Identification Number:
SM 00630 TN 35
Intended Audience:See Transmittal Sheet
Originating Office:Systems OITEBS
Title:Payment History Update System (PHUS)
Type:POMS Transmittals
Program:All Programs
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM
Part SM – Systems and Methods
Chapter 006 – Postentitlement
Subchapter 30 – Payment History Update System (PHUS)
Transmittal No. 35, 11/12/2019

Audience

FO/TSC: CS, CS TII, CSR, FR, OA, OS, TSC-CSR;
PSC: BA, CA, CCRE, CRT, CS, DC, DE, DS, DT/ER, EIE, ICDS, ICTU CA, ICTU SCPS, IEBA, IECA, IES, ISRA, NPR, PETE, RAC, RECONR, SCPS, TS;
OCO-OEIO: BET, BIES, BTE, FCR, PETL, RECOVR;
OCO-ODO: BTE, CCE, CST, EHI, LCC, LSC, PAS, PCS, PETL, RCOVTA, RECOVR;

Originating Component

OSE

Effective Date

Upon Receipt

Background

As part of the PC Automation Initiative, we automated the building of prior year WC offset only PHUS events, when an initial award processes through MCS or MACADE/MADCAP. This became possible because the MBR now carries up to 60 iterations of WC offset. This change became effective on May 20, 2019.

 

Summary of Changes

SM 00630.035 Correcting a PHUS Alert

Under SM 00635.035 C , we changed the text of the first bullet under the 'WHEN' column to state that PHUS generates an ???EVNT-028 QUES WC when an initial award processes imposing WC and PDB offset. We simplified the text of the second bullet.

 

SM 00630.228 Event 028 QUES WC

Under SM 00630.228 A we divided the description between before May 20, 2019 and after May 20, 2019 functionality.

Under SM 00630.228 C we added a new first row in the table describing the new functionality effective May 20, 2019. We updated some of the text in the rest of the table.

SM 00630.035 Correcting a PHUS Alert

A. INTRODUCTION

Correcting a PHUS alert usually requires an action to NULL an incorrect event and, if appropriate, establish a new event.

B. PROCEDURE

When working a PHUS alert, first determine what caused the event to alert. Then prepare a SSA-1257-U1 to correct the PHUS. Do this by coding an AC1 to NULL the alerted event and/or AC2 to add an event.

NOTE: 

Failure to correct generated alerts increases the volume of benefit computation exceptions.

C. KINDS OF PHUS ALERT CONDITIONS

This chart shows the kinds of PHUS Alert Conditions

ALERT CONDITIONS

WHEN

THEN PHUS GENERATES

Worker's Comp

 

 

 

 

 


REFERENCE:

SM 00630.228

Worker's Compensation (WC) offset is involved for prior years.

  • An initial award or post entitlement action processes involving WC and Public Disability Benefit (PDB) offset.

  • A post entitlement action processes changing the prior year WC offset amounts.

???EVNT-028 QUES WC

Hold Check


REFERENCE:

SM 00630.230-232

Hold Check Exception is generated

???EVNT-032 CK HLD $NE

Installment


REFERENCE:

SM 00630.288

Asterisks are in the IAIA

???EVNT-088 QUES INSTL

SAC X TO SAC X FROM

 

 

 


REFERENCE:

SM 00630.229, 252, 166

CPS makes a payment on the wrong account in one tax year but does not provide PHUS with the check amount and proration data until next year.

???EVNT-029 SAC X TO
???EVNT-052 SAC X FROM

BIC 0

 

 

 

REFERENCE:

SM 00630.069B, EX 002

Z2 transactions post event 009 RET CHECK for a BIC O or Z4 transactions post events 030 CK NOT HLD, 031 WNG CK HLD, or 032 CK HLD $NE for BIC O

NOTE: 

Effective with TY 1999 the BIC of “O” no longer exists.

???EVNT-009 RET CHECK
???EVNT-030 CK NOT HELD
???EVNT-031 WNG CK HELD
???EVNT-032 CK HLD $NE

OCO A-

SPS - SINGLE PAYMENT SYSTEM

 

1. Payment exceeds the yearly proration amount.
NOTE:    EVENT 041 LUMP SUM is alerted if it exceeds $255.00
SOLUTION:    Code AC1 for event 041 LUMP SUM and incorrect proration event. Code AC2 to add the correct proration event.

???EVNT-041 LUMP SUM for the difference

 

2. BIC X is erroneously coded in rid 5 of the SSA-2795-U2.
SOLUTION: Code AC1 to clear the alert and AC2 event 042 PMA CHK for an amount equal to the garnishment.

???EVNT-042 PMA CHK

 

3. PAMT on OCO A- is zeroes.

NOTE: 

PHUS is supposed to have a record of all checks that are paid. Zeroes are sometimes erroneously coded if the money paid is nontaxable.

???EVNT-042 PMA CHK

 

If the amount paid is nontaxable, then there should be another event added to PHUS to identify the check as nontaxable.
EXAMPLE: A is dually entitled as a B on another account number. Since her A and B benefit are combined and being paid on her own account number, she is in LAF AD on her husband's account. In 6/84 her husband dies and she is paid the LSDP on her account via the one-check-only facility. The BA erroneously coded zeroes in the PAMT because the LSDP is nontaxable

 

 

When the PHUS alert is received, code an AC1 to clear the alerted event 042. Code an AC2 for the event 042 with $255 as the amount. Also code AC2 for event 041 LUMP SUM. Since the event 041 is a subtraction from benefits paid, it will offset the event 042.

