Identification Number:
EM-20058
Intended Audience:All RCs/ARCs/ADs/FOs
Originating Office:DCO OPSOS
Title:FY 2021 Redeterminations – One-Time-Only Instructions
Type:EM - Emergency Messages
Program:Title XVI (SSI)
Link To Reference:See Reference at the end of this EM.
 
A. Purpose

This EM provides guidance on achieving the Fiscal Year (FY) 2021 redetermination (RZ) and limited issue (LI) goals. It also reminds field offices (FOs) to follow the order of priority when scheduling RZs and LIs and best practices for managerial processing of RZs and LIs.

B. RZ/LI goal for FY 2021

The FY 2021 combined processing goal for RZs and LIs is 2.836 million, with the national RZ target at 2,557,100 and the LI target at 278,900. We are selecting RZs for all profile codes except the middle-error profile B without diaries. While 2.836 million is the overall target for the agency, we must also come as closely as possible to clearing the target number of redeterminations and limited issues separately.
    C. Achieving the RZ and LI goal

    We do not expect you to complete every redetermination selected for your office. Rather, follow the order of priority outlined in subsection D. to focus on the cases with the highest value.

    Completing redeterminations initiated from a prior fiscal year (for example, an RZ initiated in August 2020, but completed in FY 2021) also count towards the redetermination goal. FOs must monitor their initiated redeterminations to ensure they are developed and completed timely. FOs can obtain a list of pending initiated redeterminations from:

      · Starz and Stripes the Next Generation (SSTNG); or
      · the RZ and LI Pending List in MI Central by filtering the request to display ‘Initiated Redets’, ‘Unsigned Redets’ and ‘Signed Redets’.

    NOTE: Completed unscheduled redeterminations count towards the redetermination goal. Keep in mind that your office gets a count for completing an unscheduled redetermination whenever you start date a Supplemental Security Record (SSR). For start date records built using:
      · an SSA-450-SI (SSI Data Input and Determination), the count is received in the next RZ merge run.
      · the Modernized Supplemental Security Income Claims System (MSSICS), a count is given whenever we close the event in MSSICS.

    NOTE: Not all PE changes require a redetermination. For a list of the situations that require the completion of an unscheduled redetermination, see SI 02305.022A.3.

    IMPORTANT: Managers will estimate the number of unscheduled redeterminations their offices complete and consider that estimate when determining the number of scheduled cases to complete.

    D. Order of priority and StaRZ and Stripes the Next Generation (SSTNG)

    When scheduling your limited issue and redetermination workloads, you should follow the order of priority as listed in SI 02305.017E. Profile C redeterminations with priority diaries are high priority cases for FY 2021. Following the order of priority ensures that FOs focus on the RZs and LIs with the greatest probability of improper payment.

    SSTNG allows you to organize your cases according to the priority order using filters. You can apply a filter to your SSTNG case list by clicking the “select filter” button on the SSTNG home page (SSHOME). The following table describes the selections to make for each level of priority:
    Order of PriorityFilter Selection in SSTNG
    1. Profile C with priority diaryprofile = C and diary = DI, 5B, 5H, SB, K6, K7, J3, J5, U5, S2, S7, KB, KC, KE, K8, K9, KP, KV, KZ, D8, R8, 3D, or I8
    2. LI with priority diaryselection indicator=X and/or diary = 5B, 5H, SB, K6, K7, J3, J5, U5, S2, S7, KB, KC, KE, K8, K9, KP, KV, KZ, D8, R8, 3D, or I8
    3. Profile E and Mprofile = E or M
    4. Profile Kprofile = K
    5. Profile C without a priority diaryprofile = C (this will select all HEP C cases, even those with a priority diary. You must manually scan the list to find those without priority diaries)
    6. Profile B, UC 1, and W with priority diariesprofile = B, 1, or W and diary = DI, 5B, 5H, SB, K6, K7, J3, J5, U5, S2, S7, KB, KC, KE, K8, K9, KP, KV, KZ, D8, R8, 3D, or I8
    7. Profile A with priority diaryprofile = A and diary = DI, 5B, 5H, SB, K6, K7, J3, J5, U5, S2, S7, KB, KC, KE, K8, K9, KP, KV, KZ, D8, R8, 3D, or I8
    8. LI without priority diaryprofile = X and selection indicator code = C (unverified self-employment), F (continuing type F unearned income), or G (payment continuation) or Z (dedicated account)
    9. 1619(a) cases with a special action code AN/A - Cases will not be selected this year
    10. Profile UC 1 and W without priority diariesprofile = 1 or W
    11. Profile A and B without priority diariesProfile = A
    We are not selecting profile B cases without diaries this year.




    NOTE: SSTNG will not allow you to filter using more than three diaries at a time. Requesting a focused list (For example, profile X and U5 diary) allows you to include the appropriate evidence request (For example, proof of unemployment compensation) in your appointment notices.

    E. Management Involvement in RZ/LI Workloads

    Managers and supervisors are permitted to assist with the RZ/LI workload if there is a business need. These members of management may only complete RZs/LIs if they have sufficient SSI training and possess the SSI program proficiency necessary to accurately and effectively complete redeterminations. Program proficiency includes the ability to fully and accurately develop all factors of SSI eligibility, including living arrangements, income and resources, and outstanding diaries. They must also thoroughly document the cases according to policy. Additionally, managers and supervisors who close RZs initiated by other employees must thoroughly review the RZ for accuracy prior to adjudication.

      Direct all program-related and technical questions to your Regional Office (RO) support staff. RO support staff may refer questions, concerns or problems to their Central Office contacts.

      Reference:

      SI 02305.000 Redeterminations of Eligibility and/or Payment Amount


      EM-20058 - FY 2021 Redeterminations – One-Time-Only Instructions - 12/01/2020