TN 3 (06-14)

DI 60099.030 Field Office (FO), Processing Service Center (PSC), 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 WICs and EWICs to report work activity.

If a BOND participant contacts a FO or the N8NN with questions about the BOND project, refer the BOND participant to one of the following Abt numbers:

  • The BOND toll-free number is 1-877-726-6309 (877-7BOND09).

  • The BOND TTY (for hearing impaired) is 1-877-726-6390 (877-7BOND90).

  • The BOND website (http://www.bondssa.org/)

NOTE: FO, PSC and N8NN staff can identify BOND participants based on DCF coding and BOND beneficiaries on DCF and MBR coding as described in DI 60099.015. Should a beneficiary come in inquiring about BOND, FOs may tell him or her that recruitment has ended and all BOND participants have been selected.

B. BOND participant reports work activity to FO, PSC or N8NN

1. Establish work report in eWork

If a Social Security Disability Insurance (SSDI) beneficiary reports work activity, the FO, PSC or N8NN should follow the normal processing instructions for establishing a work report in eWork. Fax any other evidence into the Electronic File (EF) or Non-Disability Repository (NDRED) and refer the beneficiary to Abt to report the new work activity. For Abt contact information, see DI 60099.030A. Follow normal processing instructions for establishing a work report in eWork.

2. Recording submitted proof of earnings

If a work CDR is pending in L5R, or you are establishing a new work report in eWork, and a BOND participant submits proof of earnings, fax the documentation into eView, or the NDRED, and annotate the eWork development worksheet as to where the information can be accessed. For additional information on work reports and receipts, please refer to DI 13010.020.

C. Processing work CDRs

eWork identifies a participant in the BOND project and modifies the notice feature for these cases to prevent the generation of incorrect notices. eWork will automatically generate a BOND paragraph on the L1013 and IRP Decision notices reminding participants they are in BOND.

1. FO and PSC Processing work CDRs

eWork allows FOs and PSCs to process the following BOND cases under normal work CDR processing guidelines:

  • Trial work period (TWP) determinations;

  • Extended Period of Eligibility (EPE) continuances;

  • Initial Reinstatement Period (IRP) determinations for Expedited Reinstatement (EXR) cases; and

  • Any review that covers a period that begins after the BOND participation stop date, as long as there is no ADC date on the MBR, or if there is an ADC date and L5R has performed a final work CDR after the ending date of the participation period shown on DCF.

For normal processing procedures, see DI 13010.023 and DI 13010.025.

2. FO processing exclusions

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) in the following instances:

  • cases with a work cessation (ADC date and CDR = E) on the MBR and the last work CDR completed is prior to the month after the ending month of participation on the DCF, and

  • cases that result in a work cessation determination for the current decision.

Transfer these cases to L5R. See DI 60099.030D in this section.

IMPORTANT: There are no restrictions on the FO, PSC 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.

D. Referring case to BOND work CDR Unit

1. eWork will prompt you to transfer a BOND case to L5R in the following instances:

  • if an ADC date is on the MBR and a work CDR is required after a cessation determination for a period prior to BOND participation; or

  • if a cessation determination is made during the work review.

2. 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.

  • Before transferring any cases requiring a cessation determination to L5R, verify that all documentation supporting that determination is in eView/NDRED. L5R does not have access to Paperless. Alert L5R that the beneficiary submitted earnings information by adding an issue to the DW screen in eWork. For additional information on work reports and receipts, please refer to DI 13010.020.

3. BOND work CDR unit responsibilities (L5R)

When a work CDR for a BOND beneficiary is transferred to the BOND work CDR unit (located in office code L5R), or a BOND participant earning over SGA is transferred by Abt, L5R will process these cases to completion. See DI 60099.045 for additional information on L5R processing of work CDRs.

E. FO and PSC procedure for reopening a BOND beneficiary’s work review

FOs, and PSCs will not be able to reopen or reconsider any BOND beneficiary’s work review that has a cessation prior to the BOND participation stop date. eWork will generate a “Prior BOND Beneficiary” alert. These cases are the responsibility of the work CDR unit in L5R. Do not attempt to update BOND related earnings. eWork will generate an alert advising FOs and PSCs to transfer these cases to L5R if earnings should be changed.

NOTE: If you attempt to reopen a prior determination and the determination includes months during the BOND participation period for a BOND beneficiary, you cannot change any data during this period. These months will be shown in pink.

F. FO and PSC procedure to process BOND reconsideration requests on work CDR determinations

The BOND work CDR unit (L5R) is the only office with jurisdiction to make a decision on BOND work CDR reconsideration requests. Forward all requests for reconsideration to L5R by:

  1. keying the reconsideration request into DMS if there is an overpayment resulting from the initial work CDR determination;

  2. faxing form SSA-561-U2 and any accompanying evidence into the Certified Electronic Folder (CEF) or Non-Disability Repository for Evidentiary Document (NDRED) as appropriate; and

  3. sending an MDW to L5R to notify them of the pending reconsideration request. For additional information about reconsideration requests on BOND overpayments, see DI 60099.075A.1.b.

