1
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Yes
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No Action.
|
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No
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Review the Representative Payee System (RPS) (and Supplemental Security Record (SSR)
to see if the latest beneficiary address is on SSA records. If it is, prepare a SSA-5002
(Report of Contact) and document that a face-to-face interview is not necessary. (The
need for a payee change was considered when the custody change was input to the SSR
and RPS.) Also review the payee coding on the Master Beneficiary Record (MBR), SSR
and RPS and correct as appropriate.
Only develop for an SSA-624-F5 (Representative Payee Evaluation Report) when the latest
beneficiary address is not shown on the SSR and RPS or the payee submitted an unacceptable response which cannot be resolved.
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Blank
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DIRCON for a response.
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2A
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Yes
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No action.
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No
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Field Office (FO) will conduct face-to-face interviews and complete an SSA-624-F5
if an appropriate explanation cannot be obtained via DIRCON.
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Blank
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DIRCON for a response.
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2B
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Yes
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Verify that payee is authorized to collect a fee; review the data tags at the top
of the SSA-6234 to verify that the amount collected is appropriate (GN 00605.061):
Fee For Services (FFS) indicates whether the payee is authorized to collect a payee fee. If this field
does not contain a “Y” and the payee reports collecting a fee, the RPS ZIPL must be
checked (see GN 00605.074B.2. If fee authorization cannot be verified by reviewing the RPS, the FO must resolve
the fee issue.
Guardianship Status (GS) indicates whether a payee has been appointed legal guardian. A “Y” in this field
indicates that the payee is the beneficiary’s legal guardian. A legal guardian may
collect a fee as indicated by the court. (GN 00602.040; GN 00605.074B.4.b.)
Maximum Fee Amount (MFA) shows the maximum total fee which may be collected by the payee throughout the reporting
period. If the payee reports a fee withholding which exceeds the MFA development per
GN 00605.074B.3. through GN 00605.074B.5.
Drug Addiction/Alcoholism (DAA) indicates whether there is DAA involvement which may affect the amount of fee
a payee may collect as explained in GN 00506.200.
If the payee reports withholding a fee for payee services and the data tags on the
report form do not indicate that the payee is authorized to collect a fee, the reviewer
should query the RPS (ZIPL screen; MSOM RPS 004.002) to determine if the payee has
been authorized to collect a fee. Any inconsistencies must be resolved by the FO with
a face-to-face interview with the payee.
NOTE: If it is discovered that a payee has collected an unauthorized fee for services,
an investigation and determination must be made to document whether misuse had occurred.
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No
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No Action
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Blank
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DIRCON for a response.
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2C
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Any amount
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Add the amounts in questions 2B, 2C, 2D and 2E. If the total is less than 90% of the
Total Accountable Amount (TAA) and the payee cannot resolve the difference, the FO will conduct a face-to-face interview
and complete an SSA-624-F5.
If the payee indicates “ALL” (or the TAA) as a response to more than one question
and the payee cannot resolve the difference, the FO will conduct a face-to-face interview
and complete an SSA-624-F5.
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2D
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Same as 2C above
Exception: If the beneficiary resides in an institution and the amount in 2D is $360 or more,
or an amount equal to the TAA if smaller
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Same as 2C above
No Action
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Blank
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DIRCON for a response.
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EXCEPTION: If the beneficiary resides in an institution, and the amount in 2D is $360 or more,
or an amount equal to the TAA if smaller
or
an amount less than $360 or the TAA if smaller
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No action
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If the payee cannot explain how they provide for the beneficiary's personal needs
or how personal needs are met, the FO should review personal needs spending with the
payee or consider a change of payee if appropriate.
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2E
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Same as 2C above.
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Same as 2C above
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EXCEPTION: An amount equal to or greater than 3 x Federal Benefit Rate (FBR)
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Title II – No Action
Title XVI or Concurrent – FO will develop according to GN 00603.001 if the payee must be contacted for another reason. SI 01110.000
|
or
$2000 or more
An amount <20% of TAA and TAA is >$25,000
or
An amount <20% of Conserved Funds (CF) and CF is >$5,000
or
An amount >$10,000 for Title II only cases.
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Title II – No action
Title XVI or Concurrent – FO will receive an alert from WBDOC when conserved funds equal $2000 or more and
must develop continuing Supplemental Security Income (SSI) eligibility. The PSC receives
the unacceptable forms because of other unacceptable or blank responses
FO should DIRCON for explanation of expenditures
FO should DIRCON for explanation of rapid CF spend down
FO should DIRCON for explanation of possible excessive CF; ensure needs are being
met
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Any amount and Conserved Fund (CF) data entry is $5000 or more
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If the amount in 2E is less than 25% of the TAA and you contact the payee to resolve another issue, determine if the payee is spending
funds appropriately.
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3
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REMINDER: Apply these instructions only if the amount in question 2E exceeds $500.
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3A
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Checking/Savings Account
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Review title of account in item 3B.
GN 02402.055; GN 00603.010.
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U. S. Savings Bonds
|
Review method of titling in item 3B. GN 00603.030
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Certificates of Deposit
|
Review method of titling in item 3B. GN 00605.068H.; GN 00603.030
|
Collective Savings/Checking Account
|
Review the PF (Precedent File) data tag at the top of the SSA-6234 to determine if
precedent file information for the payee is on record. A “Y” indicates information
is on record and no action is needed.
If the PF tag is blank and the payee indicates more than $500 (in question 2E) held
in a collective account, review the collective account information in eRPS and resolve
the discrepancy.
MS 07418.000
|
Other
|
Evaluate type of account in item 4A. Also, review title of account in item 3B or 4B.
(GN 00605.068G and GN 00605.068)
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Blank
|
DIRCON for a response.
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3B
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Any response except “Other”
|
No action, if 3A is acceptable.
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Other
|
Evaluate title of account in item 4B. (GN 00605.068H)
|
Blank
|
DIRCON for a response.
|
4A
|
Stocks or mutual funds
|
Follow instructions in GN 00603.040
|
Blank and 3A is “Other”
|
DIRCON for a response.
|
4B
|
Any response other than those specified in GN 00603.010 and GN 00603.020
|
Develop according to GN 00605.068H.
|
Blank and item 3B is “Other”
|
DIRCON for a response.
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5
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Blank or signed by someone other than the payee
|
Develop per GN 00605.069 for a completed, signed payee report
|