Show:
waivers
penalty assessment
rep payee
overpayments
documentation
100
These must be present: Requester’s full name; Requester’s relationship to the overpaid recipient; Overpayment amount; Overpayment period; Overpayment sequence number; Documents and records we used to make the waiver determination; and Method we received recipient or payee’s request for waiver (phone request on MM/DD/YY, or in-office request this date, etc.).
What is documentation for administrative waiver. (SI 02260.030, para C, sub para 5)
100
Form that gets shredded immediately after input is completed. (and letter gets mailed out)
What is Form 1695.
100
This is an unwise expenditure of benefits that is not in the beneficiary's best interest.
What is IMPROPER USE OF BENEFITS. Improper use of benefits is not misuse because the beneficiary still receives a benefit from the expenditure. For more information on improper use of benefits, see GN 00602.130
100
Never use this form to document the overpayment disposition because it is obsolete.
What is a Form SSA-8108 (SSI Overpayment and Disposition Determination)
100
GN 00301.285
What is instructions pertaining to non-medical documentation
200
$1000
What is the limit for an administrative waiver
200
Authorization to Release information.
What is 827
200
The use of funds from a dedicated account for an expense not authorized by the Act
What is MISAPPLICATION OF FUNDS.
200
Unlike Title II overpayments, you can do this regarding recovery or adjustment of overpayments of $1,000.00 or less for each overpayment period.
What is DISCONTINUE
200
Initial claims: MCS/MSSICS, EVID, Image (NDRED/eVIEW) PE Situations: EVID or DROC/5002, Image (NDRED/eVIEW)
Priority of documenting evidence
300
The office staff will document the date of the verbal waiver request on the DROC screen in MSSICS or on an SSA 5002, faxed into NDRED for this. . .
What is an overpayment of less than $1000.
300
Appointment of Representative
What is SSA 1696-U4
300
SSA requires this before an individual is appointed a representative payee.
What is Advance Notice
300
When the nationwide average cost to recover an overpayment equals or exceeds the amount of the overpayment, recovery would do this. . .
What is impede effective or efficient administration of Title XVI of the Act. SI 02260.030
300
Consideration for the claimant's due process rights; The opportunities provided to the claimant to submit evidence; A reasonable determination based upon the evidence in file; An adequate body of evidence; The electronic and paper versions of applications and other prescribed forms; Whether the documented record constitutes “substantial evidence” to support the determination; and Whether the documents in file are valid and authentic.
What is Standards for documentation
400
Stop recovery or adjustment and refund the amount recovered for the month the waiver was filed and any subsequent month in this case. . .
What is the waiver determination cannot be made within 10 days of the date the request was filed. (SI 02260.001, para A, sub para 5)
400
Work Activity Report - Self Employed Person
What is SSA - 820
400
This suspense code is when a suitable payee is needed.
What is S8/S08
400
Never administratively discontinue waiver development on an overpayment without this. . .
What is a specific request from the overpaid person, representative payee, or legal guardian SI 02260.030
400
Failure to document the claims file in accordance with evidentiary standards established by SSA means the adjudicative decision is not properly supported by evidence and, thus, may be erroneous, and result in payment errors.
What is IMPROPER DOCUMENTATION
500
Waive the recovery of an overpayment only if the liable individual is without fault in causing the overpayment, and recovery or adjustment would DEFEAT THE PURPOSE of the Title XVI Act; BE AGAINST EQUITY AND GOOD CONSCIENCE; IMPEDE EFFECTIVE OR EFFICIENT ADMINISTRATION of Title XVI of the act because of the amount involved.
What are basic requirement of a waiver determination. (SI 02260.001 para A, sub para 1)
500
Form for claimant or beneficiary who is, was, or will be abroad for more than 3 months.
What is SSA - 21
500
Social Security law requires representative payees to do this every 12 months.
What is complete a Representative Payee Report.
500
Technicians must review all case information and initiate corrective actions when applicable to update the record before making either of these decisions. . . .
What is waiver or reconsideration determinations SI 02260.030 If the overpayment remains after all case information is current, refer to SI 02260.001, Basic Requirements Concerning Supplemental Security Income (SSI) Overpayment Waiver. For rules of administrative finality and general reopening policies, refer to SI 04070.010, Title XVI Administrative Finality – General Reopening Policies.
500
Refer to the POMS instructions pertinent to the issue involved. Document accordingly. Unless expressly permitted by POMS instructions, subsequent adjudicators/reviewers cannot make presumptions about information not documented in the claims file. Facts not recorded in the claims file cannot be considered as evidence. This is know as:
What is Establishing a fact