Effective Dates: 08/24/2023 - Present Previous | Next

TN 5 (08-23)

NL 00802.020 Initial Denial Notice — SSA-L8030, SSI Notice of Disapproved Claim

A. Description of the SSA-l8030

The SSA-L8030:

  • •

    Explains the reason(s) for nonmedical ineligibility to the claimant, representative payee, authorized representative, and/or legal guardian; and

  • •

    Notifies the individuals above about the claimant's appeal rights.

B. When to use

Send an SSA-L8030 when the claimant is ineligible for SSI payments throughout the life of the application because they do not meet one or more nonmedical eligibility requirements.

NOTE: If the Disability Determination Services (DDS) determines that the claimant is not disabled or blind, it prepares a manual denial notice with a personalized explanation for the medical denial.

C. Procedure

1. Multiple Reasons for Ineligibility

The SSI notice system does not generate paragraphs explaining all reasons for denial if more than one factor causes ineligibility in the same period (e.g.,claimant had both excess resources and excess income from July 1995 through August 1995). When this situation occurs for a simultaneously developed claim, suppress the systems-generated notice and prepare a manual notice that addresses all factors causing ineligibility.

NOTE: This does not apply to abbreviated applications (ABAPS). ABAPS are used if there appears to be nonmedical ineligibility (see SI 00602.001). The process creates a systems record of the denial, generates an automated denial notice, and protects the claimant's appeal rights with minimal documentation. See SI 00602.001D.3.)

2. Multicategory Eligibility

The following applies if a claimant applies for SSI under aged and disability/blindness categories.

a. Aged and Disability and/or Blindness Claim Denied

If the aged claim is denied, do not input the denial decision. If the DDS denies the disability and/or blindness claim, the DDS will prepare a denial notice. In addition, the FO must prepare a manual SSA-L8166-U2 with paragraph 1116 or paragraph 1118 (NL 00804.140) which addresses the aged decision.

b. Aged Claim Denied—Disability and/or Blindness Claim Awarded

If the aged claim is denied, do not input the denial decision. If the DDS allows the disability and/or blindness claim, suppress the systems-generated notice and prepare a manual award notice per NL 00802.010D.4.

c. Aged Claim Awarded—Disability and/or Blindness Claim Denied

If the aged claim is allowed, follow NL 00802.010D.4.a. If the DDS denies the disability and/or blindness claim, the DDS will prepare a denial notice.

3. Start Date Records

The system does not generate an SSA-L8030 on start date (SD) records. See start date record notice suppression changes and actions needed in NL 00801.015.

D. References

1. Multiple Reasons For Ineligibility

2. Multicategory Eligibility

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    Notice requirements for denial of disability claim and aged claim, SI 00501.300B.6.

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    Input to the initial SSI-450-SI for more than one category of eligibility, SM 01005.330.

3. Start Date Records

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    Situations requiring start date records, SM 01801.012 and SM 01801.040.

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    Notice suppression on start date records, NL 00801.015.

 

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900802020
NL 00802.020 - Initial Denial Notice — SSA-L8030, SSI Notice of Disapproved Claim - 08/24/2023
Batch run: 08/24/2023
Rev:08/24/2023