Identification Number:
SI 02305 TN 73
Intended Audience:See Transmittal Sheet
Originating Office:ORDP OISP
Title:Redeterminations of Eligibility and/or Payment Amount
Type:POMS Transmittals
Program:All Programs
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM
Part SI – Supplemental Security Income
Chapter 023 – Posteligibility Events
Subchapter 05 – Redeterminations of Eligibility and/or Payment Amount
Transmittal No. 73, 06/09/2020

Audience

OCO-OEIO: CAQCR, CR, FCR, FDE, RECONE;
FO/TSC: CS, CS TXVI, CSR, CTE, DRT, FR, OA, OS, RR, TA, TSC-CSR;

Originating Component

OISP

Effective Date

Upon Receipt

Background

This is a Quick Action Transmittal. These revisions do not change or introduce new policy or procedure. We are removing references to obsolete forms.

Summary of Changes

SI 02305.090 Developing Public Assistance Household - RZs

Removed instructions related to obsolete form SSA-3988-OCR-SM.

SI 02305.091 Developing Home Ownership, Rental Information, and Inside In-Kind Support and Maintenance (ISM) and Cash Contributions From Inside the Household - RZs

Removed instructions related to obsolete form SSA-3988-OCR-SM.

SI 02305.092 Developing ISM and Cash Contributions from Outside the Household - RZs

Removed instructions related to obsolete forms SSA-8202-OCR-SM, SSA-3988-OCR-SM, & SSA-3989-OCR-SM.

SI 02305.093 Developing Other Forms of In-Kind Income - RZs

Removed instructions related to obsolete forms SSA-8202-OCR-SM, SSA-3988-OCR-SM, & SSA-3989-OCR-SM.

SI 02305.094 General Rules for Developing Income Issues – RZs

Removed instructions related to obsolete forms SSA-3988-OCR-SM & SSA-3989-OCR-SM.

SI 02305.102 Developing Ownership of Life Insurance - RZs

Removed instructions related to obsolete forms SSA-8202-OCR-SM, SSA-3988-OCR-SM, & SSA-2989-OCR-SM.

SI 02305.103 Developing Ownership of Vehicles - RZs

Removed instructions related to obsolete forms SSA-8202-OCR-SM, SSA-3988-OCR-SM, & SSA-3989-OCR-SM.

SI 02305.104 Developing Ownership of Real Property - RZs

Removed instructions related to obsolete forms SSA-8202-OCR-SM, SSA-3988-OCR-SM, & SSA-3989-OCR-SM.

SI 02305.105 Developing Personal Property and Equipment - RZs

Removed instructions related to obsolete forms SSA-8202-OCR-SM, SSA-3988-OCR-SM, & SSA-3989-OCR-SM.

SI 02305.106 Developing Burial Spaces and Burial Funds - RZs

Removed instructions related to obsolete forms SSA-8202-OCR-SM, SSA-3988-OCR-SM, & SSA-3989-OCR-SM.

SI 02305.107 Developing Transfer of Resources-RZs

Removed instructions related to obsolete forms SSA-8202-OCR-SM, SSA-3988-OCR-SM, & SSA-3989-OCR-SM.

SI 02305.108 Developing Third Party Liability - RZs

Removed instructions related to obsolete forms SSA-8202-OCR-SM, SSA-3988-OCR-SM, & SSA-3989-OCR-SM.

SI 02305.110 Potential Eligibility for Title II Benefits - RZs

Removed instructions related to obsolete forms SSA-8202-OCR-SM, SSA-3988-OCR-SM, & SSA-3989-OCR-SM.

SI 02305.115 Residence Address - RZs

Removed instructions related to obsolete forms SSA-8202-OCR-SM, SSA-3988-OCR-SM, & SSA-3989-OCR-SM.

SI 02305.090 Developing Public Assistance Household - RZs

A. Introduction

This section provides procedures for developing recipient allegations about public assistance (PA) household during the RZ interview.

B. Description of RZs completed on MSSICS screens

Opening a “REDETERMINATION with or without RECAPs” event creates a MSSICS “path” that will guide the interviewer to the appropriate screens to document allegations and evidence relating to public assistance households.

C. Description of Form SSA-8202-BK

There is no question on the SSA-8202-BK specifically designed to uncover PA household issues.

D. Description of Form SSA-8203-BK - Question 8

Question 8 on Form SSA-8203-BK — Do all of the people who live with you receive public assistance payments?

E. Procedure Form SSA-8203-BK-Question 8

Skip Question 8 of the SSA-8203-BK if the recipient's permanent residence is an institution or he or she lives alone.

Develop allegations about public assistance households, as follows:

1. If recipient alleges no change in public assistance

If the recipient alleges no change in public assistance household status and other information agrees, do not develop PA household further.

