The Office of International Operations (OIO) will send a development request (Form
SSA-847-U3) to the DDS. The DDS will return the requested evidence to OIO and include
a statement of costs paid by the DDS broken down into:
applicant travel expenses,
separately billed x-rays or laboratory tests.
If the provider submits the evidence electronically it should be printed and mailed
NOTE: SSA will closely monitor these medical assistance requests through the DDSs. If there
is an indication that a DDS needs additional funds to cover these expenditures, supplemental
funding will be considered.