Identification Number:
SI 02305 TN 79
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. 79, 12/14/2021

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

The following POMS sections have been updated with a new cross-reference link related to age 18 redetermination. No new policy or procedural changes.

Summary of Changes

SI 02305.017 Release and Scheduling of RZ, LI, and Manual Deeming Case Workloads

SI 02305.017C.12 - Updated with new cross reference DI 23570.006. DI 23570.001 is a broken link.

SI 02305.071B.1 - Updated with new cross reference DI 23570.006. DI 23570.001 is a broken link.

 

SI 02305.071 Completing Redeterminations (RZs) in MSSICS or on Paper Forms SSA-8202-BK and SSA-8203-BK

SI 02305.071B.1 - Updated with new cross reference DI 23570.006. DI 23570.001 is a broken link.

SI 02305.071G.3 - Updated with new cross reference DI 23570.006. DI 23570.001 is a broken link.

SI 02305.071H- Updated with new cross reference DI 23570.006. DI 23570.001 is a broken link.

SI 02305.017 Release and Scheduling of RZ, LI, and Manual Deeming Case Workloads

A. Policy - Required Use of the RZ WIZ with Limited Issue Cases

The RZ WIZ must be used with all Limited Issues (LIs). The RZ WIZ must also be used with all RZs, LI and wage-related diary interviews, and wage-related diaries. See Completing RZs in MSSICS or on Paper Forms SSA-8202-BK and SSA-8203-BK, (SI 02305.071).

B. Scheduling Frequency

The following explains RZ frequency selection.

1. Unredetermined Case (UC) Profile

The following is how the UC profile is determined.

  • Selected 3 months after the initial payment or changes in eligibility status (1619(b) cases); and

  • Must be in current pay, force pay, force due, or 1619(b) status for the current computation month.

2. PE Profiles

The following is the frequency of PE profiles:

Profile Category

Frequency

HEP

Annually

MEP

Annually

LEP 1619 (a)

Annually

LEP Deemed Income Cases

Annually

All other LEP

Every six years

C. Policy - Release Schedule for Priority Diaries Associated with LIs or RZs

The following provides the release schedule for priority diaries (i.e., DI, 5B, 5H, SB, K6, K7, J3, J5, U5, S2, S7, KB, KC, KE, K8, K9, KP, KZ, D8, R8, 3D and I8) associated with LIs or RZs:

1. DI Diary

Most DI (dedicated account monitoring required) diaries are set in the October release of each FY. Others are set during the small redetermination and limited issue releases in subsequent months and posted to the DIAR segment of the SSID with the diary maturity date. See limited Issue Cases, (SI 02305.011) and DI Diary and the Redetermination/Limited Issue Process, (GN 00605.208) for instructions on processing this diary. If the case with the DI diary is selected for LI development, it is identified as such by a selection indicator of Z in the CRZD segment of an SSI query.

2. 5B Diary

IRS interface (5B) diaries are released in October, February, and June. IRS informational alerts identifying amounts above the tolerance are available on SUMS/MCAS MI Central. See Internal Revenue Service (IRS) Interface – General, (SI 02310.045) through IRS Interface – Special Situations, (SI 02310.049) for a description of the IRS match and processing instructions. Alert data (including informational alerts) are available on an interface database and are retrievable through SUMS/MCAS MI Central by the SSN/IRS/SSID Query Screen under the Workload Listing section for RZs and LIs. (For information on the use of this query, click on the RZ/LI Users' Guide on the RZ/LI Listing page.)

3. 5H Alert

IRS/SSR Pension (5H) alerts are in conjunction with 5B workloads. See Pension Interface (5H diary), (SI 02310.052) for processing instructions. Alert data (including informational alerts) are available on an interface database and are retrievable through SUMS/MCAS MI Central by the SSN/IRS/SSID Query Screen under the Workload Listing section for RZs and LIs. (For information on the use of this query, click on the RZ/LI Users' Guide on the RZ/LI Listing page.)

4. SB Diary

SSA conducts a computer match between SSI records in current and force payment/force due status and the Bureau of the Public Debt's (BPD's) savings security instrument registration file. The diaries are released in October and April. See Savings Security Instrument Match (SB Diary), (SI 02310.015) for processing instructions.

5. K6/K7 Diaries

Most MEF/SSR earned income (K6/K7) diaries are released in October and April but may be released at other times during the FY. See Master Earnings File (MEF) Match (K6 and K7 Diary), (SI 02310.055) for processing instructions.

