Once the FO has taken the steps outlined in DI 13005.025, documented development actions, and determined that the streamlined FTC procedures
apply as explained in DI 13015.001A, take the following steps to input the FTC suspension. The FTC suspension action
cannot be earlier than 35 calendar days (45 days for special handling situations)
from the date of the initial CDR notice.
IMPORTANT: For Title XVI CDRs, follow N20 suspension procedures in SI 02301.235H. Only
office management can input the N20 suspension code.
Note: Prior to suspending Title XVI payments ensure appropriate Goldberg/Kelly due process
notice has been issued.
Generally, offices use the Workload Action Center (WAC) to submit medical CDR FTC
suspensions into the Disability Control File (DCF). Steps 1 and 2 below are the manual
DCF steps if the action is not taken through WAC.
Record the FO FTC determination on the DCF by selecting #4 on the IFOA screen Failure
to Cooperate and the FO of jurisdiction in the "Office Responsible for Next Action"
field. Refer to DI 13010.620 CDR FO Input (IFOA) Screen, MSOM CDR 001.001 Disability Control File (DCF) Overview,
and MSOM CDR 001.007 CDR FO Input Screen (IFOA) for detailed input procedures.
Enter the remark "MED CDR FTC" in the DCF remarks section, see MSOM CDR 001.009 CDR
Remarks Input Screen (IRMK) for more information.
For Title II add a special message to the MBR: "MED CDR FTC LAF S0 suspension on mm/dd/yy"
For Title XVI enter the remark "N20 on mm/dd/yy- MED CDR FTC" by using the SSR Remarks
Allow two days for the transaction to process. The DCF FTC input places benefits in
non-payment status (LAF S0 for Title II/ PS N20 for Title XVI).
If the FTC suspension processed correctly, the MBR or SSID will show "DEV CDR" and
"Suspense Reason=FTC-Medical". With this coding present on the MBR or SSID, the termination
should occur automatically in the 13th month. If the suspension action did not process,
see instructions by title below.
If the beneficiary or recipient does not cooperate during the 12-month suspension
period, disability benefits will terminate effective with the 13th month. The disability
determination service (DDS) does not make a medical determination. Statutory benefit
continuation does not apply.
Benefits automatically suspend (LAF S0) when the DCF input processes effective with
the first month that does not cause an overpayment. If the DCF input fails to suspend
Do not attempt to re-enter the suspension. The DCF exception generates a Paperless
action for the processing service center (PSC) to input a manual MACADE suspension
action. Verify the Processing Center Action Control System (PCACS) has a suspension
action pending for the PSC.
After 15 days, query the record to ensure the PSC's manual action processed and that
notice was sent to the beneficiary. This may require a follow-up contact to the PSC
via the Modernized Development Worksheet (MDW). Follow GN 01070.440D.2 for follow-up procedures.
Note: In addition to the LAF code of S0, the DEVCDR line with suspension reason FTC-Medical and suspension month start date will appear on the MBR when the FTC suspension input
processes. The presence of the DEVCDR line starts the 12-month suspension count and
is how the record establishes a termination action on the 13th month.
If the DCF transaction did not suspend payments, input an N20 suspension in MSICCS
to suspend effective with the first month that does not cause an overpayment. For
more information on N20 suspension see SI 02301.235 Failure to Provide Information (N20), and
The suspension notice automatically generates to the beneficiary or recipient and
Title II auxiliaries when the transaction processes. Always query ORS to verify that
the transaction issued a notice. If a notice was not sent, send a manual notice.