These instructions supplement the input instructions in MSOM COMMON 005.027 and MSOM
PRISON 003.006. The field office (FO) will take the following actions when reinstating
benefits to beneficiaries in prisoner suspension.
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Reinstate benefits using POS, the Prisoner Suspensions and Reinstatement (PRSN) screen,
by selecting Option 5 of the Post Entitlement Selection List (PESL), and then selecting
PRISONER SUSPENSIONS AND REINSTATEMENTS (LAF-S7) on the POS Suspensions/Terminations
and Reinstatements (PEST) screen. If your review of the beneficiary’s record identifies
an overpayment with a future due process recovery date, do not use POS if your input
also involves an underpayment. Refer these reinstatements to the PC for processing.
NOTE: Only input a reinstatement month that equals the current operating month (COM) or
earlier. If the reinstatement effective month is later than COM, hold the POS input
until the reinstatement COM to avoid a Daily Update Master Accounting System (DUMAS)
exception that could delay benefits.
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If a Prisoner Update Processing System (PUPS) record exists, PRSN will automatically
initiate a mini-path to PUPS. Update the T2 Prisoner Update Screen (PU02) with the
RELEASED DATE (the TYPE OF ACTION of 5 for REINSTATEMENT is pre-filled).
NOTE: If there is no PUPS record, such as when the original suspension action occurred
prior to 1995, you will get an alert message of “PUPS NIF”. Do not attempt to create
a PUPS record. Continue processing through POS even though it will generate a processing
exception that will require PC intervention.
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Press ENTER on the PU02 screen and the Prisoner Remarks Screen (PRMK) displays next.
Annotate the PRMK screen with information on the beneficiary’s official release document(s)
that supports reinstatement, the results of your review of the document(s), and the
date you faxed the release document(s) into NDRED. At the end of your remark, add
your first initial and last name, your unit designation, and the current date. For
more information on reinstating benefits using PUPS, see MSOM PRISON 003.006.
NOTE: Effective May 18, 2013, you must enter the release information on the PRMK screen
if you are entering a RELEASE DATE entry on the PU02 screen. You cannot continue with
your reinstatement action if you do not add the beneficiary’s release information
on the PUPS PRMK screen.
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Press ENTER on the PRMK screen, then you will return to the POS PRSN screen. Complete
any overpayment fields.
For additional processing information on cases with existing Bene Over/Under Payment
Data (BOUD) or Partial Recovery Field on the MBR, see MSOM COMMON 005.027. DO NOT use POS to reinstate benefits retroactively if there is an overpayment with a BOUD
field and a future due process recovery date (DPRD) if your input also involves an
underpayment. See MSOM COMMON 005.027 for additional information when you have an
existing BOUD or Partial Recovery Field on the MBR for the beneficiary.
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Press ENTER to trigger the reinstatement action. Query the Transaction History Query
Response (THISR), Option 4 on the Master File Query (MFQ), to see if an exception
exists, using instructions on the THISR in SM 00514.001.
NOTE: FO technicians must initiate the reinstatement using the POS/PUPS input even if the
case is a processing exclusion that will require action by the PC.
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Check the MBR after two days to verify that the action reinstated benefits. If the
action did not process, prepare a tickle via the Modernized Development Worksheet
(MDW) to check the case again in 30 days. For processing instructions if the reinstatement
has not occurred after 30 days, see GN 02607.860B in this section.
1. PUPS processing of the reinstatement action
For further information on the POS/PUPS automated systems reinstatement functions,
see MSOM COMMON 005.027.
2. Exclusions to POS automated reinstatement processing
For the list of simple and complex exclusions to POS automated reinstatement processing,
see MSOM T2PE 003.001J.
3. POS exclusion processing
a. FO input of POS/PUPS reinstatement
When the system cannot process the FO reinstatement input in POS/PUPS, POS will create
an online message, “T2 REINSTATEMENT EXCLUSION ACTION SENT TO PC FOR PROCESSING.”
Check the THISR to see if a POS exclusion exists for your action. POS will generate
a Processing Center Action Control System (PCACS) issue to notify the PC of the reject.
The PC will process the reinstatement using Manual Adjustment, Credit and Award Processes
(MADCAP). The PC receives the generated output to correct all PRSN reinstatement data
necessary to complete a MADCAP action.
b. PC input of POS/PUPS reinstatement action
When the PC uses POS/PUPS to process a prisoner reinstatement and a processing exclusion
occurs, the PC technician will see the message, “UNABLE TO PROCESS - MACADE/MADCAP
ACTION NECESSARY.”
For processing instructions on a POS reinstatement exclusion, see GN 02607.860B in this section.
4. Action when the FO or PC denies the request for reinstatement
a. FO denies reinstatement request
If you determine that you cannot reinstate the beneficiary's benefits, and all development
is complete, prepare a special determination. Include the reasons for denying reinstatement;
e.g., the identity of beneficiary is questionable, the beneficiary submitted fraudulent
release papers, or the beneficiary’s release is not official. Sign the determination
using your first initial and last name and add your unit designation and the current
date. Fax your signed and dated determination under the cover of a Form SSA-2790 (Prisoner
Fax Request) to the Paperless Processing Center (PPC) number for the PPC with jurisdiction.
On the form, notify the PPC that you attached a special determination denying the
beneficiary’s prisoner reinstatement and request PPC review of the special determination.
Indicate on the Fax Form if you faxed any documents into NDRED. The PPC is responsible
for reviewing FO special determinations. For general instructions on preparing a special
determination, see GN 01010.365.
b. PC actions when FO denies the reinstatement request
Use the Processing Center Action control System (PCACS) to control the special determination
and take the following actions:
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Review the information the FO provided and the PUPS record (including the remarks).
This allows you to familiarize yourself with the facts of the reinstatement denial
and any other case characteristics that may affect the content of the denial notice.
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If you concur with the FO determination, prepare a notice to the beneficiary explaining
why we denied their reinstatement request, and include reconsideration and appeal
language in the notice. Send a copy of the denial notice to the Online Retrieval System
(ORS). For instructions on reviewing a FO special determination, see GN 01010.375.
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Fax the special determination into the Non-Disability Repository for Evidentiary Document
(NDRED), using the “Other” document type. This action verifies that you agree with
the FO’s decision and provides documentation that is accessible to FO employees for
future review.
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Add remarks to the PUPS PRMK screen to explain the reinstatement denial decision.
After the remark add the initial date of the FO denial determination, also include
your first initial and last name, your SSA unit designation code, and the current
date.
NOTE: If you do not agree with the FO’s decision to deny reinstatement of benefits, explain
your decision on the PRMK screen in PUPS. Email the FO the reasons you disagree with
the special determination’s justification for not reinstating benefits. The FO must
then take action to obtain additional information or process the reinstatement.