6. J3/J5 Diaries

These diaries are set when the recipient’s/deemor’s wage amount shown on the Supplemental Security Record (SSR) is greater than the wage amount shown on the MEF. The J3 diary generates when the discrepancy between the SSR and the MEF is greater than $1,000 annually for the recipient or deemor. The J5 diary generates when the discrepancy between the SSR and the MEF is greater than $2,000 annually for the deemor. See Earned Income, (SI 00820.001) for processing instructions.

Beginning with September 2008, the J3/J5 diaries will generate in March and September each year.

7. U5 Diary

Unemployment compensation (U5) diaries are released in October, January, April and July each year. See Unemployment Compensation Match (U5 Diary), (SI 02310.065) for processing instructions.

8. S2 Diary

State wage match (S2) diaries are released in October, January, April and July each year. See State Wage Record Match (S2 Diary), (SI 02310.062) for processing instructions.

9. S7 Diary

The S7 diary is set when there are discrepancies between the wage amount shown on the Supplemental Security Record (SSR) and the wage amount shown on the Office of Child Support Enforcement (OCSE) database. The S7 diary is set when the recipient’s wage amount on the SSR is $250 or more per quarter greater than the amount shown on the OCSE database. The S7diary is also set when the deemor’s wage amount is $500 or more per quarter greater than the wage amount shown on the OCSE database. See Monthly Wage Reporting, (SI 00820.143) for processing instructions.

Beginning with September 2008, the S7 diary will generate in March, June, September and December each year.

10. D6 Diary

Effective October 2005 (FY 2006) the death (D6) diary no longer generates a LI, or a RZ.

The D6 diary was set for a deceased eligible/ineligible spouse, parent, or essential person when a death input is made to the record but no RZ initiation data or initiation/completion data were transmitted. Previously when a D6 diary generated, the case was released as a profile D MEP RZ during the next RZ merge run.

11. KC/KE/K8/K9 Diaries

Critical birthday (KC/KE/K8/K9) diaries are set in October of the fiscal year of the year of age attainment. The cases are released as LIs in the month before the month of age attainment. See Critical Birthday Diaries – Supplemental Security Income (SSI), (SI 02309.001), Attainment of Age 65 by Ineligible Spouse, Parent or Essential Person – K8/K9 diary – Supplemental Security Income (SSI), (SI 02309.005), and Gerontology Limited Issue KC Diary (SI 02309.006) for processing instructions.

12. KB Diaries

Most KB diaries are set in October of the fiscal year and are selected as profile K MEP scheduled RZs the month of age 18 attainment. Cases meeting KB criteria after the October redetermination merge have the diary set in a subsequent monthly redetermination merge. To help avoid multiple RZs in a fiscal year, if the record has a priority select diary and a KB diary with a future date, the record is selected as a LI case for development of the priority select diary. The RZ is delayed until the month the KB diary matures.

EXAMPLE: In October a record is set with a 5B diary and a KB diary (because the recipient will turn age 18 the following March). The 5B diary is released for LI development in October. The KB diary is released as a profile K RZ in March.

REMINDER: Coordinate age 18 disability redeterminations (see Public Law (PL) 104-193 Title XVI Childhood and Age 18 Disability and Redetermination Cases, (DI 23570.006) through Disability Redetermination Flag – Exhibit, (DI 23570.110) and Public Law (PL) 104-193 – General, (DI 11070.001) through Case Returned From the DDS, (DI 11070.040)) with profile K redeterminations to avoid multiple contacts with recipients. Also, coordinate dedicated account monitoring processing with profile K RZs.

13. KC Diaries

The recipient or eligible spouse will attain age 90 by the end of the fiscal year. This is a new LI. Pursuing a LI for Title XVI only recipients who are age 90 or older will:

  1. a. 

    ensure processing occurs as part of our program integrity workloads,

  2. b. 

    provide tracking, and

  3. c. 

    remove the agency’s dependency on a stand-alone regional website. Example: The RZ run treats the KC diary the same as other RZ/LI diaries.

If the case has a high score, then it receives an RZ selection. If the case has a low score, then it receives a diary limited issue (Profile = X, Selection Indicator =X). If the case has a reason for delay, the RZ run delays its selection to minimize multiple contacts per year.

