PE Events
Payment status while an individual is outside of the U.S.
N03
True or false, you can accept allegation is a person lives alone
True: SI 00835.001 (LA evidentiary chart)
When is a PERC required?
A PERC is required in simultaneous development claims when none of the exceptions in SI 00603.032 applies and more than 120 calendar days have elapsed between the reference date. SI 00603.031
Give me 2 examples of what income we can exclude.
SI 00820.500
I have been medically ceased and disagree, how to I go about getting my benefits back or forms I need to complete?
File an appeal: forms are 789, 827, 3441, 795 payment continuation.
What is the person ID code on a 1719 inputs?
1 or 3
A DI lives with her husband and 2 friends. Friend owns the home. DI/spouse buys their own food, no food stamps. DI spends about $200 on food monthly. Friend has agreed the DI to take on the friends car payment per month of $95 and that the spouse do HH chores valued at $50 a month. DI/spouse gives $250 towards electric bill monthly and DI pays $10 a month directly to garbage company.
$155 contribution towards HH expenses. Direct cash ($10 for garbage); In lieu of contribution ($95 car payment); Excess deemor contribution ($50 chores). SI 00835.480
Program used to track hearings
WEB ALJ
Define CM, CI, BM and OSS
CM = Computation month
CI = Countable Income
Bm = Budget Month
OSS = Amount of federally administered optional state supplement payment
I did not receive my SSI check today. Can you help?
GN 02406.007 Allegation of non receipt.
03/08/24
What is a facility precedent?
8045 8045 Facility Determination Site - SEANET Application (ssa.gov)
What is the exception to completing development in a PERC?
Do not delay payment pending a determination of capability. DI 12010.040
Peanut butter and jelly married 08/26 and began living together. Their combined resources are within the limit. Jelly received a cash gift of $1500 in July and was not eligible for that month. When is their eligibility month or budget month?
Eligibility = September
BM = August
SI 02005.030
I was asked to provide proof of my foreign pension but I cannot get anything from Europe. What can be done?
SI 00830.105.
Evidence not available
If the evidence is not readily available, or if translation of the documents would require a delay beyond the receipt of the next payment, then:
•
adjudicate the case based on the individual's statement either signed or recorded on the Report of Contact page (if there is no reason to doubt the allegation); and
•
ask the individual to present their next check before cashing it.
List the fields needed for an address change via a 1719 input
AH, AN, AD, AY, AT, ZP, DL, LA, RA
DI is applying for SSI and states they have a monthly mortgage payment of $500 per month but have not made any payments in the last 4 months or received assistance from friends or family. Foreclosure has not occurred yet. Do we charge ISM or PMV?
ISM or PMV would not apply in this situation because nobody is paying the mortgage payments and John still has a legal obligation to make payments on the mortgage. Therefore, the unpaid mortgage payments do not result in ISM for John Smith. SI 00835.115
What does EDB stand for and how to correct?
The Early Deposited Benefits edit is a discrepancy detected when values are present on the values table of the Cash or Financial Institution Account page for Early Deposited Benefit (EDB) months and no exclusions have been applied. The Early Deposited Benefits edit is detected when the system compares the old and the new SSR to see if any of the EDB months have changed from Payment Status Code C01 to N04. This process is done whether or not an event is being closed
Jack and Jill are a couple and resume living together as of 06/01/2011. This is intended FOM. Jack receives $400 in T2 and Jill receives $200 in a pension. What is the payment to the couple?
Homer’s Title II in June 2011 $400.00 Elaine’s state pension in June 2011 $200.00 Total Income in the Budget Month $600.00 Less General Exclusion -$20.00 Equals: FCI in Budget Month $580.00 Couple’s FBR in August 2011 $1011.00 Less: FCI in Budget Month -$580.00 Payment to Couple $431.00 ($215.50 each)
SI 02005.030
I'm a DWB, when does my Medicare begin?
DWBs are eligible for Medicare insurance if they have received (or deemed receipt of) disability benefits for 24 months. DI 10110.001
Yes but after...
the Office of Inspector General informs us of an investigation that concludes the recipient knowingly failed to report their absence from the U.S. They knowingly concealed information that is material to the deemed initial determinations during the period of absence. A Claims Specialist (CS) reopens and revises the determinations because the determinations were obtained by similar fault. The recipient's record results in at least 12 consecutive months of retroactive suspension due to absence from the U.S. A CS terminates benefits retroactively and calculates an overpayment beginning August 2010, despite the recipient’s current eligibility status. SI 02301.205
A child is placed in foster care to their uncle. The agency is providing responsibility but the uncle has agree to care for the child without receiving foster care payments. What is the childs LA and do we charge any income to the child?
They are in non-institutional care. We must contact for an estimate of the CMV of the food, clothing, and shelter that the uncle provides to the child. The uncle states that the value is $250 per month and that the child contributes $150 per month from his SSI check. We determine, applying the PMV rule, that the child receives $100 of ISM. SI 00835.790
You receive this edit: R TE - Master file type is blind or disabled and date of onset and denial code are blank, how/where do you go to fix this?
Trick question, edits are not rejects.
A disabled recipient who receives $150 a month in worker's compensation. They lived with their ineligible spouse until death on June 15, 1988. Spouse had been working part-time and received gross wages of $400 in May and $200 in June. When does deeming stop, what is her new benefit amount and what is the budget month?
Deeming no longer applies beginning with July. Effective July 1988, Mrs. Pinot is eligible as an individual without a spouse and the FBR for an individual ($354 in July) applies. In determining her July payment amount, the DO uses only Mrs. Pinot's own countable income of $130 ($150 worker's compensation minus the $20 general income exclusion). The deemed income from Mr. Pinot in the budget month (May) is not used in determining the payment amount for July. The payment amount for August is also determined using only Mrs. Pinot's own countable income in the budget month (June). Mrs. Pinot's SSI payment for July and August is $224.
I was born in the Northern Mariana Islands on 12/06/1987. Can I qualify for benefits?
GN 00303.120 - Who Is a U.S. Citizen (ssa.gov)
YES