DI 60075.045 The Promoting Opportunity Demonstration (POD) Automated System (PAS)
The PAS is a stand-alone system that accepts database files from Abt Associate’s (Abt’s) Information Data System (IDS). It contains the beneficiary’s report of gross earnings and impairment related work expenses (IRWE) for a month. It also contains a beneficiary’s request for withdrawal from the POD.
A. How the PAS works
The PAS works as follows:
Receives monthly earnings files containing earnings and IRWE from Abt;
Calculates monthly offset amount using earnings files from the contractor;
Deducts offset amount from the POD participant’s corresponding Monthly Benefit Amount (MBA);
Creates a manual adjustment credit and award process (MADCAP) action that updates the Master Beneficiary Record (MBR);
Provides universal text indicator (UTI) information as part of the MADCAP action;
Creates (after the previous action) a special message on the MBR indicating that this is a POD beneficiary; and
Adds the “DP” demonstration code and the start and end date of participation to the HISTDEMO field on the MBR.
NOTE: If PAS cannot process the case, it generates processing edits or processing limitations and alerts that the POD unit in the PC of jurisdiction will process. If a case edits, the PAS will still update the database with offset information, monthly benefit amounts, and other data needed to perform the offset calculation so automation can occur in the future. If this information fails to update into the database, a 100 level edit will generate to Paperless.
B. PAS automated cases
PAS can automatically process the following cases:
Social Security Disability Insurance (SSDI) benefit only (BIC = HA);
SSDI benefit and auxiliary suspension. (NOTE: Auxiliaries are paid full benefits until the SSDI beneficiary goes into full benefit offset with a ledger account file (LAF) code of SQ);
Expedited reinstatement (EXR) cases after the beneficiary returns to payment status; and
Concurrent entitlement (DIB and SSI). The offset will apply only to the SSDI portion.
NOTE: Changes to the MBA generates an alert to the supplemental security income display (SSID), which changes the SSI amount.
C. PAS processing logic
1. Monthly offset amount is greater than MBA
If the monthly offset amount is greater than the MBA, PAS:
suspends benefits to the POD participant and all auxiliaries receiving benefits on the record, and
issues automated notices to the POD beneficiary and auxiliaries explaining the reason for suspension.
2. Monthly offset amount is less than the MBA
If the monthly offset amount is less than the MBA, PAS:
If the month of offset is in the past, MADCAP:
posts an overpayment to the beneficiary's record, and
generates an overpayment notice for any prior months.
D. PAS processing limitations
The PAS suspends processing if the POD beneficiary’s own account number (BOAN) does not match the BOAN on the PAS participant list. PAS performs a processing limitations check each time it takes action on a case.
If any of the following characteristics apply, the PAS cannot complete the action and creates a processing limitation:
The POD participant is entitled to benefits on more than one record and is receiving benefits on two or more records simultaneously.
There is an overpayment and:
partial recovery (PARREC) is greater than or equal to the MBA after offset is applied; and
the incoming action places the MBR into full suspension (LAF SQ) and partial recovery is on the MBR.
The POD participant is suspended for any reason other than work.
E. PAS processing limitation alert process
PAS sends all processing limitations through the Processing Time Tracker (PTT) loader to load an alert in the Processing Center Action Control System (PCACS). Paperless creates an action control record (ACR) and the jurisdictional PITAG (PC 1-6) or I&E unit (PC7) is responsible for processing a manual adjustment credit and award date entry (MACADE) action to adjust the monthly benefits.