Since most payee decisions will be made in the field offices (FO), the FO will be
responsible for sending the appropriate notices. Most notices reflected below are
contained in the DPS.
Use the following charts to determine what final notice to send to which recipient.
(Instructions for advance notices are in GN 00503.100, MS INTRANETERPS 012.008 and NL 00703.763)
The T2R notice system automatically processes most title II postentitlement notices.
However, some of these are “I” (incomplete) or “R” (review) notices that require the
PC to complete specific information like an address. (See NL 00730.020C.) PCs should prepare and release these notices after receiving the T2R3 output.
Obtain the necessary information by querying the MBR and/or eRPS. Drop file the T2R3
output into the claims folder.
NOTE: SSA-11 packages will no longer be routinely sent to the PC.
Many title XVI notices involving initial appointment and changes of payee (i.e., payee-to-payee)
are automated. In addition, the eRPS can be used to generate non-select notices to
both adults and children. However, some actions still require manual notices.
In the chart that follows, the “Type of Action” column provides information on whether
the notice is systems generated (“automated”), produced by eRPS (ANSN) or must be
prepared manually.
BENEFICIARY IS AN ADULT — TITLE II
|
Addressee
|
Type of Action
|
Notice Reference
|
|
Legally Competent Beneficiary, including DACs
|
Appoint/change a payee -
postentitlement - automated; “R” if has guardian or payee does not have custody
|
NL 00703.822 and/or
NL 00730.136 including a copy of the notice sent to the new payee.
|
| |
Appoint a payee - initial claim - automated; PC copies notice if processed via MCS/MACADE
|
NL 00703.822
|
| |
Pay the beneficiary directly (after having been paid through a payee) - automated
|
NL 00730.136
|
| |
Deny request for direct payment or continue same payee -eRPS
|
NL 00703.825
MS INTRANETERPS 012.003
|
|
Legally Incompetent Beneficiary, including DACs
|
Appoint/change a payee -
postentitlement - automated but “R” notice
|
NL 00703.823
NL
00730.136
|
| |
Appoint a payee - initial claim - manual
|
NL 00703.823
|
| |
Deny request for direct payment eRPS
|
NL 00703.827
MS INTRANETERPS 012.003
|
|
New Payee
|
Appoint a payee - initial claim - automated
|
Award notice with payee language from NL 00730.136.
|
| |
Appoint/change the payee - automated but “R” if LAF S7/S9
|
NL 00730.136
|
|
Legal Guardian
|
Appoint a payee - legal guardian is not payee/applicant - manual
|
NL 00703.824
|
| |
Change from representative payment to direct payment -manual
|
NL 00703.828
|
| |
Same method of payment continues - legal guardian is not payee/applicant - manual
|
NL 00703.826
|
|
Former Payee
|
Change payee or make direct payment - automated but “R” if DOS is less than 12 months
|
NL 00703.821
|
|
Unsuccessful Applicant ( eRPS will produce non-select notices)
|
Any, except as noted below
|
NL 00703.821
MS INTRANETERPS 012.003
|
| |
Appoint payee — legal guardian/authorized representative is applicant
|
NL 00703.824
MS INTRANETERPS 012.003
|
| |
Make direct payment — legal guardian is applicant
|
NL 00703.828
MS INTRANETERPS 012.003
|
| |
Continue current payment method — legal guardian is applicant
|
NL 00703.826
MS INTRANETERPS 012.003
|
|
Authorized Representative
|
Appoint a payee - initial claim -addressee is not payee - MCS produces notice if entered
on chk/notc screen. PC must copy if processed via MCS/MACADE
|
NL 00703.822
|
| |
All post adjudicative actions other than when addressee is payee/ applicant - manual
|
Copy of notice to beneficiary/payee.
|
BENEFICIARY IS AN ADULT - TITLE XVI
|
Addressee
|
Type of Action
|
Notice Reference
|
|
Legally Competent Adult
|
Appoint a payee - initial decisions -automated unless legal guardian/authorized representative
who is not payee
|
NL 00703.822 and
NL
00804.185 including a copy of the notice sent to the new payee.
|
|
|
Change a payee - automated
|
NL 00703.822
|
|
|
Pay the beneficiary directly (after being paid through a payee) - automated
|
NL 00730.136
NL 00804.185
|
|
|
Deny request for direct payment - eRPS
|
NL 00703.825
MS INTRANETERPS 012.003
|
|
|
Same payee will continue - eRPS
|
NL 00703.825
MS INTRANETERPS 012.003
|
|
Legally Incompetent Beneficiary
|
Appoint/change a payee -manual
|
NL 00703.823
|
|
|
Deny request for direct payment - eRPS
|
NL 00703.827
MS INTRANETERPS 012.003
|
|
New Payee
|
Appoint payee - automated unless legal guardian/authorized representative
|
NL 00804.185
|
|
|
Change the payee - automated
|
NL 00804.185
|
|
Legal Guardian
|
Appoint a payee — legal guardian is not payee
|
NL 00804.185 (See separate instructions for former payee or unsuccessful applicant if legal guardian
must be notified of those actions.)
|
|
|
Change from payee to direct pay - eRPS
Same method of payment
continues - legal guardian is not applicant -manual
|
NL 00703.828
NL 00703.826
MS INTRANETERPS
|
|
Former Payee
|
Any - automated (FO) must send SSA-623 if DOS is 12 or less months
|
NL 00703.821
|
|
Unsuccessful Applicant
|
Any - eRPS
|
See title II chart for references.
|
|
Authorized Representative
|
Appoint a payee - addressee is not payee/ applicant - automated
|
Copy of notice sent to beneficiary/payee.
|
BENEFICIARY IS A CHILD — BOTH TITLES
|
Addressee
|
Type of Action
|
Notice Reference
|
|
Beneficiary, not legally emancipated
|
Appoint/change payee
|
no notice needed
|
|
|
Remove the child from direct payment - eRPS
|
NL 00703.823
MS INTRANETERPS 012.003
|
|
|
Change to direct payment - automated except: title II -“R” if guardian or payee does
not have custody; title XVI -suppress and send manually if guardian or authorized
representative in addition to payee
|
NL 00730.136
|
|
|
Deny request for direct payment - manual
|
NL 00703.827
|
|
Legally Emancipated Minor
|
Any - manual unless initial appointment of payee or change to direct payment
|
same as for an adult
|
|
New Payee
|
Any- same as for an adult
|
same as for an adult
|
|
Parent, Person Standing in the Place of a Parent, or Legal Guardian
|
Appoint a payee -addressee is not the payee - manual unless title XVI and legal guardian
is also parent
|
NL 00703.824
|
|
|
Make direct payment to the child - eRPS
|
NL 00703.828
MS INTRANETERPS 012.003
|
|
|
Retain current method - manual
|
NL 00703.826
|
|
Former Payee
|
Any - same as for an adult
|
same as for an adult
|
|
Unsuccessful Applicant
|
Any - include “parent, person standing in the place of a parent” with “legal guardian”
situations
|
same as for an adult
|
|
Authorized Representative
|
Any - same as for an adult
|
same as for an adult
|