Goldberg/Kelly automatic payment continuation governs the following types of reopenings
and revisions:
-
•
failure to follow prescribed treatment; and
-
A predetermination notice is not required when Goldberg/Kelly automatic payment continuation
applies.
For information on the cases where the Disability Determination Services (DDS) sends
a predetermination due process notice, see Policy – Due Process for Adverse Reopenings,
DI 27525.001C.
See Also:
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•
DI 28080.025 – Providing Due Process Notification for Title XVI-Only Cases
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•
DI 28075.005 – Failure to Cooperate (FTC) and Whereabouts Unknown (WU) Cases
NOTE: Goldberg/Kelly procedures do not apply to Title XVI whereabouts unknown cases because
WU (S06) is considered an administrative suspension and does not result in a loss
of eligibility.