When reviewing the output, if payment has been initiated under a number other than
the claim number, use other means of identifying the correct claim number (e. g. Representative
Payee System, etc.) If this does not produce the proper claim number, e-mail or call
the field office and ascertain the correct claim number. When the correct claim number
is located, process a CPS and transfer payment action.
If the FO records reflect the same claim number as originally input, request the FO
to contact the beneficiary to verify the claim number. If the claim is lost, redevelop
under the lost claim procedure. If jurisdiction belongs to another PC, process a CPS
correction action to change the output disposition indicator (ODI).
Review the CPS output to determine the state of processing. When a claims or post-entitlement
action is required, make sure that the corrective action is taken promptly and that
controls are maintained.
If it determined, based upon the review, that the beneficiary is not entitled to benefits,
immediately process a manual CPS stop-payment and control recovery of any overpayment
etc. Clear the CPS record either via MADCAP/MCS action, or if appropriate, by routing
it to Office of Automation Support for manual clearance.
When a future suspension or termination of benefits is applicable (e.g., age 18, no
child under 16, etc.), determine if the correct last payment month (LPM) was input
on the CPS transaction. If not, prepare PCACS diary to control the case for the first
of the month before the month of suspension or termination. When the diary matures,
process a MADCAP/MCS conditional adjustment and cancel the diary. If a MADCAP/MCS
action cannot be processed when the diary matures, process a manual CPS stop-payment
action (If the correct LPM was input, a diary is not necessary because the CPS payments
will stop automatically.)
Whenever a CPS payment is made to replace an overpayment benefit withholding, the
field office will annotate the nature of problem field (NPF) with the remark “O/P INVOLVED-PSC ACTION REQUIRED.” This remark alerts the PSC that action is needed to adjust the ROAR overpayment amount.
All existing instructions regarding overpayments are applicable.
Whenever a MADCAP/CPS/MCS interface results in the posting of an overpayment to the
MBR, existing instructions regarding overpayments are applicable. Notify the beneficiary
of the overpayment, and include reconsideration/waiver rights, etc.
When a MADCAP/MCS corrective action is applicable, examine the CPS payee name and
address (PNA) carefully. If the CPS PNA is different than the MBR data, be sure to
enter the correct PNA on the MADCAP/MCS action.