaching
The “______ ______ ____” is the last date that an input can be made that will increase the total amount of the next month’s first-of-the-month payment
Supplemental Cutoff Date
What is the timeframe for a claim to be processed at the initial and reconsideration levels?
120 Days
If you’re eligible at age 65, your ____ ____ ____ begins three months before your 65th birthday, includes the month you turn age 65, and ends three months after that birthday. However
initial enrollment period
What services are available to an individual with a mySocialSecurity account?
_________
_________
_________
________
________
Application status, Change direct deposit, Request replacement Social Security card, Proof of income, 1099, etc.
What information do you need from an organizational payee?
Name of Organization, Address (physical location including zip code.), EIN (Employer Identification Number), Identifying information shown above for a number holder (NH) who is a beneficiary or claimant., his or her name
A tape released to the Treasury Department giving the amount of the SSI payment to be made on the first of the next month. Once the tape has been released, nothing can be done to change the amount of that payment or where it will go. This is called what?
Recurring Cutoff Date
What is HO processing time for Birmingham, AL?
X77
Since 1965, Medicare has changed as the needs of the American public have changed. Today, Medicare has four parts, what are they?
Hospital Insurance (Part A),
Supplemental Medical Insurance (Part B),
Medicare Advantage Program (Part C), and
Medicare Prescription Drug Program (Part D).