14. KZ Diary

Insured status (KZ) diaries are set semi-annually (April/October) if the recipient is within 4 quarters of being eligible for Title II retirement benefits on his/her own record. See Processing the Insured Status (KZ) Diary – Supplemental Security Income (SSI), (SI 02309.010) and Overview of Redetermination Related Diaries and Alerts, (SM 01501.250B) for processing instructions.

NOTE: KZ diaries are also set for potential disability benefits. However, KZ disability insured status diaries will not be set for recipients under age 65 who do not meet either the 20/40 requirement for disability benefits or the special insured status requirements for individuals who become disabled prior to age 31.

15. D8 Diary

Centers for Medicare and Medicaid Services (CMS) Minimum Data Set (D8) diaries are released monthly. This match identifies recipients whose admission to a medical facility has not been reported. See Title XVI Facility Match (D8 diary), (SI 02310.064) for processing instructions.

16. KP Diary

The system sets a KP diary in October of the fiscal year when one member of an eligible couple attains age 62 to 64 later in the fiscal year and does not receive Title II benefits, but the other member of the couple does receive Title II benefits. The diary is set for the month before the month of age attainment. Both members of the couple must be in current pay status (C01). The diary is set once each FY. See Detecting Entitlement to Title II Spouse’s Benefits KP Diary, (SI 02309.007) for processing instructions.

17. R8 Diary

The conserved funds diary (R8) is set to identify cases where the WBDOC processed an annual representative payee accounting report showing conserved funds in excess of $2000 for an individual or $3,000 for a couple. The WBDOC employee inputs the CF field in the REPY segment of the SSR and the LI is selected in the next RZ merge run. See Verification Requirements – Conserved Funds (R8) Diary, (SI 01140.021) for processing instructions.

18. 3D Diary

The Department of Homeland Security (DHS) transmits listings to SSA of those individuals who have been removed from the United States. SSA matches the data against the SSR monthly and posts a 3D diary.

See Processing Alerts from Computer Matches, (SI 02310.007) and DHS Match – Removal From the United States (3D Diary), (SI 02310.018) for descriptions of the DHS match as well as for processing instructions.

19. I8 Diary

The Department of Homeland Security (DHS) transmits listings to SSA of individuals who have voluntarily left the United States and have received a re-entry permit. SSA receives this information monthly and posts an I8 diary. This match was effective July 2005. See DHS Match – Voluntary Leaving the United States (I8 Diary), (SI 02310.017) for a description of this DHS match as well as for processing instructions.

20. KV Diary

The KV diary sets yearly for potential Department of Veterans Affairs (VA) pension payments. The system identifies SSI recipients who are:

  • In current pay status (C01), force pay, or 1619(b) status; and

  • Potentially eligible for, but not receiving a VA pension.

If the case has a high score, then it receives an RZ selection. If the case has a low score, then it receives a diary limited issue (Profile = X, Selection = X). If the case has a reason for delay, the RZ run delays its selection to minimize multiple contacts per year.

D. Policy - Release Schedule for LIs without Priority Diaries

1. Net Earnings from Self-employment

Net earnings from self-employment (NESE) cases are released in April when the prior year's NESE tax records are available. See How to Verify Net Earnings from Self – Employment (NESE), (SI 00820.220) through How to Estimate NESE for Current Taxable Year, (SI 00820.230) for processing instructions. These LIs are identified in the CRZD segment of a SSID by the selection indicator of C. There is no diary to identify these cases.

NOTE: If a record containing NESE is selected for a higher priority RZ that cannot be delayed (profiles K or W) and cleared earlier in the fiscal year, it will be reselected in April as an LI for development of the NESE issue.

2. Continuing Type F Income

SSI recipient cases with continuing type F (TANF/Title IVE Foster Care) unearned income are released each month for LI development to terminate TANF on the record for the recipient. Processing instructions for different types of F income are located in Income Based on Need (IBON), (SI 00830.170); Aid to Families with Dependent Children (AFDC), (SI 00830.400) through Adoption Assistance, (SI 00830.415); Refugee Cash Assistance, Cuban and Haitian Entrant Cash Assistance and Federally Reimbursed General Assistance payments to Refugees, (SI 00830.645); Bureau of Indian Affairs General Assistance, (SI 00830.800) and Bureau of Indian Affairs Adult Custodial Care and Child Welfare Assistance Payments, (SI 00830.810).

