The streamlined FTC process, implemented for medical CDRs on January 27, 2007, enables
the FO to suspend Title II and Title XVI benefits when the beneficiary or recipient
does not respond to our requests for information or evidence. This streamlined process
does not apply in disability cessation appeals. For an appeal request of a DDS medical
cessation determination, see FO appeal procedures in DI 12026.025E.4 and DI 12010.005.
When the streamlined process applies:
The FO suspends benefits or payments, and does not refer the case to the disability
determination services (DDS) for a medical determination.
If the beneficiary or recipient cooperates and provides the requested information
for the CDR within the 12 months, and there are no other outstanding factors to resolve,
the FO can reinstate benefits and continue the medical CDR process. The FO then forwards
the CDR to the DDS for a medical determination. This does not apply if the record
has terminated. For FTC cases that have terminated, obtain an appeal if within the
appeal period or obtain a new application.
If benefits or payments remain in suspense for 12 months, eligibility terminates effective
the 13th month.
Note: Statutory benefit continuation (SBC) does not apply per DI 12027.015 Cases Excluded from Statutory Benefit Continuation (SBC).