If someone other than a spouse, child (as defined in SI 00501.010) or person whose income may be deemed lives with the recipient and it is not a PA household:

EXCEPTIONS:

For RZs done on a SSA-8203-BK, an SSA-8006-F4 is not required if the recipient has home ownership or rental liability, and the other members of the household do not contribute to household expenses per SI 00835.340D.

If the only members of a household who do not receive public assistance payments are children subject to an AFDC/TANF payment cap, development of inside ISM is not required per SI 00835.340B.2.b.

2. If recipient alleges a change in public assistance

If the recipient alleges a change in public assistance household status or no change and the information conflicts, develop PA household per SI 00835.130, as necessary.

F. References

SI 02305.091 Developing Home Ownership, Rental Information, and Inside In-Kind Support and Maintenance (ISM) and Cash Contributions From Inside the Household - RZs

A. Introduction

This section provides procedures for developing recipient allegations about home ownership, rental information, and inside ISM and cash contributions from inside the household during the RZ interview.

B. Description of RZs Completed on MSSICS Screens

Opening a “REDETERMINATION with or without RECAPs” event creates a MSSICS “path” that will guide the interviewer to the appropriate screens to document allegations and evidence relating to home ownership, rental information, and inside in-kind support and maintenance.

C. Description of Form SSA-8202-BK - Question 4

Question 4 on the SSA-8202-BK - “ Since the date above, has anyone given you (or your spouse living with you) any money, food, or a free place to live, or helped you pay your bills or your rent?”

NOTE: Question 4 on the SSA-8202-BK elicits information about both inside and outside ISM. See SI 02305.102 and SI 00835.520B for developing outside ISM for RZs.

D. Description of Form SSA-8203-BK - Question 9

Question 9 on the SSA-8203-BK has seven parts:

Parts of Question 9

  1. 1. 

    Do you (or your spouse living with you) own or are you buying the place where you live?

  2. 2. 

    Do you (or your spouse living with you) rent the place where you live?

  3. 3. 

    If you are a child recipient living with your parents, do your parents own or rent the place where you live?

  4. 4. 

    Does someone else who lives with you own or rent the place where you live?

  5. 5. 

    If the place where you live is rented, give: [landlord's name, address, phone and the amount of the monthly rent.]

  6. 6. 

    If the place where you live is rented, are you (or anyone living with you) the parent or child of your landlord or your landlord's spouse?

  7. 7. 

    If a. or b., is answered “yes,” does any one who lives with you (other than your spouse) pay for or give you money for food, mortgage or rent, property insurance or taxes, heating fuel, gas, electricity, water, sewerage, or garbage collection services?

E. Procedure - General

1. General - SSA-8203-BK

Skip all of the sub-parts in Question 9 of the SSA-8203-BK if the recipient's permanent residence is an institution.

Line through “yes/no” blocks for questions that do not have to be asked because of the case characteristics.

EXAMPLE: A recipient alleges that she owns the house where she lives. You already know from other responses on the form that she is not married and lives alone. Therefore, it would be unnecessary to ask questions 2 through 7.

2. RZs Conducted in Texas

For RZs on cases involving a resident of Texas charged with receiving type “H” (in-kind support and maintenance) unearned income, see Dallas Regional POMS instructions on processing Diaz cases at SI DAL 00835.380C.

3. RZs Conducted in Indiana, Illinois, Wisconsin, Connecticut, New York and Vermont

For RZs involving residents of Indiana, Illinois, Wisconsin, Connecticut, New York and Vermont who receive type “H” income, see SI 00835.380.

F. Procedures - Home Ownership - Recipient

Developing allegations related to recipient home ownership as follows:

1. If recipients allege home ownership or no home ownership

If recipients allege home ownership or no home ownership and other information in SSA records agrees, do not develop recipient home ownership.

2. If recipients allege home ownership

If recipients allege home ownership and other information in SSA records conflicts, determine when home ownership was attained. Document the mortgage payment amount. Indicate “PAID OFF,” if appropriate.

NOTE: This is a lead for possible unstated income.

3. If recipients allege no home ownership

If recipients allege no home ownership and other information in SSA records conflicts, determine whether ownership was transferred or sold. Develop using the following POMS references:

G. Procedure - Rental Liability - Recipient

Develop allegations related to recipient rental liability as follows:

1. Recipients allege rental liability or no rental liability – SSA Records Agree

If recipients allege rental liability or no rental liability and other information in SSA records agrees, do not develop recipient rental liability.

2. Recipients allege rental liability or no rental liability –SSA Records Conflict

If recipients allege rental liability or no rental liability and other information in SSA records conflicts, develop rental liability, as necessary, per SI 00835.120.

H. Procedure - Home Ownership/Rental Liability - Parents

Information about parental home ownership/rental liability assists in determining whether the one-third reduction applies.

Develop allegations related to parental home ownership and rental liability, as follows:

If child recipients allege that their parents:

  • Own or rent the place where they live and other information in SSA records agrees, do not develop parental home ownership or rental liability.