These cases are identified in the CRZD segment of an SSID by the selection indicator of F. There is no diary to identify these cases.

IMPORTANT: To prevent multiple selections of the same case for development of continuing type F income, refer to LIs with Continuing Type “F” Income, (SI 02305.024), for input requirements.

3. Payment Continuation Cases (Goldberg/Kelly)

NOTE: Many N07/N08 cases previously paid manually via the GK process are controlled via the Statutory Benefit Continuation software and are in PS C01. These cases get the cost of living adjustment (COLA) increase without FO intervention and are eligible to be selected for RZs in the October big merge. LIs for cases being paid under manual GK procedures pending an appeal decision are released for development in November, December, and January of each fiscal year. Development includes determining:

  • If an appeal decision has been rendered on all issues and

  • Whether Goldberg Kelly payment continuation still applies.

Benefit amounts must be recomputed and corrected based on an appeal decision, COLA and, if applicable other changes not under appeal per How to Correct the PPL During Appeal (Including COLA), (SI 02301.325), SSI Computations – Title II/Title XVI COLA Coordination, (SI 02005.010), and Providing Due Process Notification for Title XVI – Only Cases, (DI 28080.025). Payment continuation cases are identified in the CRZD segment of an SSID by the selection indicator of G. There is a K1 diary on the SSR to identify these cases.

Apply the COLA, if applicable, and clear the LI by RZ field input.

E. Procedure on Organizing RZ’s, LIs and Manual Deemed Income Workloads

Organize your redetermination cases following the order of priority below. Treat RZs and LIs with the same priority in the redetermination workload.

Order of Priority

  1. 1. 

    Profile C with priority diary

  2. 2. 

    LI with priority diary

  3. 3. 

    Profile E and M

  4. 4. 

    Profile K

  5. 5. 

    Profile C without a priority diary

  6. 6. 

    Profile B, UC 1, and W with priority diaries

  7. 7. 

    Profile A with priority diary

  8. 8. 

    LI without priority diary

  9. 9. 

    1619(a) cases with a special action code A

  10. 10. 

    Profile UC 1 and W without priority diaries

  11. 11. 

    Profile A and B without priority diaries

NOTE: You may use the (StaRZ and Stripes the Next Generation (SSTNG) ) system to select your workload using profiles and diaries. The intranet site contains user instructions.

F. Procedure - Coordinating Interviews

1. Release Schedule in Manual Deemed Cases

A list of manual deemed income cases is produced in October and is placed on the Deeming Listings Page . The purpose of this website is to provide on-line access to the deeming list. This list, updated annually in October, is a read-only file of records with deemed income that requires manual computation by the field offices. Central Office will announce when the list is made available to FOs.

The manual deeming list is used to control cases where manual payment computation changes are necessary due to COLA increases. Cases on this list are NOT controlled by SUMS/MCAS MI Central and there is no SSR diary to identify these cases. For instructions on deemed income cases, see Deeming of Income from an Ineligible Spouse, (SI 01320.400), Deeming of Income from Ineligible Parent, (SI 01320.500), and Aliens Subject to Sponsor-to-Alien Income Deeming, (SI 01320.900).

2. Developing Rep Payee Suitability

  • Review the Representative Payee (REPY) segment of the pre-RZ SSID.

  • Develop rep payee suitability if the Type of Payee (T) Code is OTH and the Custody (CU) code is SEL.

  • Identify these cases by action code O on SUMS/MCAS MI Central.

  • Perform a face-to-face interview with the rep payee and the SSI recipient present unless the interview would be clearly unproductive.

EXAMPLE: The recipient is comatose, or the interview would impose undue personal hardship on either the recipient or payee (due to hospitalization, work and/or traveling a great distance to interview, etc.). See Developing Rep Payee Suitability During RZs, (SI 02305.123) for detailed instructions on rep payee suitability development.

3. Rep Payee Accountability Interview Required

If a SSA-623F6 (Representative Payee Report) or SSA-624F5 (Representative Payee Evaluation Report) requiring an FO interview is pending, coordinate the RZ and the rep payee accounting interview.

NOTE: Identify pending cases on SUMS/MCAS MI Central with an action code of T or on a SSID with a PA code of 2 in the REPY segment. See Representative Payee Data – REPY, (SM 01601.565).

If the recipient and/or his/her rep payee work, conduct a telephone interview.

If the RZ qualifies for mail out handling, do not require a personal contact RZ because of the accounting interview.

