TN 1 (01-12)
DI 60099.030 Field Office (FO) and National 800 Number Network (N8NN) Responsibilities under the Benefit Offset National Demonstration (BOND)
A. BOND participant questions legitimacy of project
Abt Associates (Abt) letters tell BOND participants to contact either Abt’s teleservice center for BOND or Abt’s site office counselors. Some BOND participants, however, may contact their local SSA FO to request additional information about the project. If a BOND participant contacts a FO or the N8NN (with questions about the BOND project, FO staff and N8NN should refer the BOND participant to Abt at their national call center number, 1-877-726-6309 (877-7BOND09). Beneficiaries with hearing or speech impediments should call Abt’s TTY number at 1-877-726-6390 (877-7BOND90).
NOTE: FO and N8NN staff can identify a BOND participant based on the demonstration code of “DD” on the demonstration project screen (DEMO) in the disability control file (DCF). In addition to participation start and stop dates coded on the DCF, a BOND beneficiary has the “DD” code.
B. BOND participant reports work activity to FO or N8NN or both
If a Social Security Disability Insurance (SSDI) beneficiary reports work activity, the FO should follow the normal processing instructions for establishing a work report in eWork. eWork identifies a participant in the BOND project. A pop-up box provides instructions to refer the case to the BOND work continuing disability review (CDR) unit, L5R. Please use the following instructions to transfer an eWork case to L5R:
Enter the claim number and BIC, or the BOAN of the BOND participant on the eWork Main Menu.
Click Initiate/Update Work Review on the Main Menu or Work Review Summary in the eWork Related Links box at the top of the page. Either action takes you to the Work Review Summary page.
Click View Case Movement in the middle of the Work Review Summary page. This brings you to the Case Movement for Claim page.
Enter “New” under Transfer Case in the Transfer to Unit box. In Transfer to Office, enter “L5R.” Then, click the blue Transfer Out button. This action transfers the case to L5R.
Forward any work documentation that you receive for the BOND participant, including documentation stored in paperless, via fax to the BOND work CDR unit at (410) 597-0149.
If a case is pending in eWork prior to selection to participate in BOND, eWork produces an alert the next time the FO uses eWork. For additional information on work reports and receipts, please refer to DI 13010.020.
The BOND work CDR unit is responsible for processing all work CDRs for BOND participants or beneficiaries to completion. Effective January 15, 2011, eWork does not allow an FO to process a work CDR displaying the DD (BOND) or D3 (4-State demonstration cases) code in the disability control file (DCF). The CDR unit in the OPDR or the centralized unit (unit code DEMOB) in the Office of Central Operations (OCO) processes BOND CDRs. eWork modifies the notice feature for these cases to prevent the generation of incorrect notices.
If the FO receives or has any work documentation for the BOND participant or beneficiary, forward that documentation, via Fax to the BOND work CDR unit at (410) 597-0149 (or fax the documentation into eView, the Claim File Records Management System (CFRMS), or the Non-Disability Repository (NDRED) and annotate the eWork development worksheet as to where the information can be accessed). For additional information on work reports and receipts, refer to DI 13010.020.
IMPORTANT: There are no restrictions on the FO or N8NN for updating or changing the SSI records of concurrently entitled BOND participants or beneficiaries. All requirements for wage reporting, changes of address, changes of living arrangement, etc. for SSI recipients continue (via the local FO) according to current policy.
C. Verify earnings (VY) issues for ticket to work cases
The Ticket to Work (TTW) Program Manager uses a batch process to pass gross earnings for ticket users to the Office of Systems, which then posts the earnings to the DCF as alleged earnings. This action may create a systems-generated T2VY (verify earnings) issue on the DCF Development Worksheet (CDRW) for the servicing FO.
If the FO receives a systems-generated VY issue of the type TICKET for a BOND participant, review the DEMO screen in the DCF for the DD demo indicator and close out the issue by putting the current date in the CLOSED field.
The TTW staff process these cases manually, in the Office of Employment Support Policy at Headquarters in Baltimore, MD. For additional assistance, please contact the BOND regional coordinator in your region. For more information on VY issues for TTW cases and the CDRW screen, see DI 55030.010 and DI 13010.605.
