TN 16 (09-04)
GN 02406.150 When to Request Payment After Status – C-Stop – Normal and Dire Need Situations
Usually, when nonreceipt is reported, the payment is replaced with a courtesy disbursement check before DT determines the status of the original payment. The following policy explains the situations when payment after status (C-stop) may apply.
1. The Reporter Is Uncertain if Payment Was Received
A claimant may report that he or she is “uncertain” whether several checks were received during the past year, or cannot remember whether a check for a date in the past was received. In this situation, the person is not alleging nonreceipt but wants our assistance to confirm whether the check(s) was received. A C-stop (payment after status) should be input so that the status of the original check will be determined before a replacement check is issued.
2. SSA Is Aware That the Claimant Has Misused the Nonreceipt Reporting System (DCNs)
The C-stop (payment after status) may be used if, within the 2 years immediately preceding the claim for nonreceipt, a claimant:
Had a forgery claim denied and it is not the subject of a pending appeal; or
Negotiated both an original and a replacement check and has not claimed that either endorsement was forged (see GN 02406.150A.3.); or
The following remark appears in the “RMKS” field on the SSR and/or “SPMSG” field on the MBR: “DCN Abuse - Input as C-stop through mm/yyyy.” Additional DCN abuse should not occur during this period; however, if it does, change the date to reflect the new 24-month period.
IMPORTANT: See GN 02406.150C. for procedures when dire need is alleged in this situation.
EXAMPLE: A claimant incurs a DCN in July, 2006. Because the claimant has abused the system, the warning statement should be put in Remarks/Special Message field as: “DCN Abuse - Input as C-stop through July, 2008." Any non-receipt allegations made from July 2006 through July, 2008 will be input as a C-stop; allegations beginning in August 2008 can be input as a B-stop.
3. The DCN/Abuse Cases Can Be Identified By
If the message: “DCN Abuse - Input as C-stop through mm/yyyy” appears in the RMKS or SPMSG field, then the case involves someone who has abused the non-receipt reporting system with one or more true DCNs. Any allegation of non-receipt should be input as a C-stop until the 24-month period ends.
NOTE: Criteria in GN 02406.150A.3.a. alone do not constitute abuse because a DCN on the record can result from fraud/forgery through no fault of the payee. If the above message does not appear, consider GN 02406.150A.3.a. through GN 02406.150A.3.b. or GN 02406.150A.3.a. through GN 02406.150A.3.c.
a. A Double Check Negotiation Indicator on the Record
Title II: On the MBR, the NON REC field will show “DCN MM/YY.” (This does not always post to MBR; however, this field will appear between the Schedule Payment (SPC PAY) field and the Hold-Check (HLD CHK) field.
Title XVI: On the SSR, if MSSICS gives message, “ALERT: POSSIBLE DCN - SECOND PIN REQUIRED TO REPLACE NOW - PRESS F1 FOR HELP” when transmitting non-receipt, then review the SSR (see GN 02406.150A.3.b. and GN 02406.150A.3.c.).
b. A Forgery Claim Has Been Denied and No Appeal Is Pending (see also GN 02406.150A.4.)
Title II: Look at ROAR segment of FACT query to see if DCN abuse is established on the FACT query due to a prior or current DCN overpayment being collected through benefit adjustment. The ROAR record will reflect “TOE–DUPLICATE PAYMENT TREASURY.” ROAR will have a transaction code of 23 to indicate a protest of a DCN overpayment, then a 27 to indicate the reconsideration was denied (event status code is other than due process), or no transaction code of 23 was ever input (i.e., individual never protested).
Title XVI: Look in PMTH Field F for a Forgery Indicator code of C, F or W. If any of these codes are present for a payment issued within the past 24 months, process C-stop. See SM 01601.835 for forgery indicator values. Also, look in CMPH for TOPs (overpayments) with RSN: DC within the past 24 months, and identify the sequence. Review OPDD segment for the Sequence number(s) identified. If there is a overpayment collect or recovery decision (D, G, or K TAC) for at least one DCN overpayment within 24 months, and no Forgery Indicator of A, B, D, E or I is present for that overpayment, transmit C-stop; otherwise, B-stop.
c. No Claim of Forgery Was Made on a DCN Overpayment
Title II: There will be an overpayment on ROAR;
Title XVI: PMTH Field F for the payment in question should be blank when no forgery claim is made. Look in CMPH for TOPs (overpayments) with RSN: DC within the past 24 months, and identify the sequence numbers. Review OPDD segment for the sequence number(s) identified. If there is a overpayment collect or recovery decision (D, G, K TAC) for at least one DCN overpayment within 24 months, transmit C-stop; otherwise B-stop. (NOTE: DA TAC should NOT be considered a collection decision because it appears while awaiting due process.)
4. When a C-Stop (Payment After Status) Is Used, Inform the Claimant
A replacement check will not be issued until DT has determined the status of the original check. If the original check has not been cashed, DT will issue a replacement check. If original check is later cashed, see GN 02406.300 for description of DCNs and GN 02406.245 for payment over cancellation situation.
If the original check has been cashed, the check payee may make a forgery claim. DT will send a claims package (FMS-1133, FMS-3858, check photocopy) to the check payee to complete and return to DT for a forgery determination. If DT determines the check in question was forged, DT sends a CDN to SSA and a settlement check to the claimant. GN 02406.160 and GN 02406.310 explain the forgery claim process. If forgery is not involved, DT sends SSA a CDN and notifies the claimant. No settlement check is issued.
B. Procedure - How To Input C-stop - FO, PC, TSC
C-stops should be transmitted when a caller is “unsure” as to whether a check was received or if DCN abuse is suspected (see sections above). Situations where abuse is suspected should be referred to the FO or PC for processing.
1. Title II
Is dire need alleged? (See explanation of dire need in RS 02801.010.) If yes, see GN 02406.150C. If no:
Transmit nonreceipt by selecting NRT = 2, Payment After Status, C-Stop on the PEN2 screen. See instructions in MSOM T2PE 003.029.
2. Title XVI
Is dire need alleged? (See explanation of dire need in SI 02004.100.) If yes, see GN 02406.150C. If no:
Transmit non-receipt by selecting “2 - REPLACE AFTER INVESTIGATION” on the “Missing Recurring or Supplemental Check” (UPMR) screen in MSSICS. See instructions in MSOM BUSSR 003.012.
For both title II and title XVI, if the nonreceipt allegation is received less than 15 days from the issue date of the check, the C-stop will be held on orbit until 15 days have passed since the check was issued before SSA forwards the report to DT. This is to give sufficient time for the original check to be presented to DT for payment if it has been cashed.
C. Procedure - Dire Need Alleged
A C-stop should be input if a claimant wishes to see a copy of a check because he cannot remember whether he received it or not. However, dire need DOES NOT apply in this situation.
If a claimant is a known abuser of the non-receipt reporting system, and is alleging that his situation is dire need (if criteria in RS 02801.010 are met for title II and SI 02004.100 for title XVI):
1. Title II
The 800# Answering Site will:
Forward to FO via PRIORITY MDW.
The FO will:
Issue an IP for up to $999.
ISSUE A CPS PAYMENT TO PAY THE BALANCE.
Input an F-stop for the missing recurring check. The IP (and CPS payment) will take the place of the missing payment.
2. Title XVI
The TSC will:
Forward to FO via PRIORITY MDW.
The FO will:
Issue an IP for up to $400 ($999 effective 8/21/99). The IP will automatically be withheld from the next month's check.
DO NOT ISSUE AN AOTP PAYMENT.
Input a C-stop for the missing recurring check. Replacement of the original check will be dependent upon the status determined by DT.