4. CDR Interview Required

If a CDR is required, coordinate the RZ or LI interview with the CDR interview whenever possible.

5. Childhood Disability Redetermination Required

If a childhood disability redetermination is required, coordinate the non-medical RZ or LI interview with the disability redetermination interview whenever possible.

6. Dedicated Account Monitoring Required

If the DI diary is associated with an RZ instead of being selected as a LI, coordinate the RZ and dedicated account monitoring. Obtain the pending listing of scheduled RZs from theMI Central Page. The instructions for RZs and LIs are available in the Redeterminations/Limited Issues (RZ/LI) User Guide on the MI Central Page. See Diaries - RZs and LIs, (SI 02305.023).

 

 

SI 02305.071 Completing Redeterminations (RZs) in MSSICS or on Paper Forms SSA-8202-BK and SSA-8203-BK

A. Policy for required use of redetermination wizard (RZwiz) for all redeterminations (RZ) and limited issues (LI)

1. Background on using RZwiz

RZwiz improves the RZ interview by providing claims representatives with an easy-to-use tool that automatically retrieves, consolidates, and interprets queries used during the RZ interview. It also provides a plain-English worksheet with data from multiple databases arranged side-by-side, and mathematical computations such as adding earnings to quarterly and yearly sums.

You MUST use the RZwiz worksheet during all RZ, LI and wage-related diary interviews. You do not need to retain the worksheet in the file after the interview, but you may scan the worksheet into the Claims File Records Management System (CFRMS), if necessary.

2. RZwiz features

The RZwiz:

  • reviews the Supplemental Security Record (SSR) and identifies all associated social security numbers (SSNs) automatically; and

  • obtains the Supplemental Security Income Display (SSID), Detailed Earnings Query (DEQY), Summary Earnings Query (SEQY), and National Directory New Hire (NDNH) data for all SSNs, and provides a plain-English worksheet for scheduled RZs.

3. User options

Use the RZwiz to request queries by adding SSNs to the SSN list box, and clicking the Generate Report(s) button.

4. Accessing RZwiz

To access RZwiz, click here. The website includes user guide, sample output, user tips, and general information.

a. Opening RZwiz

Follow these steps:

  1. 1. 

    Open the OQP toolbar;

  2. 2. 

    Log onto the Personal Communications (PCOM) program if you are requesting queries;

  3. 3. 

    Click on the Menu button on the toolbar;

  4. 4. 

    Select Programs on the Menu; and

  5. 5. 

    Select RZwiz on the list of programs and the RZwiz tool will open.

b. Obtaining an RZwiz review sheet

RZwiz retrieves queries and creates electronic review sheets.

Follow these steps:

  1. 1. 

    Select the desired PCOM session from the menu in the right upper corner.

  2. 2. 

    Enter the SSN(s) or open a saved list of SSNs.

    In the SSN List Box, located along the left edge of the interface, you can:

    • type one or more SSNs;

    • save a list of SSNs; and

    • retrieve a saved list of SSNs.

  3. 3. 

    Select the Generate Reports button to obtain the queries and create the review sheets(s).

5. Viewing RZwiz data

RZwiz presents the user with a tabbed interface that includes the Review Sheet tab and the PCOM Queries tab.

The SSN(s) will appear in the dropdown box in the upper-left corner. The interface allows users to:

  • switch between SSNs when multiple numbers are required;

  • use the navigation arrows next to the SSN dropdown box;

  • review full queries by selecting the PCOM Queries tab, and selecting the query name in the left navigation pane; and

  • access SSN Listings and Analyzer Reports by selecting the RZwiz AR menu item in the Tools>QMTs menu, or by selecting the RZ AR button in the tool strip above the tab.

6. Printing RZwiz worksheets

On the desired tab, select the Print menu item from the File menu, or select the Print icon from the tool strip above the tabs. The options available are:

  • Print for selected SSN;

  • Print for selected SSN and all queries;

  • Print for all SSNs; and

  • Print for all SSNs and all queries.

B. Procedure when using Form SSA-8202-BK (Statement for Determining Continuing Eligibility for SSI Payments)

1. Preparing the form

  1. a. 

    As you prepare for the personal contact interview or mail-out RZ, obtain a SSID and review it carefully to determine what type of interview is appropriate.

