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. If your disability benefits are terminated after a CDRjust like with an initial denialyou can appeal. 1, 3, and 4. DE/DEC/DC refers the case to the BET/DT for investigation of earnings per DI 40502.001J.2.c. Call the Social Security Administration at 1-800-772-1213 or 1-800-325-0778 (for the hearing impaired). an institution continues, or is worse but reports recent work activity after bypass DE/DEC/DC REVIEW NEEDED. Nonactionable mailers may contain relevant remarks, but they are short enough that they can be Review the alert to determine the next action. mailer processing. Fighting the SSA to keep your much-needed benefits can be frustrating. If we decided the child was disabled based on low birth weight, we will generally initiate a CDR by age 1. may be multiple QMID screens; typically, the most recent iteration is used. The review performed in the PC is almost always a folderless process. The NCC receives and prepares the data files for DCDRS to retrieve and process through (questions 7 and 6 on the SSA-455). If question 1.b. Participating attorneys, advocates and other third-party service providers (collectively, Third-Party Service Providers) pay to advertise on the Site. When a mailer is completed, there are two possible outcomes depending on the information is essential to permit accurate auditing of the mailer process, it is critical that Use the medical diary reason (MDR/MR) at the time of selection to reset the medical reexamination diary date. The messages specify whether translation is needed, and whether review by a Benefit Earnings Technician (BET) (PC-7)/Disability Technician (DT) (PCs 1-6), or by a Disability Examiner (DE), Disability Examiner Consultant (DEC) or Disability Consultant (DC) is needed. the case next. issues are raised (e.g., a change of name; the need to develop for a representative GN 01050.055 Determining Processing Center Jurisdiction, GN 01070.245 Processing Center SSN Jurisdiction. Should My Veterans Benefits Lawyer Be VA Accredited? As discussed in this section at DI 40502.001E., most undeliverable mailers are processed in WBDOC. WBDOC because translation was necessary) are securely destroyed. The corresponding question number on the hard paper SSA-455 is indicated in parentheses. a response of better. If the response to 5 or 6 is YES, weigh all information, especially responses to questions is blank/no earnings Local procedures may have the DE/DEC/DC refer cases involving work and earnings for review based on the specific alert message. The fronts of most mailers are optically scanned and the data are entered into the The following diary types and corresponding duration apply: Some MINE cases have 5-year diaries. Make two DIRCON attempts; do not count busy signals as attempts. in this section. If no code is provided in the scanline or on the profile sheet, query the DCF and Send your completed disability update report to the following address within 30 days of receiving it: Social Security Administration P.O. Only a lawyer can do that quickly and correctly for you. The first second-request mailer is sent. whether you've worked since your last review, what your daily activities and limitations are, and. both the beneficiary's responses on the mailer, any other documents that may have Instead, a computer scans it after you mail it back to the SSA. Make 2 DIRCON attempts; do not count busy signals as attempts. 1.Waiting too . second request mailer, whether it is Title II, concurrent, or Title XVI-only, and 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. and attachments. Who gets the long form? At Cuddigan Law you have a team of professionals in your corner who know the system and will fight for your rights. She dpssed the work test- she work several hrs . for handling and routing to the Disability Determination Services (DDS). RECOMMENDED DECISION, REDIARY THE CASE AND DO NOT REFER TO THE FO. The soonest youll receive a Disability Update Report form is 3 years after the SSA approves your first claim. The output alert sheet includes an automated recommended final action. AUTOMATED RECOMMENDED DECISION WHICH IS TO REFER THE CASE FOR A MEDICAL CDR. you'll have to wait longer to find out whether you get to keep your disability benefitsgenerally five to six monthssometimes longer. $701 or more in any of the three entries, the mailer is actionable. Procedure for FO involvement in the mailer completion process, Procedure for Wilkes-Barre Direct Operations Center (WBDOC) processing, Procedure for Division of Continuing Disability Reviews Support (DCDRS) decision logic for completeness. the information contained on the profile sheet. based on receipt of a BET/DT REVIEW alert: Folderless Actions Check the T2 WORK and EARNINGS Segments of the DCF. TRANSLATION NEEDED. gained from the following: Assess the importance of ongoing medical treatment, or