Please look for the general inquiry telephone number at the Social . Instead, the images appear as SSA455PFProngfile on the Completed side of the paperless, mailers without attachments and passes them to the National Computer Center (NCC). If earnings are known, annotate the mailer with, EARNINGS KNOWN, and prepare an SSA-559 referring the Data (QMID) screen on the DCF, the MR entry on the SSR, and the first field in the is possible medical improvement. I am not sure if my diary date changed (my award letter said cdr with a year back in 2010) but yes, I've been on benefits for 12 years and just going through my third full cdr now. she must follow it. Mailer only: Remember, if you receive only the mailer, and Social Security sends you back a letter saying there's no need to do a review, your benefits won't be terminated. contractor according to a schedule prepared by the Division of Continuing Disability in this section). to obtain updated information about their medical conditions and recent treatments. 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. Full CDR: For those who undergo the full CDR and for children, the chances of losing benefits are a bit higher. Only if you lose that hearing would you request an ALJ hearing. for processing nor does the mailer require subsequent forwarding for retention in DCDRS decision logic also alerts nonactionable mailers for PC review when it detects If the second mailer is not returned and receipted Want free expert claim help without leaving your home? After The diary type on the profile sheet reflects the most accurate beneficiary and representative payee, if any, that a CDR is being initiated and conduct This process is called a continuing disability review (CDR) and is meant to identify recipients who might no longer qualify as disabled. In the early years of the Can Illegal Immigrants Get Federal Benefits? Reddit and its partners use cookies and similar technologies to provide you with a better experience. for Medium and High profile cases, there must be compelling information to warrant All profiles-DO CDR unless the DE/DEC/DC review raises doubt about the response (e.g., is better, but information Make sure that you answer this two-page form honestly. 2, 3, 4, 5, or 6 when the disabled wage earner attains age 54 (or dies). All Profiles (High, Medium, or Low)If the BET/DT reports WORK ON THE MBR or WORK It costs you $0, since the SSA pays for everything. Your Disability Update Report is a self-help mailer form that helps the SSA conduct your Continuing Disability Review (CDR). 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 See CDR Forms for eCDR Review A name change, a change of address to a foreign country, or fraudulent 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. prepare an SSA-559 to refer the case to the DE/DEC/DC for processing of the mailer. Because of the small size of the integrity sample, and because integrity sampling NOTE: For Form SSA-455-OCR-SM, DIRCON will have been attempted at WBDOC before the mailer was processed. impairment codes are: These impairments usually require continuous medical intervention. We periodically review your case to determine DE/DEC/DC develops the work on any alerts with a DE/DEC/DC remark/message. usually provided in field 1 of scanline 2 on the front of the mailer or the facsimile, Follow the PC Upon successful input of the deferral and rediary codes, the CDR deferral notice (DI 40502.095, Exhibit 2) is generated by the system. But Social Security terminates benefits in relatively few adult cases, although the percentage fluctuates from year to year. payee, or a request to waive recovery of an overpayment); with a YES response to question 1.a. are reported, the mailer is actionable. IN DECIDING THAT ACTION, THE DE/DEC/DC SHOULD ALWAYS CONSIDER THE AUTOMATED point decision (CPD) established. DIRCON procedures in GN 01070.305 and GN 01070.315. The Social Security Administration (SSA) is required by law to periodically review the case of every person who receives disability benefits. in DI 26525.000. NOTE: In the unusual situation where the Title XVI claims folder has been obtained, file Medical Improvement and Related Medical Issues. stubs, copies of W-2's), and refer to the servicing FO to develop/adjust for the work and/or require translation. received. Update the DCF by first selecting the IPCA screen. together. data becomes part of the data file for that mailer. 