A beneficiary is no longer protected from scheduled medical CDRs if he or she fails
to reassign his or her ticket or otherwise place the ticket with a State VR agency
by the end of the 90-day extension period following ticket unassignment or case closure.
(See DI 55025.001B.5) In that situation, the ticket is no longer considered to be “in use,” but the ticket
has not terminated.
A beneficiary’s protection from scheduled medical CDRs will also end if the PM:
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•
places the ticket in inactive status based on the beneficiary’s request, and the ticket
status changes to “Assigned Not In Use – Inactive,” or “Not In Use SVR – Inactive”;
or
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•
determines the beneficiary did not meet the timely progress requirements, and the
ticket status changes to “Assigned Not In Use – FTPR” or “Not In-Use SVR– FTPR.”
However, if a beneficiary’s ticket is still assigned to an EN or State VR agency or
otherwise placed with a State VR agency, he or she may continue to receive VR and
employment support services from the EN or State VR agency even though the ticket
is not considered to be “in use” and the beneficiary is not protected from scheduled
medical CDRs.
If we make a medical cessation determination on a beneficiary no longer exempt from
medical CDRs, but whose ticket is still assigned or placed with a State VR agency
or EN, the beneficiary may be eligible for benefit continuation according to section
301 of the Social Security Disability Amendments of 1980, based on participation in
a VR or similar program. (See sections 225(b) and 1631(a)(6) of the Social Security Act). For the policy for section 301 payments to individuals
participating in a VR or similar program see DI 14505.010.