  • Do not own or rent the place where they live and other information in SSA records agrees, do not develop parental home ownership or rental liability.

  • Own or rent the place where they live and other information in SSA records conflicts, develop home ownership or rental liability as necessary, per SI 00835.110 - SI 00835.120.

  • Do not own or rent the place where they live and other information in SSA records conflicts, determine whether home ownership was transferred or sold and develop as necessary per SI 01110.600B.4., SI 01150.001, and SI 01130.110 or develop rental liability per SI 00835.120, whichever is appropriate.

I. Procedure - Rent-Free Shelter

Develop allegations related to rent-free shelter received by the recipient, as follows:

  1. 1. 

    If recipients allege no one else living with them owns or rents the place where they live and alleges no home ownership or rental liability by themselves or parents:

    • Consider rent-free shelter and develop per SI 00835.370, or

    • Consider shelter as remuneration for services and develop per SI00835.390.

    REMINDER: The individual does not have rental liability if he/she alleges that all of the rent is paid, by providing services (SI 00835.120).

  2. 2. 

    If recipients allege no one else living with them owns or rents the place where they live and allege recipient or parental home ownership or rental liability, do not develop rent-free shelter.

  3. 3. 

    If recipients allege someone else living with them owns or rents the place where they live and allegations of recipient or parental home ownership or rental liability are “NO” or “YES,” do not develop rent-free shelter.

J. Procedure - Landlord Information

Documentation of landlord information is only required when rental liability is alleged and the recipient or anyone else in the household is the landlord's parent, child, or spouse.

Document the landlord's:

  • Name

  • Address

  • Phone number

  • Monthly Rent

K. Procedure - Rental Subsidy

Develop allegations related to a possible rental subsidy, as follows:

  1. 1. 

    If recipients allege that their residence is rented but no one in the household is the landlord's parent, child, or spouse and other information in SSA records agrees, do not develop rental subsidy.

  2. 2. 

    If recipients allege that their residence is rented and they or someone else living with them is the landlord's parent, child, or spouse:

    NOTE: See SI 02305.091E.2. for RZs being conducted for residents of Texas, Indiana, Illinois, Wisconsin, Connecticut, New York and Vermont.

  3. 3. 

    If the recipients allege that their residence is rented and no one else living with them is the landlord's parent, child, or spouse and other information in SSA records conflicts:

    • Document the name of the household member who is related.

    • Develop rental subsidy per SI 00835.380 and SI 00835.520.

    NOTE: See SI 02305.091E.2. for RZs being conducted for residents of Texas, Indiana, Illinois, Wisconsin, Connecticut, New York and Vermont.

L. Procedure - ISM And Cash Contributions From Inside The Household

On the paper forms, this question uncovers contributions toward household expenses by other members of the household if the recipient has ownership interest or rental liability.

Develop allegations about possible receipt of ISM or cash contributions from inside the household as follows.

  1. 1. 

    If recipients allege home ownership or rental liability and no one living with them contributes toward living expenses (per SI 02305.091D.7.) and other information in SSA records agrees, do not develop ISM or cash contributions from inside the household.

  2. 2. 

    If recipients allege home ownership or rental liability and someone living with them contributes or no one contributes and other information in SSA records conflicts:

SI 02305.092 Developing ISM and Cash Contributions from Outside the Household - RZs

A. Introduction

This section provides procedures for developing allegations of ISM and cash contributions from outside the household during the RZ interview.

B. Description of RZs Completed On MSSICS Screens

Opening a “REDETERMINATION with or without RECAPs” event creates a MSSICS “path” which guides the interviewer to the appropriate screens to document allegations and evidence relating to ISM and cash contributions from outside the household, as necessary.

C. Description of Form SSA-8202-BK - Question 4

Question 4 on the SSA-8202-BK — Since the date above, has anyone given you (or your spouse living with you) any money, food or a free place to live, or helped you pay your bills or your rent?

D. Description of Form SSA-8203-BK - Question 10

Question 10 on the SSA-8203-BK — “Since the date on page 1, did anyone not living with you:

  • Give you a free place to live?

  • Help you pay the mortgage, rent, property insurance, property taxes, and /or sewerage charges?

  • Give you or help you pay for food, gas, electricity, heating fuel, water, and/or garbage collection services?”

E. Procedure

Develop allegations of ISM and cash contributions from outside the household as follows:

  • If recipients allege no receipt of ISM or cash contributions from outside the household and other information in SSA records agrees, do not develop outside ISM any further.

  • If recipients allege receipt of ISM or cash contributions from outside the household or no receipt and other information in SSA records conflicts, develop per SI 00835.350C. and SI 00835.360, SI 00835.370 or SI 00835.450C., as necessary.

