BASIC (11-02)

SI 02009.060 Presumptive Disability/Blindness Involvement In Computations

POLICY

The month a presumptive disability/blindness (PDIPB) finding is made is considered to be the initial month of eligibility for computing the PD/PB payment. (See DI 11055.230). The month an application is filed (if earlier than the month the PD/PB determination is made) is not controlling. In a situation in which the effec­tive filing date is in the first month of a calendar quarter but the PD/PB determination is made in the second or third month of the quarter, the computation of PD/PB payments in the initial quarter of eligibility is monthly; (i.e., the effective filing date is deemed to be the first day of the month in which the PD/PB determination is made). This monthly computation is mandated by Regu­lations 20 CFR 416.952. A quarterly computation will be used to compute PD/PB payment in a subsequent quar­ter. Even though only one or two months of PD/PB pay­ments are made in the subsequent quarter income for the entire quarter is considered and apportioned over the 3 months. Systems input and force due/pay requirements are given in SM 01701.000 ff. All other computation rules in SI 02009.001-SI 02009.055 apply. See DI 11055.230 for PD/PB requirements. See SI 02009.025 for couple status change computations in situations where one member of a couple bas been deter­mined eligible and the other member starts or stops receiving PD/PB payments in the second or third month of a quarter. Short quarter computations will be used in the latter situations.

The payment amount will be recomputed when a final Allowance determination is made. A payment that was initially computed monthly may require a quarterly re-computation

1. Individual Record

Example 1:

Claim filed July 1981. PD/PB decision made August

 

Original Computation

Re-computation

Quarter 1:

07/81

07/81

 

08/81 Presumptive Finding Made 1 Month Comp

08/81 Quarterly Comp

 

09/81 1 month comp

09/81

Quarter 2:

10/81 Quarterly comp

10/81

 

11/81 S21 Status

11/81 Quarterly Comp

 

12/81 S21 Status

12/81

Example 2:

Marcel Proust filed an SSI disability application on July 20.1981. A presumptive disability finding was made on August 23. Marcel receives a $125 employment related pension in the first month of each quarter and $50 in sup­port each month from his mother. On December 3, 1981, Marcel's claim is finally allowed effective July 198 1.

Originally, a monthly computation was made in the initial quarter of eligibility based on an August 1981 deemed initial month of eligibility. The computation will involve a quarterly computation for the period July 1981 to September 1981.

Original Computations

(August/September 1981)

 

August 1981

$264.70

FBR individual

 

$ 30.00

$50.00 support-$20.00 general exclusion

 

$234.70

Monthly payment amount

   

September 1981

$264.70

FBR

 

$ 30.00

$50 support-$20 general

 

$234.70

Monthly payment amount

October-December 1981 (Payment made for October 1981, payments suspended in November and December 1981)

$794.10

 

$215.00

$125.00 pension plus $250 support less $60 general

$579.10

Quarterly payment amount

$193.033

Monthly payment amount for October (rounded to $193.04)

Recomputation

July-September 1981

$794.10

Quarterly FBR

$215.00

Countable income (see above 10/81-12/81 comps)

$579.10

Quarterly payment amount

$193.033

Monthly payment amount (rounded to $193.04) for each month

Example 3:

Same as above example except that the claim was filed September 2 and the PD determination is made October 8. Originally Mr. Proust is paid for October-December 1981; i.e., a quarterly computation is used. When the final allowance is received, payment will be made for Septem­ber 1981 based on a monthly computation.

2. Couples Record

Example:

A disability claim is filed in November 1981 by an in­dividual married to an eligible person. The DO makes a presumptive finding of disability effective with the month of filing. A short quarter computation combin­ing all of the couple's eligibility and benefit criteria for November and December is performed. Both mem­bers of the couple will receive equal monthly benefits for November and December. (See SI 02009.025.) A regular quarterly computation will be performed in January 1982. The disability determination is still pending after the three-month period for payment of presumptive benefits has elapsed.

 

Origninal Computation

Re-Computation

Quarter 1:

  

10/81

Short quarter comp for eligible Person

No change

11/81 and 12/81

Short quarter comp for eligible person and spouse that is presumptively disabled

 

Quarter 2:

  

01/82

Regular quarterly couples comp

Short quarter couples Comp

02/82 and 03/82

Short quarter individual comp for eligible person

 

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0502009060
SI 02009.060 - Presumptive Disability/Blindness Involvement In Computations - 11/27/2002
Batch run: 01/27/2009
Rev:11/27/2002