The FO reconsiders non-medical issues arising from initial determinations of SSI and
certain concurrent SSI or Retirement, Survivor, Disability, Health Insurance (RSDHI)
claims. These include substantial gainful activity (SGA), income and resources, and
SSA's calculation of the amount of change in the federally administered State supplementary
payment amount which results from a mass change.
Specifically, the FO:
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Gives the claimant a full explanation of the issues involved;
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Gives the claimant a full explanation of their right to reconsideration and, if appropriate,
continuation of payments;
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Explains the nature of reconsideration to the claimant including alternatives (case
review, informal conference, formal conference);
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Assists the claimant in executing a request for reconsideration;
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Accepts any evidence offered;
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Undertakes requested development, including development requested by other components;
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Forwards requests for reconsideration and related materials on cases involving medical
issues to the Disability Determination Services (DDS) and non-medical issues to the
Processing Center (PC) as appropriate;
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Renders non-medical reconsideration determinations;
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Determines good cause for late filing of reconsideration requests and good cause for
failure to file within the 10-day Goldberg Kelly payment continuation period; and
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Makes the appropriate Modernized SSI Claims System (MSSICS) input to process appeal
requests. For MSSICS appeal information, see MS 04420.001 and MS 00302.007.