SI 02305.093 Developing Other Forms of In-Kind Income - RZs

A. Introduction

This section provides procedures for developing recipient allegations about other forms of in-kind income during the RZ interview.

B. Description of RZs Completed On MSSICS Screens

Opening a “REDETERMINATION with or without RECAPs” event creates a MSSICS “path” which guides the interviewer to the appropriate screens to document allegations and evidence relating to all other forms of in-kind income, as necessary.

C. Description of Form SSA-8202-BK

There is no question on the SSA-8202-BK specifically designed to obtain information about other types of in-kind income. See SI 00835.520B. for redeveloping ISM for RZs.

D. Description of Form SSA-8203-BK - Question 11

Question 11 on the SSA-8203-BK - Since the date on page 1, did anyone give you gifts which are not cash?

E. Procedure

Develop allegations about other forms of in-kind income as follows:

  • If recipients allege no receipt of other ISM and other information in SSA records agrees, do not develop other forms of in-kind income any further.

  • If recipients allege receipt of other ISM or no receipt and other information in SSA records conflicts, develop, as necessary, per SI 00835.310 and SI 00835.400.

SI 02305.094 General Rules for Developing Income Issues – RZs

A. Introduction

This section provides general instructions for developing all types of income.

B. Procedure – verifying Income

1. Verifying income for the period of review

Verify income through the end of the month prior to the month the RZ is initiated, unless development tolerances in SI 00820.140B. apply.

REMINDER: When requesting income verification from a third party in a month after the initiation month, ask for verified data for each month prior to the month you send the request. This will enable you to get the most current data available from that source.

2. Verifying periods outside administrative finality

Do not verify income received outside the rules of administrative finality unless fraud or similar fault is an issue as explained in SI 04070.020.

To avoid having cases reselected because of unverified earned income on the record, input verification codes for earned income in months outside the rules of administrative finality.

EXAMPLE: Current RZ Initiated on the First Day of the Month

The last RZ was initiated in 10/99. Earned income was verified through 09/99 and an earned income estimate of $100 per month was input to the SSR with a frequency code of “C.” The current RZ was selected on 10/01/02. The RZ and earned income development were initiated on 1/01/03. Input verification code “9” for the months barred by administrative finality (i.e., 10/99 through 10/00).

EXAMPLE: Current RZ Initiated Other Than the First Day of the Month

The last RZ was initiated in 10/94. Earned income has been verified through 09/99 and an earned income estimate of $100 per month was input to the SSR with a frequency code of “C.” The current RZ was selected in 10/01/02. The RZ and earned income development were initiated 01/15/03. Input verification code “9” for months barred by administrative finality (i.e., 10 /99 through 11/00).

C. Procedure – exclusions

Consider exclusions listed in SI 00810.410, SI 00830.050 through SI 00830.099, SI 00820.500 and SI 00830.060 which may reduce the amount of countable income. For income excluded under a PASS, develop for compliance with the plan per SI 00870.055, so it can be determined whether the exclusion should be continued, be adjusted, or stopped.

D. Procedure – work Incentives

Use every opportunity to inform disabled/blind recipients about the Work Incentives Provisions and encourage them to take advantage of the provisions. Where there is reasonable possibility of work, discuss:

E. Procedure – income of ineligible spouse

For the income of an ineligible spouse, develop the support payment exclusion, when appropriate, per SI 01320.145.

Document the income of an ineligible spouse on a signed statement or in the REMARKS section of a SSA–8203–BK, SSA–8202–F6, or the appropriate MSSICS screens.

F. Procedure – income of others

Document the income of the following people on a signed statement, SSA–8010–BK, the REMARKS section of the SSA–8203–BK or SSA–8202–BK, or the appropriate MSSICS screen. In parent-to-child deeming cases, always document the income of others on a SSA–8010–BK when using a paper RZ form. Interviewers should not use the SSA–8010–BK for the eligible or ineligible spouse when conducting paper RZs because the RZ forms capture all the spouse's income and resources. (See SI 01310.600.)

Record effective dates of changes and the reasons for any changes.

Verify income as required.

G. Procedure – unstated income

Explore the possibility of unstated income described in SI 00810.035 if allegations or information in prior in-office files raises questions about how living expenses are being met.

Resolve pending diaries and alerts since they may represent unstated income.

H. Procedure – prior estimates and verified earnings do not agree

Reopen the prior determination within the limits of administrative finality.

Input the verified earnings for the prior period as change items. Include effective dates and verification codes.

Develop any overpayments per SI 02201.005 through SI 02201.025. (The system computes overpayments and underpayments.)

I. Procedure – inputting estimates of income

As soon as possible after you obtain estimates of income, input them to the system via 1719B input when conducting the RZ on paper forms or Build Transaction SSR when using MSSICS.

Determine the effective date for inputting the estimates via 1719B, or through MSSICS, as follows:

  • If the estimated income does not change the ongoing payment amount or eligibility, the effective date for inputting the estimate is the current calendar month.

