| 1     | Yes | Technicians follow procedure in GN 00502.133.
                               | 
                        
                           
                           | No | No action. | 
                        
                           
                           | Blank | DIRCON to get an answer | 
                        
                           
                           | 2 | Yes | No action. | 
                        
                           
                           |     | No | Review the electronic Representative Payment System (eRPS) and Supplemental Security
                                 Record (SSR) to see if the latest beneficiary address is on SSA records. If so, prepare
                                 a SSA-5002 (Report of Contact) and document that a face-to-face interview is not necessary.
                                 (The need for a payee change was considered when the custody change was input to the
                                 SSR/eRPS.) Also review the payee coding on the Master Beneficiary Record (MBR)/SSR/eRPS
                                 and correct as appropriate.
                               Only develop for an SSA-624(Representative Payee Evaluation Report) when the latest beneficiary
                                 address is not shown on the SSR/eRPS or the payee submitted an unacceptable response which cannot be resolved.
                               | 
                        
                           
                           | Blank | DIRCON to get an answer. | 
                        
                           
                           | 3A     | Yes | No action. | 
                        
                           
                           | No | Field Office (FO) will conduct face-to-face interviews and complete an SSA-624 if
                                 an appropriate explanation cannot be obtained via DIRCON.
                               | 
                        
                           
                           | Blank | DIRCON to get an answer. | 
                        
                           
                           | 3B | Any amount, or blank | Add to amounts in questions 3C and 3D. If the total is less than 90% of the Total
                                 Accountable Amount (TAA) and the payee cannot resolve the difference, the FO will conduct a face-to-face interview
                                 and complete an SSA-624.
                               If the payee indicates “ALL” (or the TAA) as a response to more than one question
                                 and the payee cannot resolve the difference, the FO will conduct a face-to-face interview
                                 and complete an SSA-624.
                               | 
                        
                           
                           | 3C | Same as 3B. | Same as 3B. | 
                        
                           
                           |   | EXCEPTION: If the beneficiary resides in an institution, $360 or more, or an amount equal to
                                 the TAA if smaller
                               or an amount less than $360 or the TAA if smaller. | No action. | 
                        
                           
                           |   | or an amount less than $360 (a zero amount is not acceptable), or the TAA if smaller,
                                 and when added to 3D does not equal $360 or more, or the TAA if smaller.
                               | If the payee cannot explain how they provide for the beneficiary's personal needs
                                 or how personal needs are met, the FO should review personal needs spending with the
                                 payee or consider a change of payee if appropriate.
                               | 
                        
                           
                           | 3D     | Same as 3B. | Same as 3B. | 
                        
                           
                           | An amount equal to or greater than 3 x Federal Benefit Rate (FBR) | Title II No action.
                                 Title XVI or Concurrent – FO develop according to GN 00603.001, if the payee must be contacted for another reason, see SI 01110.000.
                               | 
                        
                           
                           | $2000 or more | Title II – No action
                               Title XVI or Concurrent – FO will receive an alert from WBDOC when conserved funds equal $2000 or more and
                                 must develop continuing Supplemental Security Income (SSI) eligibility. The PSC receives
                                 the unacceptable forms because of other unacceptable or blank responses.
                               | 
                        
                           
                           |   | An amount <20% of TAA and TAA is >$25,000
                               or An amount <20% of Conserved Funds (CF) and CF is >$5,000
                               or An amount >$10,000 for Title II only cases. | FO should DIRCON for explanation of expenditures     FO should DIRCON for explanation of rapid CF spend down     FO should DIRCON for explanation of possible excessive CF; ensure needs are being
                                 met.
                               | 
                        
                           
                           |   | Any amount, and CF data entry is $5000 or more
                               | If the amount in 3D is less than 25% of the TAA and you contact the payee to resolve another issue, determine if the payee is spending
                                 excessively.
                               | 
                        
                           
                           | 4 | REMINDER: Apply these instructions only if the amount in question 3D exceeds $500.
                               |   | 
                        
                           
                           | 4A | Checking or SavingsAccount.
 | Review title of account in item 4B. (GN 00603.010; GN 02402.055).
                               | 
                        
                           
                           |   | U.S. Savings Bonds | Review method of titling in item 4B. (GN 00605.068H; GN 00603.030)
                               | 
                        
                           
                           |   | Certificates of Deposit | Review method of titling in item 4B. (GN 00605.068H; GN 00603.030)
                               | 
                        
                           
                           |   | Collective Savings/ Checking Account | Review the PF (Precedent File) data tag at the top of the SSA-623 to determine if
                                 precedent file information for the payee is on record. A “Y” indicates information
                                 is on record and no action is needed.
                               If the PF tag is blank and the payee indicates more than $500 (in question 2E) held
                                 in a collective account, the collective account precedent file in RAC must be reviewed
                                 and the discrepancy must be resolved.
                               MS 07418.000 | 
                        
                           
                           |   | Other | Evaluate type of account in question 5A. Also, review title of account in questions
                                 4B or 5B.
                               (GN 00605.068G and
                               GN 00605.068H)
                               | 
                        
                           
                           |   | Blank | DIRCON to get an answer. | 
                        
                           
                           | 4B | Any response except “Other” | No action, if 4A or 5A is acceptable. | 
                        
                           
                           |   | Other | Evaluate title of account in item 5B. (GN 00605.068H)
                               | 
                        
                           
                           |   | Blank | DIRCON to get an answer. | 
                        
                           
                           |  5A | Stocks or mutual funds. | Develop according to GN 00603.040.
                               | 
                        
                           
                           |   | Blank and 4A is “Other”
                               | DIRCON to get an answer. | 
                        
                           
                           | 5B | Any response other than those specified in GN 00603.010, GN 00603.020 and GN 00603.030 | Develop according to GN 00605.068H. | 
                        
                           
                           |   | Blank and 4B is “Other”
                               | DIRCON to get an answer. | 
                        
                           
                           | 6 | Blank or signed by someone other than the payee | Develop per GN 00605.069 for a completed, signed payee report
                               |