On January 27, 2007, SSA implemented a streamlined medical CDR FTC process for the
FO. If the beneficiary does not comply with the FO's request for information or evidence
needed during a medical CDR, the FO suspends benefits. If the FO's suspension input to the Disability Control File (DCF) fails,
the PSC must take manual action using MACADE to suspend title II benefits and create
the DEV CDR line on the Master Beneficiary Record (MBR) (For information on CDR transaction,
see SM 03005.110 ). The FO is responsible for correcting the suspension inputs for
title XVI. If the beneficiary does not cooperate during the 12-month suspension period,
benefits automatically terminate effective the 13th month. During the suspension period,
the CDR remains in the FO. The DDS does not receive the CDR during this period until
the beneficiary submits the requested information.
The streamlined process does not apply to claims that have been transferred to the
DDS for a determination. For FTC that arises while the CDR is at the DDS, the DDS
follows DI 28075.005.
For additional information on FO FTC procedures during a CDR, see DI 13015.001-DI 13015.005.
NOTE: The streamlined FTC process does not apply to Work CDRs or extended Medicare cases.
For FTC in initial disability claims, see DI 11018.005.