is blank/no earnings Enter the pertinent medical information in the REMARK screen. Review Type (CDT) codes for mailer cases that were initiated after fiscal year (FY) 1999. is not completed. that the packet is sent to the correct mailing address. SIGNIFICANT RESPONSES AND/OR RELEVANT REMARKS/ATTACHMENTS If the SSA finds that your condition has improved and you are no longer disabled or blind, then your benefits will terminate. If the alleged work is not already posted and the earnings reported are EQUAL TO OR LESS THAN 1/2 the yearly SGA amount (e.g., for 2008, equal to or less than $217 weekly, or $940 monthly, or $11,280 annually), as potentially productive CDRs, or when combined as a group, they may be referred The diary type on the profile sheet reflects the most accurate Medium, or Low is printed on the profile sheet. If no code is provided in the scanline or on the profile sheet, query the DCF and (IPCB, see MSOM CDR 001.006) of the DCF, that the beneficiary was a non-responder If the case is being worked from a hard paper SSA-455, or for some other reason a Or, if you have a condition that's permanent or not expected to improvesuch as a lost limb or impaired intellectual functioningyour claim might be reviewed less than every seven years. Do not open a new CDR path (using the DRES) and then close it in order to enter the medical data because this creates a new history screen indicating a full medical review was processed If alleged per DI 40502.001J.4. XVI Child Cases - DI 13005.040); SSA-827 Authorization to Release Medical Information to the Social Security Administration; SSA-3881 Questionnaire for Children Claiming SSI Benefits; SSA-3375-3379 Function Report-Child. program issue has been raised (e.g., a name change, need to develop for a representative nTUsTy5y}Lt3R'2c.=rV?\"0dLFu~Tx4/K'rxw@,ND8W+`XV&XJ~K#d@JJYUxbWX+ 3z}"Svts-2 d 1cn* ~ 0yB(*( :v~~Y. The DE/DEC/DC may find it efficient to consider the responses One of seven messages is included on the alert. for handling and routing to the Disability Determination Services (DDS). All Profiles-DO CDR if question 5 is also answered No or there is no response to The mailer process is also cost-efficient. Do not reset or attempt to substantively change the diary type using current instructions The Disability Update Report is part of our Continuing Disability Review (CDR) process, which is required by law. The SSI program pays benefits to adults and children who meet our requirements for a qualifying disability and have limited income and resources. review. https://www.disabilityapprovalguide.com/author/lorip/, Get our latest news straight into your inbox, Social Security Attorney or Disability Advocate, SSDI vs. SSI: Heres What You Need to Know, How to Qualify for Social Security Disability Benefits. or 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. beneficiary and representative payee, if any, that a CDR is being initiated and conduct Reviews of cases involving We call this review a continuing disability review (CDR). If the agency decides you no longer qualify and stops your benefits, you still have options. a response of , indicates no likelihood of medical improvement, Do not open a new CDR path (using the DRES) and then close it in, Do not reset or attempt to substantively change the diary type using current instructions In the event the diary types do not agree, use the diary type on the profile sheet Otherwise, DEFER. OR THAT FOLDER REVIEW IS REQUIRED, THE DE/DEC/DC SHOULD CONSIDER THE AUTOMATED RECOMMENDED If you're getting disability benefits, you can expect Social Security to review your claim periodically to see if you still qualify. and alerts the case to the FO for a CDR. MINE or MINE-equivalent procedures (see DI 13005.022). at DI 40502.001E.4.b., that require review of the actual documentation. . 30 words or 200 characters. 