its absence, to the status response to question 5 or 6 (7 or 6 on SSA-455) is YES, or the reviewer has other (CDR) I lost my first Social Security Disability Report. grafting). The attorney listings on this site are paid attorney advertising. PC-8 are excluded from selection for the first of the mailers. During the CDR, we will also review your. In those PSCs that do not scan actionable mailers into paperless, receipt of a PSC on the profile sheet or the mailer. The logic provides front-end screening of all returned mailers. In the early years of the The form you are looking for is not available online. The one exception is in cases where the SSA determines that your disability is permanent and irreversible. Reddit and its partners use cookies and similar technologies to provide you with a better experience. BET/DT REVIEW NEEDED. shows a severe mental impairment continues, or that inpatient care or residency in IF THE BET/DT DETERMINES THERE IS NO WORK ISSUE, AND NO OTHER attachments are associated with PSC MAILER alert packages. the case to the DE/DEC/DC to process the mailer. 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. Understanding SSD Benefits. If resolved, annotate the mailer holder/paperless ARC with, WORK RESOLVED, and prepare an SSA-559 Youre offline. However, a portion of the mailers received use the MEDICAL RE-EXAM REASON provided on the most current QMID screen. Most of these mailers, and all other mailers not requiring BET/DT review, are referred If Social Security believes you have a high probability of medical improvement, you'll likely receive the longer Form SSA-454, the Continuing Disability Review Report, rather than the mailer. In 2017, the number jumped to about 16%, and by 2020, it was back down to 13%. Most disability recipients receive a scannable short form, SSA-455the "mailer," as Social Security calls itwith just six questions. Take the following actions The Disability Update Report is part of our Continuing Disability Review (CDR) process, which is required by law. not considered an actionable mailer. Note Disability Review (CDR) - Field Office (FO) - DI 13015.013. This occurs in about 2.5% of the mailer forms . When the mailer processing is completed, return those cases not referred by the DE/DEC/DC Children's CDRs: Children are generally more likely to have their benefits terminated after a CDR. 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. Instead, 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. Here are some questions on the Disability Update Report you have to answer every single time to keep your benefits: Filling out forms isnt an activity most people enjoy. Take any actions resulting from responses to telephone contact per these instructions. is answered Yes (or is not answered or is answered BOTH Yes and Technician (DT)/Benefit Earnings Technician (BET), and Disability Examiner (DE)/Disability the facsimile of the mailer generated by DCDRS to process the case (see DI 40502.001F.3. answered Yes, is not answered, or is answered BOTH Yes and NO; and DIRCON does 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. No work activity reported and no translation is needed - DE/DEC/DC review is required for all other PC review mailers. The answers to the questions and remarks on the mailer, and relevant attachments to After sorting by PC jurisdiction and Title (II or XVI), WBDOC images the actionable following WBDOC and Central Office processing. as undeliverable, follow existing procedures for Failure to Cooperate - Insufficient Send the forms to the beneficiary if there is no face-to-face interview. Reviews Support (DCDRS). Please look for the general inquiry telephone number at the Social . Because of the small size of the integrity sample, and because integrity sampling This group is sometimes described simply as LOWs. Enter the following remark on the SSA-559: EARNINGS UNDER TOLERANCE LEVEL. During this review, we will determine if your current medical condition(s) meets the disability requirements as an adult. This means that you can use Periodically, if the PC MAILER REVIEW is not cleared, the system generates and posts CDR: the beneficiary's responses and the documentation that may be submitted with the mailer; online data (e.g., a DCF query response, MBR query response, Supplemental Security The DE/DEC/DC is not required to follow the electronic or paper claim folder. The Site is not an attorney referral service or prepaid legal services plan. of possible medical improvement. for Medium and High profile cases, there must be compelling information to warrant images appear as SSA455PF ProngFile on the Completed side of paperless, awaiting then securely destroyed. Only a very small percentage of disability recipients initially sent the mailer are selected for a full CDR. Alternatively, the mailer responses may show that there is reason to conclude that Introduction to the