When the request for EXR is denied, the following circumstances can be considered an overpayment:

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  The amount of provisional benefits paid after the date the beneficiary is notified benefits will end.

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  Provisional benefits paid to an individual that the individual knew, or should have known, they were not entitled to receive (i.e. individual files for EXR even though they know they have performed SGA in that same month).

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  The amount of title II provisional benefits paid after the initial month of SGA.

When an EXR request is approved, benefits will be reinstated. The policy guidelines in GN 02201.001B.2. are applicable in determining overpayments.

Normal suspension and deduction provisions apply to reinstated benefits in addition to the requirement no reinstated benefit can be paid in the IRP to a title II beneficiary for any month of SGA.

When a reinstatement is processed the provisional benefit paid in a month is compared to the reinstated benefits due for that month. Any excess provisional payment is considered an overpayment.