When documenting a capability determination you must record all facts including:
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Lay evidence and medical evidence;
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Reports of contacts you completed in the electronic Representative Payee System (eRPS),
Modernized Claims System (MCS), or Coonsolidated Claims Experience (CCE);
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Paper evidence to support your capability determination that you scanned into Non-Disability
Repository for Evidentiary Documents (NDRed) using the Evidence Portal (EP), or into
eView (Retention of Paper Material, see GN 00301.322); and
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A concluding statement that you determine the beneficiary is capable or incapable,
the basis of your determination (what evidence you considered), and how those factors
support your capability determination.
EXAMPLE: Complete capability determination
I conducted an in-person interview with Mr. Ryan Jones on 4/12/16. Mr. Jones was unable
to answer most of my questions, including what their living expenses were and who
paid their bills.
I spoke in-person to Mr. Jones' spouse (caretaker/custodian), Mrs. Susan Jones, on
4/12/16. Mrs. Jones stated that Mr. Jones is unable to manage their benefits or direct
the management of their benefits and they have managed all their living expenses for
the last two years. More details are in a report of contact in eRPS, dated 4/12/16.
I spoke on the phone to their social worker, Ms. Judith Porter, who stated they observeMr.
Jones’s daily living activities two times a week. Ms. Porter stated Mr. Jones does
not understand the concept of money and is unable to manage their finances to meet
their daily needs. More details are in a report of contact in eRPS, dated 4/12/16.
I received a SSA-787, dated 4/14/16, from Dr. John Smith that indicates they last
examined Mr. Jones on 3/15/16. Dr. Smith noted that Mr. Jones is incapable of managing
their benefits or directing the management of their benefits. I scanned the SSA-787
into NDRed using the Evidence Portal (EP).
After evaluating the lay and medical evidence, I have determined Mr.
Ryan Jones does not understand the concept of money, how to manage finances, or direct
the management of their benefits to meet their daily needs. Therefore, I have determined
Mr. Ryan Jones is incapable.
The example clearly supports the FO technician’s capability development and determination
as follows:
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Obtained lay evidence from Mr. Ryan Jones, Mrs. Susan Jones, and Ms. Judith Porter;
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Obtained Medical Evidence from Dr. John Smith;
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Evaluated both the lay and medical evidence;
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Provided the location of the detailed report of contact with Mrs. Susan Jones and
Ms. Judith Porter;
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Provided the location of the scanned SSA-787 from Dr. John Smith; and
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Included a concluding statement.