  • If the estimated income increases the payment amount for the current and/or future months, determine the effective date per see SI 00810.610.

  • If the estimated income makes the recipient ineligible for the current month or for the current and future months, the effective date for inputting the estimate is the first month of ineligibility.

  • If the estimated income reduces payment amount for current and future months, the effective date for inputting the estimate is the budget month for the first month that payment can be reduced. Do not input new estimates for earlier months. These months will be corrected when they are verified at a later date. This procedure prevents the system from computing an overpayment based on unverified data.

SI 02305.102 Developing Ownership of Life Insurance - RZs

A. Introduction

This section provides procedures for developing recipient allegations about ownership of life insurance during a RZ interview.

B. Description of RZs Completed on MSSICS Screens

Opening a “REDETERMINATION with or without RECAPs” event creates a MSSICS “path” which guides the interviewer to the appropriate screens to document allegations and evidence relating to ownership of life insurance, as necessary.

C. Description of Form SSA-8202-BK

There is no question on the SSA-8202-BK specifically designed to obtain life insurance information.

D. Description of Form SSA-8203-BK - Question 18

Question 18 on the SSA-8203-BK — Do you (or your spouse living with you) own or are you buying any life insurance policies?

E. Procedure

Develop allegations about ownership of life insurance, as follows:

1. If recipients allege no life insurance and other information in SSA records agrees

If recipients allege no life insurance and other information in SSA records agrees, do not develop life insurance any further.

2. If recipients allege no life insurance and other information in SSA records conflicts

If recipients allege no life insurance and other information in SSA records conflicts, determine whether the recipient still owns or is buying a life insurance policy.

  • If so, develop per SI 02305.102E.3.

  • If not and the policy was a countable resource, determine what happened to the policy.

  • If the recipient alleges cashing it in or letting it lapse, ask him/her for evidence which documents the value of the policy.

  • If the recipient does not have any documentation, then contact the insurance company.

  • Verify the cash surrender value (CSV) for the period of review up to the time the policy was cashed in or lapsed; and

  • Document the information on the SSA-8203-BK and appropriate MSSICS screens.

  • If the recipient transferred ownership for less than the fair market value, see SI 01150.110.

3. If recipients allege life insurance

If recipients allege life insurance, develop per SI 01130.300.

SI 02305.103 Developing Ownership of Vehicles - RZs

A. Introduction

This section provides procedures for developing recipient allegations about vehicle ownership during an RZ interview.

B. Description of RZs Completed on MSSICS Screens

Opening a “REDETERMINATION with or without RECAPs” event creates a MSSICS “path” that will guide the interviewer to the appropriate screens to document allegations and evidence relating to ownership of vehicles.

C. Description of Form SSA-8202-BK

There is no question on the SSA-8202-BK specifically designed to obtain vehicle ownership information.

D. Description of Form SSA-8203-BK - Question 19

Question 19 on the SSA-8203-BK — Is your name (or the name of your spouse living with you) on the title of any vehicles (for example, car, truck, boat, camper, motorcycle, etc.)?

E. Procedure

The following are examples when we develop and document allegations of vehicle ownership:

1. Recipient alleges no vehicle ownership and information on SSA records agree

Do not develop vehicle ownership any further.

2. Recipient alleges no vehicle ownership and information on SSA records conflicts

Did the recipient dispose of a resource that we have on record?

  • If yes, and it appears as if the recipient transferred the vehicle for less than fair market value, develop per SI 01150.110 and SI 01730.046.

  • If no, develop as you would in SI 02305.103E.3.

3. Recipient alleges vehicle ownership

Develop as necessary per SI 01130.200.

NOTE: If the SSR indicates that the recipient's alleged motor vehicle was previously excluded, assume the exclusion still applies unless other information conflicts, e.g. vehicle was excluded previously for employment and employment has ended. Document as necessary if any previous reason/basis for exclusion of a vehicle no longer exists.

SI 02305.104 Developing Ownership of Real Property - RZs

A. Introduction

This section provides procedures for developing recipient allegations about ownership of real property during an RZ interview.

B. Description of RZs Completed on MSSICS Screens

Opening a “REDETERMINATION with or without RECAPs” event creates a MSSICS “path” which guides the interview to the appropriate screens to document allegations and evidence relating to ownership of real property, as necessary.

C. Description of Form SSA-8202-BK - Question 10

Question 10 on the SSA-8202-BK — Do you or your spouse living with you, own any land or buildings or does your name appear on a deed or mortgage of any land or building where YOU DO NOT LIVE?

This includes inherited property, property outside the United States and/or any property your name is on with other members of your family.

D. Description of Form SSA-8203-BK - Question 20

Question 20 on the SSA-8203-BK — Do you (or your spouse living with you) own or are you buying any real estate (land or buildings or other structures on the land)? (Include property outside the U.S., inherited property, and life estates. Do not include your home.)