 

Death Adjustments

AJS transaction pays an underpayment due a deceased beneficiary to a surviving beneficiary.
NOTE:   Event 024 DEATH ADJ is positive on the deceased's record and negative on the survivor's record.

???EVNT-024 DEATH ADJ.

 

REFERENCE:  SM 00630.224

 

 

SOLUTION:
1. Code AC1 to NULL positive event 024 DEATH ADJ and corresponding yearly proration events on the deceased's record.

 

 

2. Code an AC1 to NULL negative event 024 DEATH ADJ on the survivor's record.

 

 

3. Code AC2 to annotate the appropriate yearly proration events to the survivor's record. The amount is equal to the death underpayment and ETD is equal to ETD of event 024 DEATH ADJ.

 

 

Also, the following may be necessary if alien taxation is involved.

 

 

a. If the deceased beneficiary is subject to alien tax at the time of death, AJS computes the tax and withholds it from the underpayment amount issued to the survivor.

 

 

Therefore, a negative event 050 RETRO TAX must be coded for the deceased beneficiary to offset the event 050 RETRO TAX built by the AJS program. The AMWA for the underpayment period for the deceased beneficiary must be corrected to reflect the lower AMWA prior to the AJS action.

 

 

If the survivor is not subject to alien tax, the amount of the event 050 RETRO TAX on the deceased's record is payable as part of the death underpayment.

 

 

If the survivor is subject to alien tax, the death underpayment is correct. However, event 050 RETRO and ARWA must posted to the survivor's PHUS and MBR record. The amount equals the deceased's event 050 RETRO TAX.
NOTE:   When coding ARWA, use BCF NA with a drop down line.

 

 

b. If the deceased is not subject to alien tax, but the survivor is, AJS erroneously releases the full underpayment to the survivor. Use MADCAP or MACADE to post tax liability to the survivor's record.

 

SM 00630.228 Event 028 QUES WC

A. DESCRIPTION OF EVENT

Before May 20, 2019

EVENT 028 QUES WC

  • Alerts the Payment Center (PC) that an initial award processed involving Worker's Compensation (WC) offset only for prior tax years. Or a post entitlement transaction processed imposing WC offset only for prior tax years for the first time.

  • Alerts the PC that a post entitlement transaction processed changing the WC offset only prior tax years amounts. The new WC offset only amounts are less than the old MBR WC offset only amounts.

  • There are no more ‘hidden rates’ for the current tax year since the MBR can now house up to 60 occurrences of AMOF WC ONLY data.

After May 20, 2019

EVENT 028 QUES WC

  • Alerts the PC that an initial award processed via MCS or MACADE/MADCAP with WC and Public Disability Benefit (PDB) offset involving prior tax years. Or a post entitlement action processes imposing WC and PDB offset involving prior tax years for the first time.

  • Alerts the PC that a post entitlement action processed reducing the WC offset only amounts for prior tax years.

  • Alerts the PC that a post entitlement action processed that changed the offset from a taxable offset to a nontaxable offset.

FIELD

DATA ELEMENT

AMOF (Amount Offset)

AMOF W/C ONLY, START DATE, STOP DATE

B. BACKGROUND

WC only offset is taxable income and adds to Gross Benefits Paid. PDB benefits are not taxable and do not add to Gross Benefits Paid.

C. PROCESS

Event Annotation After May 20, 2019

This chart shows how the Event Annotation Process builds EVENT 028 QUES WC:

WHEN

THEN

An initial award processes via MCS or MACADE/MADCAP with Worker's Compensation (WC) offset only involving prior years. PHUS builds the prior year WC offset events (059,107,109,119,125) with an ETD equal to COM.

An initial award processes via MCS or MACADE/MADCAP with Worker's Compensation (WC) and Public Disability Benefit (PDB) offset involving prior years or a post entitlement action processes imposing WC and PDB for the first time involving prior years.

PHUS builds an alerted EVENT 028 QUES WC with ETD equal to COM.

ACTION: Code a SSA-1257 AC1 to null the event 028 and code an AC2 to annotate the applicable Prior Year WC events 059,107,109,119,125 with an ETD = the event 028 ETD

A post entitlement action processes reducing the amount of WC offset only in the prior years.

 

PHUS builds an alerted EVENT 028 QUES WC with ETD equal to COM.

ACTION: Code a SSA-1257 AC1 to null the event 028 and code an AC2 to annotate the applicable Prior Year WC refund event(s) 026,106,108,118,124

NOTE: 

The amount for the WC refund Events should never be greater than the prior year events that were posted by the post-entitlement action.

EVNT 026 = or < EVNT 035

EVNT 106 = or < EVNT 036

EVNT 108 = or < EVNT 037

EVNT 118 = or < EVNT 138

EVNT 124 = or < EVNT 140

A post entitlement action processes changing the offset from a taxable (WC) offset to a nontaxable offset (PDB), i.e. the action deletes the MBR AMOF WC field.

PHUS builds an alerted EVENT 028 QUES WC with ETD equal to COM.

ACTION: Code a SSA-1257 AC1 to null the event 028 and, if applicable, code an AC2 to annotate the appropriate Prior Year WC REFUND events 026,106,108,118,124

1. Benefit Statement

This charts shows how the Benefit Statement Process uses EVENT 028 QUES WC:

WHEN

THEN

an alerted EVENT 028 QUES WC is present on the PHUS record

the Benefit Statement Process produces a benefit computation exception.

an EVENT 028 QUES WC is present on the PHUS record, but nulled

the Benefit Statement process ignores it

D. REFERENCES


SM 00630 TN 35 - Payment History Update System (PHUS) - 11/12/2019