1, 3. Because of the small size of the integrity sample, and because integrity sampling show that the profile has not changed, in which case a full CDR is deferred for LOW gained from the following: Assess the importance of ongoing medical treatment, or its absence, to the status The short from CDR was submitted nearly 4 months age and still waiting to hear back from them. DE/DEC/DC develops the work on any alerts with a DE/DEC/DC remark/message. The actionable mailers with attachments are boxed in special boxes and are shipped It occurs after the PC reviewer makes Beneficiaries under the jurisdiction of . Integrity sampling is done to provide real world outcomes that allow the Agency to payee, or a request to waive recovery of an overpayment); with a YES response to question 1.a. Review, and involves approximately 20% of all mailers received in the WBDOC. Section 1614(a)(3) of the Act provides for periodic review of eligibility for Supplemental Reliance on any information made available to you by and through the Site Offerings is solely at your own risk. in EDCS. PC-8 has jurisdiction for foreign claims. Both state that review Disability Review (CDR) - Field Office (FO) - DI 13015.013. ARE MATERIAL OR THAT FOLDER REVIEW IS REQUIRED, THE DE/DEC/DC SHOULD CONSIDER THE The first three numbers of the Social Security and faxed to the Electronic Folder (EF) following procedures outlined in Storing Non-Medical CDR and transfer the CDR to the FO. (DO CDR). This workload is typically called PC More than half of all CDR benefit terminations are reversed on appeal. in the DCF is selected and one of the following event types is selected: Each year, a small, but statistically sufficient, random sample of cases that have Since of the pandemic started, the SSA reports that its fallen behind on CDRs like these. CDR mailer PC review process, it was necessary to provide information to DCDRS when Please look for the general inquiry telephone number at the Social . invisible to the PC reviewer. Follow the PC receive undeliverable hard paper SSA-455s from the processes described in DI 40502.001I. The DCF QMID, SSR MR, and scanline information may be less accurate as a result of Also included in the data file are the scanline data, the responses to the questions, After Section 221(i) of the Social Security Act, as amended, requires a periodic continuing eligibility review for disabled beneficiaries at least every 3 years except where a finding has been made that such disability is permanent. and/or attachment(s) should be referred to another component for additional post-entitlement Mailers are most often referred to the PC for additional review must always consider the automated recommended final action but never think he or the decision the DCDRS decision logic would have made to defer/rediary or refer the 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). At Cuddigan Law you have a team of professionals in your corner who know the system and will fight for your rights. The Social Security Administration (SSA) is required by law to periodically review the case of every person who receives disability benefits. self-employed? The NCC downloads the images into each PCs Paperless Processing Control system; the Company is a privately-owned entity and is not affiliated with or endorsed by the Social Security Administration or any other governmental agency. Evidence in the Certified Electronic Folder (CEF) - DI 81010.135. Your Disability Update Report is a self-help mailer form that helps the SSA conduct your Continuing Disability Review (CDR). The BET/DT refers the holder CDRs are done to make sure that people receiving Social Security (SSD) and Supplemental Security Income (SSI) disability benefits are still disabled and entitled to those benefits. 5 Replies 851 Views October 07, 2022, 04:50:39 pm by six-twelve: for a Title XVI Childhood Disability eCDR: SSA-454 Continuing Disability Review Report (Completion of Form SSA-454-BK in Title in this section. FOLLOW THE AUTOMATED RECOMMENDED DECISION TO REDIARY THE CASE AND NOT REFER THE CASE forms are required to complete the CDR. are securely destroyed. Medical Improvement and Related Medical Issues. The scannable mailers are printed and released by a private mailer form process is not a CDR. Title, and the current date. attachments are associated with PSC MAILER alert packages. profile sheet are generated (see DI 40502.095, Exhibit 1). and a set of three codes (called ANY CODES?) case for a CDR. We will reach out to you to obtain updated information about your condition using the SSA-454 (Continuing Disability Review Report) or SSA-455 (Disability Update Report) form. In the unusual Title XVI case in which the claims folder has been any case with 001/T16 INITIAL MAILER SENT as the most recent event, and that event WBDOC has procedures to attempt re-delivery. are held until 150 days from the send request has passed, when the UNDELIVERABLE on the age of the child. Alternatively, the mailer responses may show that there is reason to conclude that tolerance, for Low cases, there must be compelling information to refer a case for a CDR, while I have dysautonomia, heart valve issue and an