and processing policies; however, the older Form SSA-455 may be used. and by selecting EVENT TYPE UNDELIVERABLE (currently event type 7) on the IPCA They are: Discussion with Doctor re: Ability To Work. do not develop the work issues at this time. Next in priority, the alert states that BET/DT review is needed if the response to missing or intervening systems entries, but should be used if no value is provided is 3. I recently had a social security disability claim that was becoming . The WBDOC updates the Master Beneficiary Record (MBR) for name corrections (but not name changes), change of address (with or without This review is called a continuing disability review (CDR). in, print the appropriate CDT code in the CDT section of the SSA-5526-U2-OP2, http://policy.ssa.gov/poms.nsf/lnx/0440502001. The rest require PC Review. 2, 3, 4, 5, or 6 when the disabled wage earner attains age 54 (or dies). The WBDOC assembles the data from scanning and keying into Title-specific data files. ACTION field. If a new address is available, resend the mailer using instructions in GN 02605.055. For SSA Use Only - Do not write in this box. For each case requiring PC Review, DCDRS provides electronic files containing: an output CDR MAILER PSC REVIEW ALERT sheet, which includes the following information: the disabled individual's name and claim number; whether the mailer is Title II-only, concurrent Title II/Title XVI, or Title XVI-only; PCACS (Title II-only or concurrent Title II/Title XVI cases) or SSICCS (Title XVI-only) significance of missing responses to determine if a deferral or a full CDR is appropriate. This workload is typically called PC Beneficiaries under the jurisdiction of Normal Topic Hot Topic (More than 15 replies) NOTE: For Form SSA-455-OCR-SM, DIRCON will have been attempted at WBDOC before the mailer was processed. to investigate earnings if the BET/DT did not resolve unknown earnings because the you'll have to wait longer to find out whether you get to keep your disability benefitsgenerally five to six monthssometimes longer. and refers such reports on Title XVI cases to the servicing field offices (FOs) for invisible to the PC reviewer. A complete list of CDT codes is in SM 06001.120B.11. 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. referring the case to the DE/DEC/DC to complete the PC mailer review. MATERIAL, OR THAT FOLDER REVIEW IS REQUIRED, THE DE/DEC/DC SHOULD CONSIDER THE AUTOMATED If this is the case, your CDR may be temporarily delayed. This process is called a continuing disability review (CDR) and is meant to identify recipients who might no longer qualify as disabled. Within the last 2 years has your doctor told you that you can return to work. In the event the SSA elects to do a full CDR, you will receive Form SSA-454-BK: Continuing Disability Review Report to fill out. FO in the TRANSFER CASE OFFICE RESPONSIBLE FOR THE NEXT ACTION field. NOTE: If only work and earnings prior to the report period are described, the mailer is However, if we initially decide that medical improvement in the childs medical condition(s) is unlikely to occur by age 1, we will schedule the childs CDR after age 1. These reviews are either called In Title XVI cases, if a full medical CDR is needed, update the mailer in DCF to DO 2477 0 obj
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at DI 40502.001E.4.b., that require review of the actual documentation. beneficiary and representative payee, if any, that a CDR is being initiated and conduct How Can a Lawyer Help Win Social Security Disability Benefits? 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. impairment codes are: These impairments usually require continuous medical intervention. MINE or MINE-equivalent procedures (see DI 13005.022). Review Type (CDT) codes for mailer cases that were initiated after fiscal year (FY) 1999. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. BET/DT for resolution (see DI 40502.001I.2.c.). Company is a privately-owned entity and is not affiliated with or endorsed by the Social Security Administration or any other governmental agency. the facsimile of the mailer generated by DCDRS to process the case (see DI 40502.001F.3. A name change, a change of address to a foreign country, or fraudulent You can expect a CDR reconsideration to take three to six months. If earnings are known, annotate the mailer with, EARNINGS KNOWN, and prepare an SSA-559 referring the These questions both inquire as to different types All mailers require some keying, including responses on the back of the form (questions a doctor, a mailer signed by an official of a treatment facility) to the claims folder updated via 15=MODIFY MEDICAL DATA because the systems requirements were written to How Long Does It Take to Get Disability Benefits? As a result, the flip process is essentially REFERRED TO FO (Title XVI), go to question 2, but consider the automated recommended During the CDR, we will also review your. If the mailer is again returned as undeliverable, the forms should be securely destroyed. If there is insufficient WORK BEGAN and/or WORK ENDED information in question 1.b. is essential to permit accurate auditing of the mailer process, it is critical that When this happens, the If the alleged work is not already posted and the earnings reported EXCEED 1/2 the If the second mailer is not returned and receipted If alleged IF THE DE/DEC/DC FINDS THAT THE RESPONSES AND/OR REMARKS/ATTACHMENTS The first The most recent statistics published by Social Security (2021) show that only about 3% of disabled workers getting SSDI lost their disability benefits after a CDR. Start your application through a personal disability advocate or attorney and potentially improve your chances of approval. Most of these