TN 1 (09-09)
DI 27540.030 Title XVI-Only – Goldberg/Kelly Payment Continuation Applies
Goldberg/Kelly automatic payment continuation governs the following types of reopenings and revisions:
A predetermination notice is not required when Goldberg/Kelly automatic payment continuation applies.
For information on the cases where the Disability Determination Services (DDS) sends a predetermination due process notice, see Policy – Due Process for Adverse Reopenings, DI 27525.001C.
DI 28080.025 – Providing Due Process Notification for Title XVI-Only Cases
DI 13015.015 – Benefit Continuation in Failure to Cooperate/Whereabouts Unknown Cases.
DI 28075.005 – Failure to Cooperate (FTC) and Whereabouts Unknown (WU) Cases
NOTE: Goldberg/Kelly procedures do not apply to Title XVI whereabouts unknown cases because WU (S06) is considered an administrative suspension and does not result in a loss of eligibility.
B. Procedure for selecting notices
Prepare the notice on blank SSA-L8052-U2 letterhead using the model language indicated. Do not include the italicized language from the model notices in the actual notice that is being released because it is informational to the DDS personnel and not meant for the beneficiary.
Use the notice indicated for the following situations:
1. Reopening and revision is less than fully favorable
Allowance to Closed Period – Title XVI – Reopening Notice 5 (NL 00705.221)
Denial to Partially Favorable Onset (Not AOD) – Title XVI – Reopening Notice 7 (NL 00705.231)
Denial to Closed Period – Title XVI – Reopening Notice 9 (NL 00705.241)
Fully or Partially Favorable Onset to a Later Onset – Title XVI – Reopening Notice 11 (NL 00705.251)
2. Reopening and revision is unfavorable
Allowance to Denial – Title XVI – Reopening Notice 2 (NL 00705.206)
3. Basis change only
Blind to Disabled – Title XVI – Reopening Notice 14 (NL 00705.266)
4. No change in basis or end result – claimant aware
5. No change in basis or end result – claimant unaware
No DDS notice is required.