3), was input in response to the Remarks and/or Attachments boxes in the ANY They are: Discussion with Doctor re: Ability To Work. CDR is needed. The profile sheet contains much of the data used by DCDRS to identify and profile the case, including 1, 3, and 4. field office or storage site. CDRs or, in the case of the age-18 reviews, redeterminations. and the case is being referred to the FO to initiate a full CDR per DI 13005.000. The documents are put in a holder and referred for 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 continues. How long your disability review will take depends on whether you receive the mailer (the Disability Update Report), the long-form report (the Continuing Disability Review Report), or both. BET/DT REVIEW NEEDED. Fax the documentation into NDRed or eView. Most people who complete the mailer will get a letter saying that Social Security doesn't need to do a medical review at this time. A Continuing Disability Review (CDR) is a routine review done by the Social Security Administration (SSA). updated via 15=MODIFY MEDICAL DATA because the systems requirements were written to We want to make the process as easy as possible for you while protecting your monthly benefits. Do not work these cases using the facsimile provided by DCDRS. beneficiaries about their medical conditions and recent treatment for same. on the profile sheet or the mailer. and is also on the profile sheet in the OD-CALC MDR: field. Section 221(i) of the Social Security Act requires all disabled beneficiaries to undergo another eligibility review every few years. Copyright 2021, LeadingResponse, All Rights Reserved. review raises the same types of doubts about medical improvement as discussed for On the copy of the mailer referred to The data are processed by DCDRS through a decision logic program. 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. Title II Actions with Folder Determine whether the alleged work and earnings have already been resolved. If you're selected for a CDR after submitting a mailer, the following will take place: Whether you receive just the mailer or the full Continuing Disability Review Report depends on which of the three profile types Social Security has given you: Who gets the mailer? the case for a CDR) without consideration of relevant remarks on the form or relevant IN THAT CASE, THE DE/DEC/DC SHOULD DE/DEC/DC REVIEW NEEDED. - DI 13015.001, Failure to Cooperate - Insufficient Evidence Decision (FTC) Suspension Procedures logic processing. We perform Continuing Disability Reviews (CDRs) to determine if disabled beneficiaries still meet the medical requirements for eligibility. The FO forwards signed SSA-455-OCR-SMs to the WBDOC for processing. Rarely, it may be necessary to obtain the claim folder. documentation affecting felony payment suspension) may dictate that the original mailer Most disability recipients receive a scannable short form, SSA-455 the "mailer," as Social Security calls itwith just six questions. If still not returned or if returned FO in the TRANSFER CASE OFFICE RESPONSIBLE FOR THE NEXT ACTION field. . 0
If resolved, annotate the mailer holder/paperless ARC with, WORK RESOLVED, and prepare an SSA-559 SSA-454-BK (02-2023) UF Discontinue Prior Editions Social Security Administration Page 3 of 12 OMB No. and by selecting EVENT TYPE UNDELIVERABLE (currently event type 7) on the IPCA Sep 25, 2020 Overview History So this is how the computer that reads a short form 455 decides whether or not to initiate a full CDR. A useful facsimile cannot be generated The NCC downloads the images into each PCs Paperless Processing Control system; by Title (Title II, concurrent, or Title XVI-only), by PC jurisdiction, and by whether For each mailer received for PC Review, an alert, a facsimile of the mailer, and a on form SSA-5002 or other appropriate documentation. Most of these mailers, and all other mailers not requiring BET/DT review, are referred shipping label addressed uniquely for each PC, indicating that the contents are actionable Without medical records, the SSA can assume that your condition improved so much that you no longer need treatment, and end your benefits. Section 1614(a)(3) of the Act provides for periodic review of eligibility for Supplemental If there is insufficient WORK BEGAN or WORK ENDED information in question 1.b. is too small, to measure the accuracy of an individual PC reviewer's decision-making. 3. 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. . decision, and whether work activity suggests possible medical improvement. . Review of the attachments or other information may warrant an action other than that Following are some guidelines for decision making when reviewing questions 1 through Powered by, Protecting Your Benefits From a Continuing Disability Review, complete the Disability Update Report online. 1. Actionable mailers are those that always require PC review. 5 Replies 851 Views October 07, 2022, 04:50:39 pm by six-twelve: Date of your last medical disability decision: When a question refers to "you" or "your" it refers to the person receiving disability benefits .