Example 1: After the PASS expert determined that Mr. Johnson reached their goal as of 7/15,
the PASS expert reconciles the approved PASS expenditures with the amount of excluded
income. Mr. Johnson submits receipts totaling $5,350. The total amount of income excluded
under the PASS was $5,700. Since the difference is less than the administrative waiver
tolerance provided in SI 02260.030, ($1,000 for 7/15), no overpayment exists. If the difference was more than $1,000,
the PASS expert would adjust the type “D” earned income retroactively.
Example 2: During a progress review for a PASS that has been in existence for less than 12 months,
the individual informs the PASS expert that they are no longer pursuing the goal.
They set aside $1,200 of their SSDI benefit as explained in their plan. Although they
saved the funds as required by the plan, they did not use the funds as planned. The
PASS expert advise them that they will suspend the PASS unless they approve an amendment
with a timetable and milestone(s) for using the saved funds. They do not wish to submit
an amendment. The PASS expert offers to help them pursue a different work goal under
a new PASS. They decline the offer. Because the expenditures do not equal the excluded
income (and assuming that administrative finality is not a factor), the PASS expert
adjusts the type “D” earned income back to the first month of the PASS.
The overpayment generated as a result of removing type “D” earned income will not
always equal the amount of unaccounted for funds. The individual cannot be overpaid
more SSI than they received regardless of the exclusion amount. For example, the PASS
expert excluded $1,000 /month for 01/2018-03/2018 of SSDI benefits. Due to the exclusion,
the individual received $910 /month in SSI (based on the claimants living arrangements,
state supplement amount, etc.) for 01/2018-03/2018. After completing the accounting
process, the individual had $3,000 of unaccounted PASS funds. As a result, the PASS
expert removes all $3,000 of type “D” earned income from 01/2018-03/2018. The system
recalculates SSI eligibility for 01/2018-03/2018 now using the previously excluded
income, which results in ineligibility for all three months. The individual is overpaid
$2,730. Even though the individual did not account for $3,000, they also did not receive
$3,000 in SSI for the period.