The RZ period of review covers eligibility factors both prospectively and retroactively. The beginning month of the period of review cannot exceed 2 years (plus 2 months
for cases where the retrospective monthly accounting computation is used for income
received in those months as budget months) retroactively from the initiation date
of the current RZ.
The rules of administrative finality apply per instructions in SI 04070.001 ff. when recipient responses to questions on the form and/or evidence required to
develop recipient responses result in affirmative action(s) in writing (see SI 04070.005A.9). The rules of administrative finality begin with the date the affirmation action
in writing is received, not the date of RZ selection and not necessarily the initiation
date of the RZ.
EXAMPLE: A redetermination was selected during the 10/04 merge with an 11/01/04 control date.
There is a 5B diary (indicating a resource) which was set based on a 9/28/04 run.
The claimant comes into the office and the RZ is initiated on 01/16/05. You discover
at the RZ that the claimant has been receiving a pension for several years, and that
his bank account has more than $1250. You request proof of the income and resources
on 1/16/05. Since you diligently pursued the development, you can use the run date
of the alert (9/28/04) as the date of affirmative action for the resource issue. Using
the rules of administrative finality, you would go back to 10/02 (forward 1 month
and back 24 months for resources). For the income, the date of RZ initiation (1/16/05)
would be the date of affirmative action and you would go back to 02/03 which is the
first month that payment can be changed.However since Retrospective Monthly Accounting
(RMA) is involved you'd go back to 12/02 (forward 1 month and back 26 months to account
for budget months, unless the income would make the person N01 in which case you would
go forward 1 month and only go back the 24 months). Even though you go back 26 months,
since income and RMA are involved, payment changes can only be made 24 months in the
past due to the rules of administrative finality. See SI 04070.030F. - SI 04070.030G. & SI 04070.070B.2 for additional information and examples of RMA and administrative finality.
Unlimited reopening can occur if fraud and similar fault is an issue as described
in SI 04070.020.
The period of review for development ends with the last day of the month before the current RZ initiation date and begins with the
first day of the latest of the following (subject to the rules of administrative finality):
Month the last RZ was initiated (the RZI field of the CRZD segment of a SSID, as described
in SM 01601.460); or
Month of application (use the date in the AP field of the PRSN segment of a SSID,
as described in SM 01601.475); or
Month of the supplemental SSA–8000–BK or PERC (the PC field of the CRZD segment of
a SSID, as described in SM 01601.460); or
Month of first eligibility (the DOE field of the PRSN segment of a SSID, as described
in SM 01601.460).
NOTE: Prior LI case completion has no effect on the current RZ period of review.
When MSSICS RZs are completed, MSSICS determines the begin date of the period of review.