Continuing Disability Review (CDR) Process. is essential to permit accurate auditing of the mailer process, it is critical that Consider the following instructions when reviewing the mailer responses: SSA-455-OCR-SM, Question 1 (SSA-455, Question 1)--Have you worked for someone or been A complete list of CDT codes is in SM 06001.120B.11. The Site is owned and operated by LeadingResponse ("Company "). Title II Actions with Folder Determine whether the alleged work and earnings have already been resolved. associating and reviewing the actual mailer. referring the case to the DE/DEC/DC to complete the PC mailer review. Since 2016, she's published hundreds of articles about Social Security disability, workers' compensation, veterans' benefits, personal injury, mass tort, auto accident claims, bankruptcy, employment law and other related legal issues. If the claimant or representative provides medical records to the FO, use the procedures Medical Improvement and Related Medical Issues. in this section). An H, M, or L is also provided NOTE: See Creating a Record for an Age 18 Disability Redetermination in the Electronic Disability A Continuing Disability Review (CDR) is a routine review done by the Social Security Administration (SSA). If eView exists for the to the servicing PC or FO for necessary action. The first step to appeal a cessation of benefits after a CDR is to request a review (reconsideration). in this section). If it can be processed under the MINE or MINE-equivalent procedures, refer it to the determination on a full medical CDR. the work issues per DI 40510.000, update the DCF to show an earnings investigation is being initiated, and enter a ARE PRESENT. contractor according to a schedule prepared by the Division of Continuing Disability 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. If you are eligible for disability benefits as a child, 2 months prior to attaining age 18, we will review your case. used to select the cases for mailer processing, to decide what is the next appropriate doctor? on whether they are actionable or nonactionable. a folder review was done. CDR. sheet attachment is sufficient for folderless processing of the case. Nonactionable mailers are held in the WBDOC for a specified period of time and are The agency hopes to complete 700,000 CDRs by the end of 2023 and eliminate this backlog. Consequently, an inability to locate an individual to complete We perform Continuing Disability Reviews (CDRs) to determine if disabled beneficiaries still meet the medical requirements for eligibility. We call this review a Continuing Disability Review (CDR). They can The good news is that whether you receive the mailer or the long-form report, you're much more likely to get to keep your disability benefits than you are to lose them. as a guide but is not binding on the PC reviewer. are securely destroyed. do not develop the work issues at this time. Your medical evidence indicates that your condition has improved. IF THE BET/DT DETERMINES THERE IS NO WORK ISSUE, AND NO OTHER profile code is not provided, query the DCF for the profile code. All profiles-DO CDR unless the DE/DEC/DC review raises doubt about the response (e.g., is better, but information treatment or provides a credible reason for an absence of treatment. Examiner Consultant (DEC)/Disability Consultant (DC) review instructions. Mailer Form Processing Outcomes Depending on the information received with the completed mailer, referral for a full CDR is initiated (commonly referred to as a DO CDR action). All Profiles-Review dates and the narrative. A significant additional workload consists of hard paper forms initiated by and returned prevent user input in these situations. In 2021 Social Security terminated benefits for about 18% of adults after FMRs. then process as a nonresponder per DI 40502.001I. More than half of all CDR benefit terminations are reversed on appeal. This process is called a continuing disability review (CDR) and is meant to identify recipients who might no longer qualify as disabled. These forms are not scannable and cannot be processed to a data file by In some instances, other codes. ARE MATERIAL OR THAT FOLDER REVIEW IS REQUIRED, THE DE/DEC/DC SHOULD TAKE APPROPRIATE continues. the impairment(s) involved. is or is not indicated. The secondary title of MISCELLANEOUS alerts tells the DSE/FLC that the alert/facsimile/profile How Does Social Security Disability Affect Retirement Benefits? But if the SSA finds that your condition has improved to the point where you can return to work, the agency will notify you that your benefits will stop. As a result, the flip process is essentially The following instructions are designed for the sequence of the questions as they to the PCs in specially labeled containers. in, print the appropriate CDT code in the CDT section of the SSA-5526-U2-OP2, http://policy.ssa.gov/poms.nsf/lnx/0440502001.