NOTE: While it is L5R’s responsibility to process work CDR reconsiderations on all BOND cases involving a cessation determination, it is the field office’s responsibility to address the reconsideration on any resulting overpayment except those with the designation of BOND/BOPD DEMO. For more information on BOND overpayment reconsideration requests, see DI 60099.075.

G. Verify earnings (VY) issues for ticket to work cases

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 keying the current date in the CLOSED field. In the remarks section, mark the reason for close out as “BOND case”.

The Ticket-to-Work (TTW) staff manually processes these T2VY issues, in the Office of Research, Demonstration, and Employment Support at Headquarters in Baltimore, MD. For additional assistance, please contact your BOND regional coordinator. For more information on VY issues for TTW cases and the Continuing Disability Review Worksheet (CDRW) screen, see DI 55030.010 and DI 13010.605.

H. Expedited reinstatement (EXR) requests or initial disability application

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 if the action they take on a work CDR results in a termination of benefits prior to the BOND participation period. This allows the AWIC to monitor the BOND case during the EXR process.

IMPORTANT: When the claimants are making the EXR versus IC choice, beneficiaries need to clearly understand how this will work if they pick EXR. They will not be eligible for the BOND offset computation until the 24-month IRP and TWP is completed, and their benefits are ceased due to SGA under normal rules. Since they must complete their new TWP by 09/30/2017 to be eligible for BOND offset, if the 24-month IRP begins after 1/2015 they will never be able to use the offset. This information should be included in your explanation to BOND beneficiaries.

I. Medical CDRs and work development

A beneficiary participating in the BOND project is still subject to medical CDRs.

1. BOND work CDR unit discovers need for a medical CDR

When a medical review is due, the BOND work CDR unit (L5R) transfers the case to the local FO to develop the case and send it to the local DDS for a medical decision after completing the work CDR development.

2. FO or PSC discovers need for a medical CDR

If the FO or PSC discovers a need for a medical review for a case pending in L5R, alert ORDES via an MDW to L5R. The MDW can say: “Medical CDR needed, please expedite processing of the Work CDR decision and forward to DO ____, Attn: (insert CR or FO contact information).

3. Work development during the BOND offset period

If a medical CDR is needed for a beneficiary that has already been ceased due to SGA and the last completed work review is past the BOND participation period start date, as long as the BOND participation period has not ended, another work CDR does not need to be completed in eWork in order to send the case to DDS. Annotate the following in your SGA determination to DDS:

ISSUE: Evaluation of Work Performed for a participant in the Benefit Offset National Demonstration (BOND) Project

POLICY: When a BOND beneficiary is eligible for BOND offset, he or she is no longer evaluated under SGA guidelines.

BOND offset period began:

BOND offset period ends:

The beginning and ending date of offset will be on the MBR, and the participation period is in the DCF.

If the last work CDR completed is prior to the BOND start date of participation and there is a prior ADC date on the MBR, L5R must complete a work CDR in eWork to address the work prior to the BOND offset period. Please send a priority MDW to L5R asking them to expedite this case due to medical CDR processing.

4. Medical cessation

If the DDS finds medical improvement, review the MBR for a HISTDEMO group and a DPI code of DD.

a. MBR has HISTDEMO group and a DPI code of DD

If the MBR has this coding, send a high priority MDW to L5R indicating medical denial. L5R will need to code the medical CDR determination on the MBR. If the FO tries to code this data via POS, it will edit to PC7, which may delay the posting of the medical information to the MBR.

b. MBR does not have a HISTDEMO group or a DPI code of DD

If the MBR does not have a HISTDEMO group, the system will automatically process the termination as long as the proper medical cessation coding appears on the MBR DIB line.

NOTE: Follow normal procedures for processing a medical CDR and appeals for all BOND cases including those where Section 301 payment continuation applies. The local FO should take control of this case and process it normally.

J. Post-entitlement changes for BOND participants and beneficiaries

The PSC may use the following programs to process changes on the MBR for BOND participants and BOND beneficiaries:

  • Recovery of Overpayments and Accounts Receivable (ROAR);

  • Beneficiary Annotation and Communication (BACOM);

  • Returned Check Action (REACT);

  • RSDI Accounting; and

  • MBR Maintenance (MUMAINT)

    The MBR may also be changed by interactions from the Beneficiary and Earnings Data Exchange (BENDEX) which is data exchange between SSA and participating state agencies.

1. BOND participant

Follow normal procedures for post-entitlement changes.

2. BOND beneficiary

If a beneficiary contacts us about changing an address, phone number, direct deposit, or has a payee change, check the MBR for the HISTDEMO group. A BOND beneficiary case has a DPI code of DD on the MBR. Keep in mind that changes to the SSR can be updated normally. L5R will notify the FO via an MDW if a beneficiary needs their SSI information updated.

a. MBR does not have DPI code of DD

If there is no HISTDEMO group or the HISTDEMO group has a DPI code of something other than DD, follow normal procedures for processing changes to the master beneficiary record (MBR).

b. MBR has DPI code of DD

  • If the action date is after the BOND stop date, the HISTDEMO group has a DPI code of DD, and the date of the action is after the stop date, follow normal procedures for processing changes to the MBR.

