The field office (FO) will identify cases with participation in a program of VR, employment,
or other support services (including a PASS) when conducting a medical continuing
disability review (CDR) or age-18 redetermination personal contact. The FO will record
information about the program on the form SSA-454-BKor SSA-3368-BK as appropriate
(DI 14510.003A1).
SSA-454-BK
SSA-3368-BK
The FO completes Part I, Section A of the SSA-4290-F5 (Development of Participation
in a Vocational Rehabilitation or Similar Program) with information about the individual
and the program after a determination of medical cessation by Disability Determination
Services (DDS) (DI 14510.003C and DI 14515.020).
SSA-4290-F5
The file must contain a copy of the approved PASS application (SSA-545-BK), any supplemental forms including amendments, and the PASS approval notice before
the file is forwarded to DDS. The FO will ask the PASS specialist to provide a copy
of this material (via fax) if it is not already in the file. The FO may use the following
website to identify the servicing PASS Cadre: Location of PASS Cadre.
SSA-545-BK
It is important that the PASS specialist enter a Supplemental Security Record (SSR)
Special Message to identify approved PASS cases and the servicing PASS Cadre. Enter
the following information on the SSR Special Message for every approved PASS case:
-
•
PASS approval date (mm/dd/yy),
-
•
PASS specialist’s phone number (including extension).
Be sure to update the SSR Special Message if the PASS is suspended, resumed, or terminated
by overlaying the approval date with the appropriate information and date. For example:
“PASS term 12/05/05, 800-555-4567 x 123.”
The PASS specialist should also keep the Customer Information System (CIS) updated
so it can be used to obtain current status on individual PASS participants.