D. Expedited reinstatement (EXR) requests or initial disability applications
To be eligible for the $1 for $2 offset, a BOND participant must have an SGA cessation. Depending on the timing of the last work CDR, a retroactive work activity determination could terminate benefits prior to the start of the BOND project. In those situations, the participant remains in the BOND project, but is not eligible for the $1 for $2 offset until the participant becomes re-entitled to disability benefits through a new application or EXR and meets all other offset requirements. If the beneficiary decides to pursue a new application or EXR, the BOND work CDR unit and Abt will refer the beneficiary to the N8NN to make an appointment to file the appropriate paperwork. The BOND work CDR unit notifies the AWIC in the area of the referral. This allows the AWIC to monitor the BOND case while processing outside the BOND work CDR unit.
NOTE: FO’s should continue to adjudicate EXR/BOND cases as long as the SGA months/IRP months are before January 2011, and they are not making an SGA decision (i.e., IRP and TWP are completed.)
E. Medical CDRs
A beneficiary participating in the BOND project is still subject to medical CDRs. When a medical review is due, the BOND work CDR unit (L5R) transfers the case to the local AWIC to monitor the gathering of medical forms by the local FO and sending the case to the local DDS for a medical decision.
If the FO or PC discovers a need for a medical review, send the case to the local AWIC to review the case and determine if work activity needs to be documented. If the case needs a work CDR, the AWIC transfers the case via eWork to L5R. Once the work activity decision is made on the case, L5R requests the local AWIC to monitor the local FO medical CDR development and send the case to the local DDS for a medical decision.
If the DDS finds medical improvement, the AWIC reviews the MBR for a HISTDEMO group and a DPI code of DD. If the MBR has this coding, the AWIC sends a high priority MDW to L5R indicating medical denial. If the MBR does not have a HISTDEMO group, the AWIC processes the medical denial in POS. If an exception occurs, send an MDW medical denial request to L5R.
NOTE: Normal procedures for processing a medical CDR should be followed for all BOND cases.
F. Post-entitlement changes
If the beneficiary never identifies himself or herself as a BOND participant, follow normal procedures for post-entitlement changes. If you make an input through the Post-Entitlement Online System (POS) for a MBR that has the DPI code off DD, POS excepts the action and sends the alert to OCO to process.
If a beneficiary IDENTIFIES himself or herself as a BOND participant, and contacts us about changing an address, phone number, direct deposit, or has a payee change, check the MBR for the HISTDEMO group. A BOND case has a DPI code of DD. If there is no HISTDEMO group or the HISTDEMO group has a DPI code of something other than DD, the FO, N8NN, or payment center (PC) should follow normal procedures for processing changes to the master beneficiary record (MBR). If the HISTDEMO group has a DPI code off DD, and the date of the action is after the stop date, follow normal procedures for processing changes to the MBR.
If the HISTDEMO group has a DPI code of DD, and the date of the action falls between the start and stop dates on the HISTDEMO line, the post-entitlement change is the responsibility of the BOND work CDR unit in OPDR or the centralized unit in OCO. Generate an MDW to L5R with the new information and the BOND work CDR unit will update the MBR. Document the file with any evidence to support the change as the BOND work CDR unit or OCO will verify the information before processing any changes.
If a Payment Center (PC) attempts to input a PE action through a MADCAP or MACADE transaction within the start and stop dates of the demonstration project, an alert specifies the need to access an additional screen to override the current demonstration information on the MBR. This is a preventative measure to ensure against unauthorized inputs by the PC’s without regard to the fact that special rules apply to these demonstration cases. PC staff should refer necessary actions within the demonstration period to the OCO centralized unit for processing.
You may still use the following programs to process changes on the MBR, no matter whether the action is during or after the end date of the Demo coding:
Recovery of Overpayments and Accounts Receivable (ROAR);
Beneficiary Annotation and Communication (BACOM);
Returned Check Action (REACT);
Beneficiary and Earnings Data Exchange (BENDEX), and RSDI Accounting; and
MBR Maintenance (MUMAINT)