    For additional information about the SSID, see SM 01601.265 and SM 01601.280. When reviewing the SSID, determine if:

    • The recipient is a qualified alien with a 7-year eligibility limit (see SI 00502.106 and SI 02305.082);

    • A personal contact for dedicated account monitoring is required (see GN 00605.200 through GN 00605.235);

    • An age18-disability redetermination is required (see DI 23570.006 through DI 23570.025);

    • Anyone else in the household is turning age 18 (this event may affect living arrangements);

    • Rep payee suitability development is necessary (see SI 02305.123);

    • If the recipient is insured for Title II benefits; and

    • Additional evidence is required.

  2. b. 

    Enter the recipient's SSN and, if applicable, the spouse's SSN and name in the space provided.

  3. c. 

    Enter the reference date in the space provided (see SI 02305.034C).

  4. d. 

    If an exception to the criteria in SI 01730.045C.4. applies, line through Question 12, which requests information about third-party liability.

2. Conducting the RZ personal contact interview by mail

Take the following actions:

  1. a. 

    Mail Form SSA-8202-BK (Statement for Determining continuing Eligibility for SSI Payments) to the recipient or representative, if applicable, for completion and return.

  2. b. 

    Date stamp Form SSA-8202-F4-INST (Important Facts About Your Supplemental Security Income Payments) and mail it with a self-addressed postage-paid return envelope.

    NOTE: You must date and retain a copy of Form SSA-8202-F4-INST in the file to document the 30-day timeframe for closeout purposes. For an explanation of the N20 failure to provide information closeout procedure, see SI 02301.235.

  3. c. 

    Upon receipt of the signed Form SSA-8202-BK, destroy the copy of Form SSA-8202-F4-INST. Use alternative signature methods for cases processed through The Modernized SSI Claims System (MSSICS) (see SI 02305.003).

  4. d. 

    Be sure to obtain the following on the form:

    • the recipient’s or representative payee’s signature using alternative signature methods for cases processed through MSSICS; and

    • signature from witness(es), when necessary.

  5. e. 

    Mail a copy of Form SSA-4122-FO (Your Supplemental Security Income Folder) as described in SI 02305.038 and SI 02305.117C.3.

3. Conducting the RZ personal contact interview by telephone

When conducting the RZ by telephone:

  1. a. 

    Use Form SSA-8202-BK.

  2. b. 

    Review and discuss the following with the recipient during the interview:

    • Privacy Act/Paperwork Act Notice;

    • Computer Matching and Privacy Protection Act provisions; and

    • Transfer of resources provisions relating to both Medicaid and SSI eligibility.

      NOTE: If a copy of Form SSA-3073 (Important Messages from Your Social Security Office) was not enclosed with Forms SSA-L3074-U2 (SSI Notice of Appointment) or SSA-L3075-U2 (SSI Notice of Appointment 1619(b)), mail a copy to the recipient.

  3. c. 

    Read the Affirmation of Statements item to the recipient or representative payee, if applicable.

  4. d. 

    Review the reporting responsibilities on the tear-off sheet with the recipient or representative payee, if applicable.

    For more information about reporting responsibilities, see SI 02305.117.

  5. e. 

    Confirm the following:

    • the recipient’s or representative payee’s intent to provide the requested information that will enable the agency to determine continuing SSI eligibility;

    • under penalty of perjury, the supplied information is correct; and

    • the recipient’s or representative payee’s agreement to sign the RZ form necessary.

  6. f. 

    Furnish a copy of Form SSA-4122-FO (Your Supplemental Security Income Folder) as described in SI 02305.038 and SI 02305.117C.3.

4. Entering responses

Take the following steps to enter responses on Form SSA-8202-BK:

  1. a. 

    Complete any necessary development according to SI 02305.082 through SI 02305.124.

    NOTE: You may need to complete additional forms such as Form SSA-8010-BK (Statement of Income and Resources) or SSA-8006-F4 (Statement of Living Arrangements, In-Kind Support and Maintenance) or both when you complete the RZ on a paper form.

  2. b. 

    Compare responses on all forms with prior office files, the SSR, and manual or computer listings. For examples of prior files and listings, see SI 02305.070F.3.

  3. c. 

    Resolve any discrepancies following appropriate instructions, unless a tolerance applies.

Information on the SSR or prior files that is not present or alleged on paper forms completed during the RZ does not constitute as a discrepancy. The information does not require development unless it indicates a question of eligibility.

