DI DAL28030.010 DAL — DETERMINATION OF TITLE XVI INVOLVEMENT IN CDR's

See DI 28030.010

The following chart has been developed to assist the DDS's in processing CDR's. The DDS must determine if the CDR issue and payment continuation provisions apply to title II only, title II/XVI or title XVI only. To make the determination of the title XVI entitlement the DDS should review an SSI-2 query and refer to the chart below.

Initial CDR

SSI-2 Query DDS Prepares

PSY CODE

DS CODE

CURRENT SSA-833/ MO. PMTH SSA-832

NOTICE OF PAYMENT CONT.

C01

Yes

Both

T II & T XVI

E01

No

Both

T II

P01

No

Both

T II

M01

Yes

Both

T II & T XVI

M01

No

Call DO

*

N01

No

SSA-833

T II

N01

Yes

Both

T II & T XVI

N01

No

Both

T II

N02-N06

No

SSA-833

T II

N02-N06

No

Both

T II

N02-N06

Yes

Both

T II & T XVI

N09-N20

No

SSA-833

T II

N09-N20

No

Both

T II

N07-N08

No

SSA-833

T II ***

N07-N08

Yes

Both

T II & T XVI ***

N30-N54

No

SSA-833

T II ***

H10-H80

No

Call DO

*

T01

No

Call DO

**

T20 & T22

No

SSA-833

T II

T30

No

Call DO

*

T31 & T51

No

SSA-833

T II

* If the DO is going to reestablish T XVI entitlement a determination should be made on both titles and payment continuation notice issued on T II.

** Claimant deceased.

*** Collateral estoppel should be considered in any decision.

Reconsideration CDR

SSI-2 Query DDS Prepares

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