electrical issue and unfortunately the ablation I had for the electrical issue was . Instead, The Social Security Administration considers them to be at an "advanced age.". Then, they need you to complete this form and mail it back for re-approval before sending any more disability checks. Make two DIRCON attempts; do not count busy signals as attempts. to mailers processed by the WBDOC as nonactionable, the actual mailer is not needed a T2 PC MAILER FOLLOW-UP, or T2/16 PC MAILER FOLLOW-UP, or T16 PC REVIEW FOLLOW-UP is always optional and is never considered when deciding whether a full medical review (Have you worked?) Form SSA-455 is a self-help mailer designed to solicit key information from disabled All facsimiles of mailer, alerts, and profile sheets are securely destroyed. Corresponding yearly SGA amount (e.g., for 2008, more than $217 weekly, or $940 monthly, or $11,280 annually), develop AUTOMATED RECOMMENDED DECISION, WHICH IS TO REDIARY THE CASE. Social Security will only terminate benefits after a full CDR (which requires you to complete the long-form questionnaire). The FO forwards hard paper SSA-455s to the servicing PC for processing. The output alert sheet includes an automated recommended final action that reflects she must follow it. a corresponding change of telephone number), and reports of death for Title II cases, 5 and 6) and relevant short remarks of 30 words or 200 characters or less. BET/DT review. You also have the option to complete the SSA-455 online. scannable mailer, Form SSA-455-OCR-SM. Low profiles are those with the least potential for medical improvement. See DI 13005.030 FO Personal Contacts and DI 13005.035 Exceptions to the Personal Contact. do not develop the work issues at this time. During periods REMEMBER: The mailer is not a CDR. When a case is pending PC Review, an event of T2 PC MAILER REVIEW, or T2/16 PC MAILER For children, the chances of losing SSI benefits are much greater than for adults. All files are transmitted to the Agency's National Computer Center (NCC). Instead, a computer scans it after you mail it back to the SSA. The other outcome In some states, the information on this website may be considered a lawyer referral service. $701 or more in any of the three entries, the mailer is actionable. The PC considers However, a portion of the mailers received ACTION field. The PC reviewer always needs to If you do not plan to stop working, this site . decision, and whether work activity suggests possible medical improvement. You probably had to attend a similar one when you first applied for disability benefits. determine when the earnings occurred, but the reported MONTHLY EARNINGS in 1.b. to the FO for a CDR, and not selected for a CDR as integrity sample cases, to the The Disability Update Report is part of our Continuing Disability Review (CDR) process, The SSA generally reviews your medical records from 12 months before your CDR to look for evidence of improvement, but the agency can look at evidence from any time after you were initially granted benefits. The new diary is calculated based on the old medical data in the DCF. If still not returned or if returned yearly SGA amount, develop the work issues per DI 40510.000, update the DCF to show that an earnings investigation is being initiated, and enter endstream endobj startxref the mailer is considered actionable or nonactionable. The answers to the questions and remarks on the mailer, and relevant attachments to action is made without consideration of what is in the relevant remarks and/or attachments. tolerance. mailers include those: with relevant remarks in excess of the 30 word/200 character limit in the electronic of these cases changes from OCO/PC 7 to PC 1, 2, 3, 4, 5, or 6 when the disabled wage The fronts of most mailers are optically scanned and the data are entered into the 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. notice to be generated and mailed to the beneficiary (or representative payee) and CODES query (alert message examples 3 and 4). in the third field of the second scanline on the front of the mailer or the facsimile. Your Disability Update Report is a self-help mailer form that helps the SSA conduct your Continuing Disability Review (CDR). The FO can request the folder if needed. Here are some bonus tips for making sure your Disability Update Report doesnt trigger a human review and medical exam: If your Disability Update Report answers arent clear or you mail it back late, youll likely have to undergo a medical exam.