E. Procedure

Develop allegations of ownership of real property, as follows:

1. If recipients allege no ownership of real property and other information in SSA records agrees

If recipients allege no ownership of real property and other information in SSA records agrees, do not develop ownership of real property any further.

2. If recipients allege no ownership of real property and other information in SSA records conflicts

If recipients allege no ownership of real property and other information in SSA records conflicts, did the recipient dispose of a resource which we have on record?

  • If so, develop as appropriate for an increase/decrease in the value of resources per SI 01110.600. If it appears the resource was disposed of for less than the fair market value, see SI 01150.110.

  • If not, develop per SI 01140.100 and SI 01130.140.

3. If recipients allege ownership of real property

If recipients allege ownership of real property, develop per SI 01140.100 and SI 01130.130.

SI 02305.105 Developing Personal Property and Equipment - RZs

A. Introduction

This section provides procedures for developing recipient allegations about ownership of personal property and equipment during an RZ interview.

B. Description of RZs completed on MSSICS screens

Opening a “REDETERMINATION with or without RECAPs” event creates a MSSICS “path” which guides the interviewer to the appropriate screens to document allegations and evidence relating to ownership of personal property and equipment, as necessary.

C. Description of Form SSA-8202-BK

There is no question on the SSA-8202-BK specifically designed to elicit information about ownership of personal property and equipment.

D. Description of Form SSA-8203-BK - Question 21

Question 21 on the SSA-8203-BK — Do you (or your spouse living with you) own any of the following items (answer “yes” if your name or your spouse's name appears alone or with any other person as the owner or part owner of any of these items):

E. Procedure

Developing allegations about ownership of personal property and equipment, as follows:

1. If recipients allege no ownership of personal property and equipment and other information in SSA records agrees

If recipients allege no ownership of personal property and equipment and other information in SSA records agrees, do not develop ownership of personal property and equipment any further.

2. If recipients allege no ownership of personal property and equipment and other information in SSA records conflicts

If recipients allege no ownership of personal property and equipment and other information in SSA records conflicts, did the recipient dispose of a resource which we have on record?

  • If so, develop as appropriate for an increase/decrease in the value of resources per SI 01110.600. If it appears the resource was disposed of for less than fair market value, see SI 01150.110.

  • If not, develop as in SI 02305.105E.3.

3. If recipients allege ownership of personal property and equipment

If recipients allege ownership of personal property and equipment, develop, as necessary, per:

SI 02305.106 Developing Burial Spaces and Burial Funds - RZs

A. Introduction

This section provides procedures for developing recipient allegations about ownership of burial spaces and burial funds during an RZ interview.

B. Description of RZs Completed on MSSICS Screens

Opening a “REDETERMINATION with or without RECAPs” event creates a MSSICS “path” which guides the interviewer to the appropriate screens to document allegations and evidence relating to burial spaces and burial funds, as necessary.

C. Description of Form SSA-8202-BK

There is no question on the SSA-8202-BK specifically designed to obtain information about ownership of burial spaces and burial funds.

D. Description of Form SSA-8203-BK - Question 22

Question 22 on the SSA-8203-BK is a two-part question, as follows:

  1. 1. 

    Question “22.a.” Burial Spaces—Do you (or your spouse living with you) own any headstones or markers, or cemetery lots, crypts, urns, mausoleums, or other repositories for burial?

  2. 2. 

    Question “22.b.” Burial Funds —Do you (or your spouse living with you) have any money or other assets, such as, burial contracts, trusts, insurance policies, agreements, or anything else you intend to use for your burial expenses? (Include assets listed in items 16 through 21.)

E. Procedure - Burial Spaces

Develop allegations of burial spaces, as follows:

  1. 1. 

    If recipients allege no burial spaces and other information in SSA records agrees, do not develop burial spaces any further.

  2. 2. 

    If recipients allege no burial spaces and other information in SSA records conflicts, did the recipient dispose of a resource which we have on record?

    1. a. 

      If so, develop as appropriate for an increase/decrease in the value of resources per SI 01110.600. If it appears the resource was disposed of for less than the fair market value, see SI 01150.110.

    2. b. 

      If not, develop as in SI 02305.106F.3.

  3. 3. 

    If recipients allege burial spaces, develop, as necessary, per SI 01130.400.

F. Procedure - Burial Funds

Develop allegations of burial funds, as follows:

1. If recipients allege no burial funds and other information in SSA records agrees

If recipients allege no burial funds and other information in SSA records agrees, do not develop burial funds of this question any further.

2. If recipients allege no burial funds and other information in SSA records conflicts

If recipients allege no burial funds and other information in SSA records conflicts, did the recipient dispose of a resource which we have on record?