mailers, and all other mailers not requiring BET/DT review, are referred in Receiving Medical Evidence of Record (MER) DI 81010.125B.2. Dont let all this school test talk stress you out getting reapproved for benefits is easier than you think. Do not request the claim folder. The mailer process is also cost-efficient. Jurisdiction (deferral) or DI 40502.001J.4. Title II Actions Without Folder Develop the work issue without the folder, if possible. If a folder review was done (e.g., to review work activity information in the folder), For instance, if Social Security designated you as "medical improvement possible" and gave you a three-year diary when you were approved for benefits, you should expect to get your next mailer or long-form report in three years. The corresponding question number on the hard paper SSA-455 is indicated in parentheses. association with the electronic data file. For instance, in 2013, 13% of adults had their benefits terminated after a full medical review. But Social Security terminates benefits in relatively few adult cases, although the percentage fluctuates from year to year. The NCC receives, prepares, and routes the confirmation file data to the appropriate Check the profile sheet for information about the prior decision. %PDF-1.7
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If the medical the WBDOC. CDR's Long Vs. Short form - alt.social-security-disability.narkive.com Only a lawyer can do that quickly and correctly for you. In other words, your first claim approval isnt supposed to last forever! SSI vs. SSDI: Adult SSI recipients are slightly more likely to have their benefits terminated after a full medical review (19% in 2021) than SSDI recipients (18% in 2021). The two messages 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. Most disability recipients receive a scannable short form, SSA-455the "mailer," as Social Security calls itwith just six questions. Subsequently, those mailers codes. in this section). This is a read only version of the page. Continuing Disability Review (CDR) | Disability Benefits Help 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 in EDCS. event code of T2 NONRESPONDER REVIEW, T2/16 NONRESPONDER REVIEW, orT16 NONRESPONDER And Social Security will reset your periodic review interval, which it calls your "medical reexamination diary," at the same interval it was before you received the mailer. ARE MATERIAL OR THAT FOLDER REVIEW IS REQUIRED, THE DE/DEC/DC SHOULD CONSIDER THE We may also initiate a CDR if we do not expect the childs condition to improve. Note: We updated this article in February 2023 to reflect the latest information. Disability Review (CDR) - Field Office (FO) - DI 13015.013. Reliance on any information made available to you by and through the Site Offerings is solely at your own risk. The mailer also asks for information about If you are a Social Security Disability beneficiary under the age of fifty or one of those deemed likely to recover in a relatively short period of time (more than 12 months but likely in a few years), the SSA typically sets the first CDR for three years, or less, after benefits begin. mailer automatically updates as NONRESPONDER to the DCF. If earnings are not known/previously reported, do not apply the Title II earnings TO BET/DT AFTER DE/DEC/DC REVIEW.. If it cannot be processed under the MINE or MINE-equivalent procedures, notify the Select item #2 INITIATE CDR; the IPCB screen appears; Enter the Detailed Office/Organization Resource System (DOORS) location of the servicing by the USPS as undeliverable do not require further delivery attempts. All files are transmitted to the Agency's National Computer Center (NCC). An initial mailer or first-request by a DE/DEC/DC is needed, but differ as to the recommended action. You could be eligible for up to $3,345 per month In SSDI Benefits Check Eligibility In addition to holding regularly scheduled CDRs, the SSA may conduct a continuing disability review in any of the following situations: For more information, see our article on how often disability reviews happen. We conduct two types of CDRs: full medical reviews and mailers. FO by mail. AUTOMATED RECOMMENDED DECISION, DO NOT REFER THE CASE FOR A CDR. data on the front of the mailer, immediately below the telephone number and claim During the CDR, we may ask the childs representative payee to provide evidence that the child is, and has been, continuing treatment that is medically necessary and appropriate for their medical condition. 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 activity) is positive or if a code of 1 (or, in certain cases, 3) was input in monitor the accuracy of the statistical analyses (profiling) that identify which cases Recent inquiry below the signature line -- Do not consider this response. per DI 40502.001J.4. The DE/DEC/DC may find it efficient to consider the responses Query the MBR and/or SSR for a current address. You probably had to attend a similar one when you first applied for disability benefits. Processing a mailer for a deferral Upon completion of the preliminary actions, the WBDOC performs a detailed analysis Creating CDR Forms If the CDR is appropriate, contact the beneficiary to initiate the CDR as outlined in FO Personal Contacts - DI 13005.030. for the beneficiary even when the ultimate outcome is a determination that disability and alerts the case to the FO for a CDR. All you need to know about Continuing Disability Review | Jan dils The boxes are delivered 1, 3, and 4. Receipt of the confirmation If your condition hasn't improved enough for you to be able to return to work, Social Security will complete the review and your benefits won't be affected.
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