If you discover a UMC case in the Processing Center (PC):
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Obtain the UMC flag shown in DI 13015.265D2 and DI 13015.265E2;
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Place it on top of the folder and forward it to the FO;
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Process the case per Special Instructions for processing UMC cases in DI in DI 13015.265C.
Do not terminate benefits on any UMC case for which the DDS made the medical
cessation determination prior to January 1, 2006.
The FO initiates a new CDR on all UMC cases. Do not attempt to identify cases where
SSA has already terminated benefits. However, if we receive any type of protest (for
example, Congressional contact or a request for waiver of the overpayment) on a UMC
case that has been previously terminated, forward the case to the FO for processing
per Special Instructions for Processing Overdue Medical Cessation and Uneffectuated
Medical Cessation Cases in DI 13015.265.
If you receive a UMC case and the folder is:
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In the PC, return it to the FO under cover of the flag shown in DI 13015.265D2 and
DI 13015.265E2. Request the FO to process the case per Uneffectuated Medical Cessation
Special Instructions for Processing Overdue Medical Cessation and Uneffectuated Medical
Cessation Cases in DI 13015.265.
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Not in the PC, send a modernized development worksheet (MDW) to the FO to indicate
we did not process the termination action. Request the FO to process per Special Instructions
for Processing Overdue Medical Cessation and Uneffectuated Medical Cessation Cases
in DI 13015.265.
NOTE: These special UMC procedures do not apply after the
DDS makes a new CDR determination. For example, if the new CDR determination (made after January 01, 2006) again results
in a cessation determination, terminate benefits based on the new CDR cessation date
and process any subsequent appeal. In addition, these instructions do not apply to
OMC cases for which the DDS made the cessation determination on or
after January 01, 2006.