EXAMPLE: A SSID reflects ownership of a non-excluded automobile. We do not develop the current value and continued ownership of this item when properly completing Form SSA-8202-BK. However, if this information plus other allegations on the form cause ineligibility, development is necessary.

5. Transmitting data necessary to complete the RZ

Complete Form SSA-1719B (Supplemental Security Income Post-eligibility Input) and transmit the data to the SSR. If necessary, complete a summary report of contact (RC).

For instructions on completing Form SSA-1719B and an RC, see SI 02305.059.

C. Procedure when using Form SSA-8203-BK (Statement for Determining Continuing Eligibility for SSI Payments)

1. Preparing the form

Prepare for the interview as follows:

  • follow the instructions in SI 02305.071B.1. in this section; and

  • if an exception to the criteria in SI 01730.045E applies, line through Question 24 requesting information about third-party liability.

2. Transmitting data necessary to complete the RZ

Follow the instructions in SI 02305.071B.5 in this section.

D. Procedure when using MSSICS

1. Preparing for a MSSICS RZ

Follow the instructions in SI 02305.071A in this section.

2. Conducting the MSSICS interview

Take these steps:

  1. a. 

    Open an RZ event.

  2. b. 

    Complete the RZ on the chosen path.

  3. c. 

    Review the Privacy Act/Paperwork Act Notice, Computer Matching and Privacy Protection Act provisions, and transfer of resources provisions with the recipient or representative payee, if applicable.

  4. d. 

    Review the affirmation of statement requirement with the recipient or representative payee, if applicable.

  5. e. 

    Review recipient reporting responsibilities with the recipient or representative payee, if applicable.

  6. f. 

    Obtain the following on the printout of the RZ form:

    • the recipient’s signature using alternative signature methods for cases processed through MSSICS (see SI 02305.003); and

    • signatures of witness(es), if necessary.

E. Entering the responses

Use the following steps to enter responses on the MSSICS screens:

  1. 1. 

    Review the information on the MSSICS screens with the recipient;

  2. 2. 

    Complete any necessary development (see SI 02305.082 through SI 02305.124); and

  3. 3. 

    Resolve any discrepancies following appropriate instructions, unless a tolerance applies.

F. Transmitting the data

Verify all documentation (wages, resources, or living arrangements). Upon completion of all necessary development, close the RZ event and build the transaction SSR. Retain all documentation obtained during the RZ in a locked Report of Contact (DROC) and fax into the non-disability repository for evidentiary documents (NDRED).

G. Procedure for additional issues to consider during the RZ interview

1. Recipient is a non-citizen

If the recipient is a non-citizen, follow instructions in SI 02305.082.

2. Dedicated account monitoring is required

If dedicated account monitoring is required on the case and a personal contact is desirable, coordinate the interview.

For more information about dedicated account monitoring, see GN 00605.200 through GN 00605.235 and SI 02305.011.

3. Age 18-disability redetermination is required

If a disability redetermination is required on the case, coordinate the interview (see DI 23570.006 through DI 23570.025).

4. Representative payee suitability development required

Develop representative payee suitability if the Type of Payee (T) code is “OTH” and the Custody (CU) code is “SEL” in the Representative Payee (REPY) segment of the pre-RZ SSID.

For more information about developing representative payee suitability, see SI 02305.123.

5. Title II entitlement

a. Protective filing leads to entitlement for other benefits

SSI recipients must file for all other benefits for which they are entitled, including Title II benefits. If the recipient does not wish to file and does not comply with filing for other benefits, we must suspend the SSI payments using payment status code N06.

For more information about filing for other benefits, see SI 00510.001 through SI 00510.030.

Remain alert about information you receive that indicates possible eligibility for Title II benefits on a recipient's own record or on the another record. If the recipient is entitled to Title II benefits, the RZ serves to protect the Title II filing date. Protective filing remains open until properly closed out.

For information about determining the protective filing date, see GN 00204.015.

When one member of an eligible couple attains age 62 to 64 and does not receive Title II benefits, pursue entitlement to Title II spouse's benefits (see SI 02309.007). You must close out protective filings.

For instructions on closing out protective filings, see GN 00204.012.

b. Concurrent cases

In concurrent cases, review all Title II aspects of the case to ensure recipients are receive the highest Title II benefit to which they are entitled. Use only a certified earnings record to document an individual’s insured status for Title II benefits.

For information on certified earnings records, see GN 00204.004, GN 01010.009, and SI 00601.035B.

