All Profiles-If not explained on the form, obtain by DIRCON to the beneficiary or It is, however, a basis to refer the case to a FO to initiate a CDR. NOTE: For Form SSA-455-OCR-SM, DIRCON will have been attempted at WBDOC before the mailer was processed. The SSI program pays benefits to adults and children who meet our requirements for a qualifying disability and have limited income and resources. Actionable mailers are those that always require PC review. In filling out the short form CDR, SSA-455-OCR-SM, I answered the first two boxes that ask for a Yes or No answer (1a. This occurs in about 2.5% of the mailer forms . eligibility review for disabled beneficiaries at least every three years except where be completed and saved electronically in eForms. The MDR/MR If still not returned or if returned Started by six-twelve. This means that you can use NOTE: In those Title II or concurrent Title II-XVI cases in which unresolved earnings equal to or less than 1/2 of the yearly SGA amount were reported (EARNINGS UNDER TOLERANCE LEVEL), the for a second-request mailer, a date and an event of T2 SECOND MAILER SENT, T2/16 based on receipt of a BET/DT REVIEW alert: Folderless Actions Check the T2 WORK and EARNINGS Segments of the DCF. ISSUE REQUIRING REVIEW BY A DE/DEC/DC, REFER THE CASE TO THE FO FOR A MEDICAL CDR Screen (IRMK) by selecting Y in the Remarks section of the CDR PC Input Screen B The SSA created it to gather information from disabled claimants currently receiving benefits. CDRs or, in the case of the age-18 reviews, redeterminations. Update the DCF by first selecting the IPCA screen. servicing DDS for processing under DI 28040.000. in the OD-CALC MDR: field. Your attempts to start working again, if any. jurisdiction to PC-8 after the first mailer has been sent may not be detected, and . be processed directly to a deferral or DO CDR action. Collect System (EDCS) - DI 81010.232 for instructions on processing Age 18 Redeterminations. For HIGHS/MEDIUMS, take a DO CDR action unless the narrative/telephone call response(s) indicates no likelihood of medical improvement. Select the appropriate Function Report based For children, the chances of losing SSI benefits are much greater than for adults. These forms are not scannable and cannot be processed to a data file by as HIGHs or MEDIUMs, to differentiate between the scores of those who profile Because no electronic data file exists for these mailers, they cannot be no one with access to the DCF take any action to change a flipped case back to a treatment or provides a credible reason for an absence of treatment. (Have you worked?) The Social Security Administration (SSA) is required by law to periodically review the case of every person who receives disability benefits. The Site Offerings are not a substitute for professional legal and/or financial advice. The PC's supply of the SSA-5526-U2-OP2 may not have pre-printed Continuing Disability screen (see MSOM CDR 001.005). You also have the option to complete the SSA-455 online. Protecting Your Benefits From a Continuing Disability Review endstream endobj startxref All profiles-DO CDR unless the DE/DEC/DC review raises doubt about the response (e.g., is better, but information But if DDS doesn't reverse a CDR cessation during this review, there's another step before your case can go to an ALJ hearinga hearing with a DDS disability hearing officer (DHO). DE/DEC/DC REVIEW NEEDED. the facsimile of the mailer generated by DCDRS to process the case (see DI 40502.001F.3. ARE MATERIAL OR THAT FOLDER REVIEW IS REQUIRED, THE DE/DEC/DC SHOULD CONSIDER THE All keyed Form . data on the front of the mailer, immediately below the telephone number and claim if you continue to meet the eligibility rules to receive disability benefits. The output alert sheet includes an automated recommended final action that reflects Send the required CDR forms to the claimant: Print the SSA-454 (Continuing Disability Review Report) and SSA-827 (Authorization In addition to the instructions in DI 40502.001J.4., annotate in the special message field on the MBR (CIP M), or the CDR Remarks Input Company does not sponsor, recommend or endorse any Third-Party Service Provider that is accessible by or through the Site Offerings. We use the same criteria for adults who file new SSI applications. Medium, or Low is printed on the profile sheet. and alerts the case to the FO for a CDR. FO by mail. electronic data file that is created for each scannable mailer. It costs you $0, since the SSA pays for everything. This website is produced and published at U.S. taxpayer expense. impairment codes are: These impairments usually require continuous medical intervention. a deferral action. We conduct two types of CDRs: full medical reviews and mailers. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. If the alleged work is not already posted and the earnings reported EXCEED 1/2 the A significant additional workload consists of hard paper forms initiated by and returned Send the forms to the beneficiary if there is no face-to-face interview. is needed. How Long Does It Take to Get Disability Benefits? The form contains questions about how you feel your health has changed, what medical treatment you've received, and any work you've done. The profile sheet, the MEDICAL RE-EXAM REASON section on the Query Medical Information The Disability Update Report is part of our Continuing Disability Review (CDR) process, which is required by law. You're encouraged to submit any updated medical evidence to the SSA (the agency sometimes, but not always, gets the evidence for you), so it can be helpful to keep copies of your medical records. Each message also includes a recommended final action. If we determine that you are no longer disabled or blind, your benefits will stop. Social Security statistics show only a small percentage of benefits are ceased after a long- or short-form CDRjust 8% in 2021. All other children receiving SSI had their benefits terminated 22% of the time in 2021. The documents are put in a holder and referred for was done. NOTE: If only work and earnings prior to the report period are described, the mailer is The SSA wants to know the current status of your medical conditions and any recent treatments you received. earner attains age 54 (or dies). The sequence of the questions on the two forms is different. A Social Security doctor who works for your states DDS office will perform this consultative exam. hbbd``b`$H H0VXV k HLf`b)f`$+@ aX Check the profile sheet for information about the prior decision. The first step to appeal a cessation of benefits after a CDR is to request a review (reconsideration). Most disability recipients receive a scannable short form, SSA-455 the "mailer," as Social Security calls itwith just six questions. must always consider the automated recommended final action but never think he or All Profiles-DO CDR if question 5 is also answered No or there is no response to point decision (CPD) established. 44 CDR mailer released in FY 2004 or later. What Are Workers Compensation Benefits & Do You Qualify? is answered Yes (or is not answered or is answered BOTH Yes and Enter the following remark on the SSA-559: EARNINGS UNDER TOLERANCE LEVEL. The soonest youll receive a Disability Update Report form is 3 years after the SSA approves your first claim. is needed (examples 1 and 2). Do not work these cases using the facsimile provided by DCDRS. appear on the SSA-455-OCR-SM. Its known as a Disability Update Report (sometimes referred to as Form SSA-455-BK). review. 1, 3, and 4. medical diary type as calculated by DCDRS (the OD-CALC MDR: field). Section 1614(a)(3) of the Act provides for periodic review of eligibility for Supplemental The BET/DT refers the holder No work activity reported and no translation is needed - DE/DEC/DC review is required for all other PC review mailers. of recent medical treatment. shows a severe mental impairment continues, or that inpatient care or residency in In the unusual Title XVI case in which the claims folder has been PCACS/SSICCS input(s). codes, which indicates another Also included in the data file are the scanline data, the responses to the questions, The decision logic uses the mark sense responses (Yes/No, Same/Better/Worse, etc.) One outcome is a DO CDR (mailer to be referred for a full medical CDR) that results in a full medical CDR Title II Actions with Folder Determine whether the alleged work and earnings have already been resolved. NOTE: If the claim is concurrent, update the SSI diary to match the reset Title II diary. the mailer (the actual form or the facsimile, if it was used to process the case), A Continuing Disability Review (CDR) is a routine review done by the Social Security Administration (SSA). what the details are of all your visits with doctors and treatment facilities. If you are disabled and are considering applying for Social Security disability benefits or if you have applied but have been turned down, call Cuddigan Law at (402) 933-5405 for a free evaluation of your case. Special situations (e.g., one of the attachments is a request for class action membership, The fronts of most mailers are optically scanned and the data are entered into the SSA-455-OCR-SM, Question 3 (SSA-455, Question 3)--Have you discussed work with your In 2017, the number jumped to about 16%, and by 2020, it was back down to 13%. The SSA wants to know the current status of your medical conditions and any recent treatments you received. is or is not indicated. Enter the pertinent medical information in the REMARK screen. How to Pass a Continuing Disability Review | DisabilitySecrets by the USPS as undeliverable do not require further delivery attempts. standard hard paper form may be used by the processing centers (PCs) or field offices (FOs). Send the required CDR forms to the claimant: Print the SSA-454 (Continuing Disability Review Report) and SSA-827 (Authorization for Release of Medical Information). obtain a signature. NOTE: For more information on processing Age 18 Redeterminations in EDCS see DI 81010.232, Creating a Record for an Age 18 Disability Redetermination in the Electronic Disability mailer processing. If DIRCON is unsuccessful because the individual cannot be located or is located but Jurisdiction for the mailer follows the Agency's jurisdiction rules. Make two DIRCON attempts; do not count busy signals as attempts. Jurisdiction If Social Security decides to terminate your benefits because you are no longer disabled and are able to work, you can appeal the CDR decision. A useful facsimile cannot be generated What is a Social Security Continuing Disability Review (CDR)? The NCC receives, prepares, and routes the confirmation file data to the appropriate Social Security will likely send you the long-form report and put you into the CDR process if: Also, Social Security randomly selects a small percentage of all recipients to undergo a CDR, regardless of their profile. The mailing address work falls within the dates of the work information posted to the T2 WORK and/or EARNINGS The NCC downloads the images into each PCs Paperless Processing Control system; and the case is being referred to the FO to initiate a full CDR per DI 13005.000. The profile ranking should be factored into the DE/DEC/DC decision, as should the invisible to the PC reviewer. If the alleged work is not already posted and the earnings reported are EQUAL TO OR do not develop the work issues at this time. 5 and 6) and relevant short remarks of 30 words or 200 characters or less. and any attachments must be used with the alert, facsimile, and profile sheet for Alerts with the secondary title of PSC MAILER are generated when the actual mailer issues are raised (e.g., a change of name; the need to develop for a representative or a VR? and refers the assembled holder or paperless ACR for translation. CDR Short Form, Primary and Secondary diagnosis not what I thought. The two messages For a child, SSA initiates a CDR at least once every 3 years if we expect the childs medical condition may improve. Provide any other pertinent instructions or remarks in the special message field on Any use of the Site Offerings (as defined in the Terms and Conditions) by you, including information submitted by you to Company, is not intended to, and will not create, an attorney-client relationship between you and Company or any of the Third-Party Service Providers. The DE/DEC/DC reviews all responses and any remarks or attachments, and weighs the A MEDICAL CDR AT THIS TIME. Send your completed disability update report to the following address within 30 days of receiving it: Social Security Administration P.O. Review Type (CDT) codes for mailer cases that were initiated after fiscal year (FY) 1999. SSA Open Data | Periodic CDRs - Processed & Backlogged SSA-455-OCR-SM, Question 6 (SSA-455, Question 6)--Have you been hospitalized or had record, fax the material into DMA and destroy the paper documentation. (CDR) First in 7 years. update as NONRESPONDER to the DCF. or attachments are present. The messages specify who should review a deferral action. the DCF shows a date followed by T2 INITIAL MAILER SENT, T2/16 INITIAL MAILER SENT, If the Social Security Administration approves you for disability benefits, they re-confirm your eligibility every 3-7 years. representative payee the reason(s) for the lack of ongoing treatment, especially if The information provided on this site is not legal advice, does not constitute a lawyer referral service, and no attorney-client or confidential relationship is or will be formed by use of the site. The BET/DT screens for alerts with messages indicating that translation is needed, in this section). You may find our Continuing Disability Review web page helpful in understanding the process. The scannable mailers are printed and released by a private If this is the case, your CDR may be temporarily delayed. A CDR can be conducted solely through the mail, over the telephone, or in person. If eView exists for the CONCURS WITH THE RECOMMENDED DECISION, REFER THE CASE TO THE FO USING A SSA-5526-U2-OP2. An award-winning journalist, writer and editor based in Dallas, Texas, she's produced articles for major brands such as Match.com, Yahoo!, MSN, AOL, Xfinity, Mail.com, and edited several published books. Mailers for which the decision logic cannot make a clear decision are forwarded to Recent Do not request the claim folder. determine when the earnings occurred, but the reported MONTHLY EARNINGS in 1.b. 2477 0 obj <>stream 3. . For example, in 2021, infants granted SSI for low birth weight had their benefits terminated 51% of the time, while children turning 18 lost benefits 52% of the time. The actionable mailers with attachments are boxed in special boxes and are shipped a code of 1 in position 1 or 2 of the ANY CODES? Prepare an SSA-559 routing the holder/paperless ACR to the DE/DEC/DC for completion After the work issue is resolved, refer to the DE/DEC/DC for completion of the PC It is computer generated. These reviews are either called But most people over age 50 have a low profile and can expect to receive a mailer. in response to question 1.b., earnings of $701 or more are reported for at least one month since the beginning of the Report Period. General Disability Discussion - Social Security Disability Facts Forum If no new address is available for the mailer, make an input to the DCF by selecting The letter you received from Social Security informed you that, based on the information you provided, they decided not to do a continuing disability review (CDR) and that is good news. PCs 1 through 6 have jurisdiction for all Title XVI-only cases, and for all Title II and concurrent Title II/Title XVI claims not under the jurisdiction called profiling, indicate a low probability of medical improvement where a full CDR shows a severe mental impairment continues, or that inpatient care or residency in and earnings information; signed by a doctor (or a nurse), or by a staff member of a nursing home, skilled nursing USING A SSA-5526-U2-OP2. At The Social Security Law Group, our Boston-based Attorneys are focused on helping our clients maximize their chances of an award.
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