Identification Number:
EM-21037
Intended Audience:All RCs/ARCs/PSCs/OCO/OCO-CSTs/OARO
Originating Office:DCO OCS
Title:SSA-93 and Paperless Interface
Type:EM - Emergency Messages
Program:Title II (RSI); Title VIII (SVB)
Link To Reference:See References at the end of this EM.
 
Retention Date: October 28, 2021

A. Purpose:

This Emergency Message (EM) provides instructions for the Processing Centers (PCs) regarding the option to create a Paperless Action Control Record (ACR) directly from the SSA-93 website for SSA-93 cases initiated by the Office of Quality Review (OQR).

B. Background:

The Office of Quality Review (OQR) performs quality reviews to measure payment accuracy, to check compliance with policy and procedures, and to target areas of specific interest or concern. When OQR conducts a review and requests assistance or corrective action, they send the SSA-93 Quality Review form to the field office (FO) or processing center (PC), a courtesy copy to the regional office (RO), and the claim control data to the SSA-93 Quality Review Website.

The FO or PC, RO and OQR use the SSA-93 Quality Review Website to control and document subsequent actions taken regarding the OQR feedback. OQR sends the SSA-93 review form to the component with current jurisdiction to complete required actions per GN 04410.030.a.1-2 and GN 00904.010.

      NOTE: Jurisdiction of the SSA-93 is not based on the component that took the original action or that failed to take a necessary action, although jurisdiction for corrective action may be the same.

In May 2020, Operations and Seattle received approval for an update to the SSA-93 application, which includes the integration of Paperless with the SSA-93 program. This update provides the PCs an option to create a Paperless ACR for the quality review cases within the SSA-93 website.


C. SSA-93 and Paperless Interface:

Effective May 6, 2021, the PCs will have the option to create a Paperless ACR directly from the SSA-93 site. This automation is an efficient timesaver to avoid creating ACRs manually.
      NOTE: This option does not allow users to attach documents to the ACR via the website. However, effective April 26, 2021, all supporting SSA-93 quality review documentation will be available in CFUI.
    To create a Paperless ACR via the SSA-93 website, follow the steps below.

    1. Access the SSA-93 website
    2. From the homepage, select ‘Respond’.
        a. From there, you will see a pending list of reviews based on your PCs jurisdiction. If you are based in the RO, you will see your regional review-pending list.
    3. Select the check box under ‘Create ACR’, and then select ‘CREATE ACR(S)’ button.
        a. You have the option to either create a single ACR or create ACR for all the cases listed.
    4. Click ‘view’ link
        a. The feedback form will open in the new tab;
        b. Save the image from eQA on your local drive as a HTML file;
        c. Upload the file; and
        d. Click ‘SEND TO PAPERLESS’.
            i. A pop-up message will appear letting you know that an ACR has been created and the reviews have been sent to Paperless.
            ii. If the ACR was not successfully created or if there is an error on the listed reviews, please contact your RO administrator.

    NOTE: Please see the SSA-93 User Guide for more detailed instructions.


    Direct all program-related and technical questions to your Regional Office (RO) support staff or Program Service Center (PSC) Operations Analysis (OA) staff. RO support staff or PSC OA staff may refer questions, concerns or problems to their Central Office contacts.

    References:

    GN 04410.030.a.1-2
    GN 00904.010
    SSA-93 User Guide


    EM-21037 - SSA-93 and Paperless Interface - May 6, 2021