Identification Number:
Intended Audience:All RCs/ARCs/ADs/FOs/TSCs/PSCs/OCO/OCO-CSTs/OHO/OAO
Originating Office:DCO OPSOS
Title:Field Office (FO) and National 800# (N8NN) Responses to Inquiries Regarding the Receipt of the SSA-1026-OCR-SM-REDE “Review of Your Eligibility for Extra Help with Prescription Drug Plan Costs” with a Spanish Insert
Type:EM - Emergency Messages
Program:All Programs
Link To Reference:See References at the end of this EM.
Retention Date: 04/19/2018

A. Purpose

This Emergency Message (EM) provides information about how to respond to inquiries from the public about the receipt of the SSA-1026-OCR-SM-REDE (Social Security Administration Review Of Your Eligibility For Extra Help) with a Spanish insert.

B. Background

We received reports of beneficiaries’ inquiries regarding the receipt of a SSA-1026-OCR-SM-REDE with a Spanish insert. The outside cover of the form and the Resources and Income Summary sheet is in English; however, pages 2 through 5 are in Spanish. We sent the form for all the cases that involved a Redetermination (Redet) extension for the return of the forms. The due date on the form is February 2, 2018. We believe that this problem affects the Philadelphia Region only; however, cases could appear in other areas.

C. FO and N8NN instructions

If a beneficiary contacts you regarding the SSA-1026-OCR-SM-REDE with a Spanish insert, inform them that:

• Due to a printing error, some non-Spanish speaking beneficiaries received the SSA-1026-OCR-SM-REDE with an
insert in Spanish.
• We regret any inconvenience resulting from the receipt of the incorrect insert.
• We sent a new SSA-1026-OCR-SM-REDE with the corrected insert of the beneficiary’s desired language.

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.


HI 03050.020 Redetermination of Eligibility for Medicare Part D Extra Help (Low-Income Subsidy)
HI 03050.030 Initial and Cyclical Redeterminations Process for Extra Help
HI 03050.035 Extra Help Redetermination Forms
TC 24020.070 Handling Status Inquiries
TC 24020.080