  • If so, develop as appropriate for an increase/decrease in value of resources per SI 01110.600. If it appears the resource was disposed of for less than fair market value see SI 01150.110. If excluded burial funds were used for another purpose, see SI 01130.410G.

  • If not, develop per SI 02305.106F.3.

3. If recipients allege burial funds

If recipients allege burial funds, develop, as necessary, per SI 01130.410.

SI 02305.107 Developing Transfer of Resources-RZs

A. Introduction

This section provides procedures for development of recipient allegations during RZs regarding resources that have been sold, transferred, disposed of or given away.

B. Description of RZs Completed on MSSICS Screens

Opening a “REDETERMINATION with or without RECAPs” event creates a MSSICS “path” which guides the interviewer to the appropriate screens to document allegations and evidence relating to transfer of resources.

C. Description of Form SSA-8202-BK Question 11

Question 11 on the SSA-8202-BK – Since the date on page 1, have you (or your spouse living with you) sold, transferred title, disposed of, or given away any money, or other property, including money or property in foreign countries? If “yes,” give the following information:

What you sold, transferred title, disposed of, or gave away and the value of the property. Fill in blocks are below the question to be used to enter the information.

D. Description of Form SSA-8203-BK Question 23

Question 23on the SSA-8203-BK is a two-part question:

  • Since the date on page 1, have you, or your spouse living with you sold, transferred title, disposed of or given away any money, or other property, including money or property in foreign countries?

  • If you co-owned property with another person(s), did you or any co-owner sell, transfer, or give away any co-owned money or property?

If “yes” to a. or b. go on to c. If no to both, go to 24.

E. Procedure

Develop allegations of resource transfers, as follows:

  • If the recipient alleges no resource transfers and other information in SSA records agrees, do not develop any further.

  • If the recipient alleges resource transfers, to determine whether the transfer is valid refer to SI 01150.003. If the transfer is valid, document the file per SI 01150.001B. See SI 01150.110 on developing resource transfers.

  • If recipient alleges resource transfers, indicate the date of the transfer.

SI 02305.108 Developing Third Party Liability - RZs

A. Introduction

This section provides procedures for developing recipient allegations about third party liability during an RZ interview.

B. Description of RZs Completed on MSSICS Screens

Opening a “REDETERMINATION with or without RECAPs” event creates a MSSICS “path” which guides the interviewer to the appropriate screens to document allegations and evidence relating to third party liability, as necessary.

C. Description of Form SSA-8202-BK — Question 12

Question 12 on the SSA-8202-BK — Since the date on page 1, have you or your spouse had any change in health insurance coverage or other insurance that pays for medical bills? (DO NOT INCLUDE — Medicare. DO INCLUDE- -Insurance, such as accident, automobile, or casualty if it covers medical bills for any reason.)

D. Description of Form SSA-8203-BK — Question 24

Question 24 on the SSA-8203-BK — Since the date on page 1, have you (or your spouse living with you) had any change in health insurance coverage or other insurance that pays for medical bills? (Do not include Medicare, but do include insurance such as accident, automobile, or casualty if it covers medical bills for any reason).

E. Policy

Recipients must answer the third party liability questions unless the exception in SI 01730.045C.4.a applies or the eligible spouse is unable to provide the information about his or her spouse.

F. Procedure - Exception Applies

If the exception in SI 02305.108E applies, line out question 12 on the SSA-8202-BK or question 24 on the SSA-8203-BK if conducting the RZ on paper forms and do not gather TPL information on the BTPL screen in MSSICS.

G. Procedure - Developing Allegations of TPL

Develop allegations about third party liability, as follows:

  • If recipients allege no change in TPL and other information in SSA records agrees, do not develop TPL any further.

  • If recipients allege a change in TPL or no change in TPL and other information in SSA records conflicts, develop per SI 01730.045.

  • If recipients refuse to provide TPL information, follow instructions in SI 01730.045.

SI 02305.110 Potential Eligibility for Title II Benefits - RZs

REMINDER: Use DISCO whenever there is potential entitlement to title II benefits for a SSI recipient.

A. Introduction

This section provides procedures for developing recipient allegations to potential eligibility for Title II benefits. The questions on the paper forms and MSSICS screens help identify recipients who are not receiving Title II benefits but are potentially eligible for them. It also identifies those who are already receiving Title II benefits but may be entitled to a higher or additional benefit amount on their own or another's account number.

B. Description of RZs Completed on MSSICS Screens

Opening a “REDETERMINATION with or without RECAPs” event creates a MSSICS “path” that will guide the interviewer to the appropriate screens to document allegations and evidence relating to potential eligibility for Title II benefits.

C. Description of Form SSA-8202-BK - Question 14

Question 14 on the SSA-8202-BK — Please answer the following questions:

  1. a. 

    “Are you age 62 or older?”

  2. b. 

    “If you are age 50 or older, are you a widow (er)?”

