The Subsidy Determination Reviewer (SDR) will review the information considered in
making the initial determination including the information in records available to
SSA and any additional information provided and make the decision based on this information.
The decision will be recorded on CPMS (Case Processing and Management System) using
identifying information (last name, first initial, last 4 digits of SSN) for easy
access in event of court review, and updated to the Medicare database. If the individual
objects to the telephone hearing being recorded, document in Remarks in CPMS, conduct a case review and issue a decision without the telephone hearing.
If it appears that the SDR can make a fully favorable decision based on available
information and the individual agrees, a telephone hearing need not be held. The SDR
will document his or her actions and issue the fully favorable decision.
The SDR will input the Determination Effective Date in MAPS which will determine the
appeal decision effective date that is passed to the subsidy determination process
in all cases other than dismissals.
The SDR decision is binding unless the individual requests judicial review by filing
an action in Federal district court.
NOTE: Where the SDR is deciding a new issue, the notice of decision issued by the SDR will
include appeal rights.