  • If the action date is on or before the BOND stop date, 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, 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. The BOND work CDR unit or the centralized unit in OCO will verify the information before processing any changes.

3. PSC attempts to input a PE action

If a Payment Service Center (PSC) 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 avoid incorrect inputs by the PSC’s. PSC staff should refer necessary actions within the demonstration period to the OCO centralized unit (DEMOB) in PC7 for processing.

K. Special Processing Scenarios

The instructions below will assist you when you encounter situations where special processing applies.

Scenario

Alert

Action

Attempting to create a Work Report in eWork when the BOND case has an ADC and BOND office has not completed the final review

BOND Beneficiary – Issue work receipt through DPS and refer beneficiary to the BOND Call Center (877)-726-6309

Complete the Work Report–Normally and refer the beneficiary to the BOND Call Center. This alert will be revised in a future revision of eWork.

Attempting to create a Work Review when an ADC date is on the MBR and the Work Review done is after the BOND participation start date.

BOND Beneficiary. The Beneficiary for Claim SSN xxx-xx-xxxx BIC_ BOAN xxx-xx-xxxx is currently within Offset phase of the BOND project. A new review cannot be established at this time.

PSC User:

If you are attempting to set this case up in eWork as a result of the continuing disability review enforcement operation (CDREO), annotate the Action Control Record (ACR) “NAN-BOND beneficiary in offset period”. The ACR can be read FIN.

  

Clear the Enforcement via the CDR PC Input (IPCA) screen on the DCF using 8=SSR/MBR CONDITIONS-STOP CDR

    

FO User:

Clear the Enforcement via the CDR FO Input (IFOA) screen using 5=SSR/MBR/STOP CDR

Attempting to establish a review where the prior review in eWork contains an EPE Cessation after the 36th month of the EPE for a BOND Beneficiary.

The prior eWork decision was an EPE Termination and there is not a new period of entitlement on the MBR. A new work review cannot be initiated until a new period of entitlement is established on the MBR.

    

Do you want to reopen the prior EPE Termination processed mm/dd/yyyy?

This occurs because the BOND Participation period is up to 60 months and a cessation has occurred after the 36th month of participation. This is an eWork exclusion and must be worked manually by L5R. Do not try to reopen the case. Send a modernized development worksheet (MDW) to L5R with the remark “BOND eWork exclusion – manual processing required”. Fax all documentation into non-disability repository (NDRED)/eView. No other action is needed.

There is no ADC date on the MBR but eWork shows the latest determination was a cessation. The current date is after the BOND Participation Stop Date on the DCF.

The prior eWork decision was an EPE cessation but there is no ADC date on the MBR. A new work review cannot be established until the prior eWork decision is processed to the MBR.

             

Do you want to reopen the prior EPE cessation processed on mm/dd/yyyy?

Send an MDW to L5R with information on this BOND case and the message you received. Tickle the eWork development worksheet for 10 days. Once L5R posts the ADC date on the MBR, you should be able to process your work CDR normally.

Jurisdiction of these cases remains with the originating component.

A Non-BOND office user attempts to establish a review in the same month that a previous decision was made, and the previous review contains protected BOND months.

There was a prior eWork decision processed mm/yyyy. You cannot establish a new Work Review in the same month a prior decision was made.

  

This prior decision is blocked due to BOND Beneficiary participation and can only be reopened by L5R.

Send an MDW to L5R with the information on this BOND case and the message you received.

A Non-BOND office user attempts to save new information for a protected BOND month in a Short Path, or attempts to reopen a month in the protected period from a prior review on the Earnings Details Screens.

Work Review Summary Screen will display:

  

***Prior BOND Beneficiary***

The information you changed is in the Short Path period. The EPE events (e.g. EPE Begin Month, Cessation, Reinstatements, Suspensions) during the Short Path period are based on the months previously entered. This period contains months within a protected BOND demonstration period and cannot be reopened. Please transfer to L5R for special processing.

Send an MDW to L5R with the information on this BOND case and the message you received.

FO reopening to a denial

 

If there is no ADC date on the MBR, FO may reopen.

   

If there is a prior ADC date, no reopening will be allowed.

   

Send MDW to L5R.

A Non-BOND office navigates to the Case Summary screen for a case determined to be a BOND beneficiary.

BOND Demonstration beneficiary, please transfer to BOND office L5R to complete adjudication.

Send an MDW to L5R.

L. Fraud Issues and BOND

Do not transfer fraud cases to the BOND work CDR unit (L5R). If L5R receives a fraud case, they will transfer the case back to the originating location. Normal processing procedures apply for all fraud cases. A BOND beneficiary will remain in BOND when fraud is involved, however, if the decision involves removing earnings which impacted our cessation determination or the offset decision, we will modify our decisions accordingly. Please send an MDW to L5R if a cessation determination needs to be revised or reopened. See DI 11006.025 for more information on handling fraud.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0460099030
DI 60099.030 - Field Office (FO), Processing Service Center (PSC), and National 800 Number Network (N8NN) Responsibilities under the Benefit Offset National Demonstration (BOND) - 06/09/2014
Batch run: 06/09/2014
Rev:06/09/2014