EXAMPLE: A recipient is receiving Title II widow's insurance benefits (WIB). During the interview, she meets all factors of entitlement on her own record, except for insured status that she will meet within four months of the RZ. Because, her retirement insurance benefit (RIB) is determined to be higher than her WIB, the RZ serves as protective filing for RIB.

For development of potential Title II entitlement, see SI 02305.110.

6. Processing Medicare Part B applications

The State Buy-In Program pays Medicare Part B premiums for some Title XVI recipients. Process a Medicare Part B application for State buy-in if the SSI recipient:

  • is age 64 years and 9 months, or older;

  • is uninsured for Title II;

  • does not have Medicare; and

  • resides in a 1634 State (also known as an auto-accrete state).

For information on 1634 States and processing State buy-in, see SI 01730.060, HI 00815.000, and HI 00810.010.

NOTE: An aged individual may file for Part A hospital insurance (HI) benefits on the record of a 62- year old spouse (see HI 00801.008).

7. Information material to other SSI recipients in the household

In multi-recipient household situations when an RZ reveals information that may be material to payment amount or eligibility of other SSI recipients in the same household, consider the RZ a third-party report and develop. For information on third-party reports, see SI 02301.010A.

EXAMPLE: An RZ uncovers changes in the household composition or changes in earned income in deeming situations.

H. References

  • SM 01601.265 Online Complete Record Request - SSID

  • SM 01601.280 SSID Query Reply

  • SI 02305.082 Developing Alien Status - RZs

  • SI 00502.106 Time-Limited Eligibility for Certain Aliens

  • GN 00605.200 Overview of Monitoring Representative Payees with Dedicated Accounts, through

  • GN 00605.235 Payee Fails to Respond to SSA-6233-BK

  • DI 23570.006 Requirements for an Age-18 Redetermination

  • DI 23570.025 Processing Childhood and Age 18 Disability Redeterminations

  • SI 02305.123 Developing Rep Payee Suitability During RZs

  • SI 02305.034 Period of Review – RZs and LIs, C Policy - Reference Date

  • SI 01730.045C.4. Redeterminations

  • SI 02301.235 Failure to Provide Information (N20)

  • SI 02305.003 Alternative Signature Methods: Attestation and Witnessed Signature

  • SI 02305.117C.3. Mail out RZs - SSA-8202-BK

  • SI 02305.117 Informing Recipients of their Reporting Responsibilities – RZs

  • SI 02305.082 Developing Alien Status – RZs, through

  • SI 02305.124 Developing RZs With Multiple Rep Payees

  • SI 02305.070F.3. Prior information

  • SI 02305.059 Disposition of RZ and Limited Issue Case Development and Decision Data

  • SI 02305.071B.1. Preparing the form

  • SI 01730.045E Procedure-completing the SSA-8019-U2

  • SI 02305.071B.5. Transmitting data necessary to complete the RZ

  • SI 02305.071A Policy for required use of redetermination wizard (RZwiz) for all redeterminations (RZ) and limited issues (LI)

  • SI 02305.011 Dedicated Account Monitoring RZs and LIs

  • SI 00510.001 Overview of the Filing for Other Program Benefits Requirement, through

  • SI 00510.030 Exhibit of the SSA-L8050-U3 (SSI Claim Information Notice)

  • GN 00204.015 Title XVI Redeterminations (RZs) as Protective Filings for Title II Benefits

  • SI 02309.007 Detecting Entitlement to Title II Spouse’s Benefits – KP Diary

  • GN 00204.012 How to Close a Protective Writing

  • GN 00204.004 Considering Possible Entitlement to Retirement Insurance Benefits (RIB) when a Spouse's Application is Filed

  • GN 01010.009 Certified and uncertified earning records (e/r)

  • SI 00601.035 Adjudicating Title II When a Title XVI Application is Filed, B. Policy - Applications

  • SI 02305.110 Potential Eligibility for Title II Benefits – RZs

  • SI 01730.060 Medicaid Information by Regions

  • HI 00815.000 State Enrollment of Eligible Individuals

  • HI 00810.010 How the Medicare Attainments and Leads Process Works

  • HI 00801.008 HI Entitlement for Aged Spouse of Age 62 Worker

  • SI 02301.010 How to Act on Reports


SI 02305 TN 79 - Redeterminations of Eligibility and/or Payment Amount - 12/14/2021