Identification Number:
EM-16026
Intended Audience:All RCs/ARCs/ADs/FOs/TSCs/PSCs/OCO/
OCO-CSTs/ODAR
Originating Office:ORDP OISP
Title:T2 Windfall: Releasing Retroactive Benefits when no SSI is involved-New Override Instructions
Type:EM - Emergency Messages
Program:Title II (RSI)
Link To Reference:See References at the end of this EM.
 
Retention Date: October 2, 2017

Retention Date: February 2, 2017

A. Purpose
This emergency message (EM) provides instruction for processing Title II claims when no Supplemental Security Income (SSI) windfall offset is involved and technicians continue to receive the edit “SSI RECIPIENT: NO WINDFALL OFFSET ON BECF”. These instructions supersede GN 02610.055E2 and GN 02610.055E3, which we will update with new instructions at a future date.

B. Background
Currently, when no windfall offset applies, field office (FO) and payment center (PC) technicians attempt to adjudicate the claim through MCS. However, many technicians continue to receive the edit “SSI RECIPIENT: NO WINDFALL OFFSET ON BECF” during adjudication. When the FO claims specialist (CS) receives the edit, the CS prepares an A101 for manual processing by the benefit authorizer (BA) in the PC. When the PC CS receives the edit, the CS codes a “6” on the BECF screen to bypass the MCS edit, adjudicates the claim through MCS, and requests the BA to release the withheld benefits immediately. We have created a new override option on the Management Override (MOVR) screen that will allow FO and PC technicians to process claims with no SSI windfall offset through MCS-EC, therefore, eliminating manual processing from the BA and relea