  3. c. 

    “If you are age 50 or older and divorced, is your divorced spouse deceased?”

  4. d. 

    “If you were disabled before age 22, do you have a parent who is age 62 or older or disabled, or deceased?”

D. Description of Form SSA-8203-BK - Question 26

Question 26 on the SSA-8203-BK duplicates Question 14 on the SSA-8202-F6.

E. Policy

During the RZ process, the interviewer must explore potential eligibility for all classes of Title II entitlement on the recipient's SSN and the records of others. If the recipient is potentially eligible for Title II benefits or a higher Title II benefit than he/she is currently receiving, e.g., spouse's, widow's, or childhood disability benefits, the interviewer must explain the filing for other benefit requirements in SI 00510.001 - SI 00510.030 and ask the recipient if he/she wishes to file. If the recipient wishes to file for Title II see GN 00204.027 and SI 00601.035 for determining whether or not an open Title II application exists. If the Title II application resulting from the filing of the Title XVI application was properly adjudicated and the recipient is potentially entitled to Title II during the RZ process, the RZ serves to protect the Title II filing date. See GN 00204.015 for determining the filing date based on a RZ. Also, see GN 00204.012 for closing out the protective filing.

NOTE: If the individual files a Title II application, the claims adjudicator must review all protective filing documentation and make a filing date determination per GN 00204.007.

If the recipient does not wish to file for Title II benefits or files but does not elect full retroactivity, follow the filing for other benefit procedures in SI 00501.001 - SI 00510.030. If the individual does not comply with the filing for other benefit procedures, you must suspend SSI benefits.

If someone other than the claimant is named on the RZ and is potentially entitled to Title II benefits, see GN 00204.015 for when the RZ serves to protect the individual's filing date or if the naming of the individual should be treated as a lead. If the individual named is potentially eligible for SSI benefits, see SI 00601.025 for when the RZ can serve as a protective filing for SSI.

F. Procedure

Protective filing and lead closeout procedure:

1. Recipients' allegations do not indicate potential eligibility for Title II

If recipients' allegations do not indicate potential eligibility for Title II, no further action is required to develop potential eligibility for Title II benefits. See GN 00203.025 for instructions on processing Medicare only applications.

See GN 00203.025 for instructions on processing Medicare only applications. See GN 00204.015C for instructions when the recipient has earnings but is not insured for Title II purposes.

2. Recipients' allegations indicate potential eligibility for Title II or potential for an increased Title II benefit

If recipients' allegations indicate potential eligibility for Title II or potential for an increased Title II benefit on another SSN, explain the filing for other benefit requirements and ask the recipient if he/she wishes to file. If yes, take an application. If an application is not filed immediately, issue a protective filing closeout notice to closeout the protective filing, e.g., teleclaim is taken and sent to the claimant for signature along with the SSA-L566 notice. See SI 00510.001 - SI 00510.030 for when to issue the SSA-L8051 notice. If no, follow the filing for other benefit procedures. If the recipient does not comply with the filing for other benefit requirements, suspend SSI benefits.

3. If the SSI recipient is receiving Title II and is entitled to a higher benefit on another SSN but refuses to file for the higher benefit

If the SSI recipient is receiving Title II and is entitled to a higher benefit on another SSN but refuses to file for the higher benefit, follow the filing for other benefit procedures in SI 00510.00 - SI 00510.030. If the claimant does not comply, suspend SSI benefits.

G. References

SI 02305.115 Residence Address - RZs

A. Introduction

This section provides instructions on what to do when recipients allege mailing addresses different from their residence addresses.

B. Description of RZ Completed on MSSICS Screens

Opening a “REDETERMINATION with or without RECAPs” event creates a MSSICS “path” which guides the interviewer to the appropriate screens to document allegations of a mailing address different from their residence address, as necessary.

C. Description of Form SSA-8202-BK - Page 4

Page 4 of the SSA-8202-BK — “If the address where you live is different from the address where you get your mail, please give the address where you live:”

D. Description of Form SSA-8203-BK - Page 8

Page 8 of the SSA-8203-BK — The residence statement duplicates the one on page 4 of the SSA-8202-BK.

E. Procedure

1. Documentation - MSSICS

  1. a. 

    Document the residence address on the Residence Address and Jusisdiction (LRES) page under the Living Arrangements tab in MSSICS (see MS INTRANETSSI 010.007).

  2. b. 

    Document the mailing address on the Personal Information page (APID) under the General ID tab.

2. Documentation - Paper Forms – SSA-8202-BK and SSA-8203-BK

Document the residence address in the space provided or in the REMARKS section of the paper RZ forms.

3. Representative Payee Involvement

See SM 01301.485C. and MSOM RPS 002.006 for proper input of residence address.


SI 02305 TN 73 - Redeterminations of Eligibility and/or Payment Amount - 6/09/2020