A streamlined FTC process was implemented for medical CDRs on January 27, 2007, in
the FO. If the FO annotates the FTC decision to the DCF on or after January 27, 2007,
the streamlined FTC process applies.
Suspend benefits in the first month that all attempts to have the beneficiary cooperate
have failed (See DI 13015.005) and good cause is not found. Non-payment (suspension) will be effective the first
month that does not cause an overpayment. Benefits to the beneficiary and any auxiliaries
will be suspended. If the beneficiary does not cooperate during the period of suspension,
benefits to the beneficiary and any auxiliaries will be terminated in the 13th month. No benefit continuation will be offered (See DI 13015.015).
Example: On 03/08/07, the FO sent a letter to the beneficiary requesting completion and return
of CDR forms. The beneficiary did not return the forms. The FO exhausted all efforts
to contact the beneficiary, e.g., phone calls, contacts with financial institutions
for a current address, etc. On 04/02/07, the FO sent a follow-up letter. No response
was received by 04/16/07, so benefits are suspended effective 05/07 (if this is the
first month that does not cause an overpayment). If the beneficiary does not cooperate
during the period of suspense, benefits will be terminated effective the 13th month (05/08).
If work is the sole issue for a title II beneficiary in FTC cases, cease benefits
in the first month that all attempts to have the beneficiary cooperate have failed
(See DI 13015.005A.2.) and good cause is not a factor.