If the FO agrees with the deficiency citation, the FO takes corrective action and reports completion via the Seattle SSA-93 Quality Review website. The FO must complete corrective action within 90 days from the date QR transmits the SSA-93 to the Quality Review website.

If the FO disagrees with an error, the FO should rebut the issue following the procedures outlined in QR 04461.030. The FO delays corrective action only on the contested issue.

If a recipient rebuts any determination of ineligibility, overpayment, or underpayment, the FO takes the necessary action to resolve the disagreement. If the results of the FO action are a reversal or modification of QR’s determination, the FO returns the development results to QR via the SSA-93 website so they can modify their database. The FO uses the comments area in the website to describe the necessary action and provides the location of any evidence stored electronically.

There may be situations, for example a system limitation exists, where the FO cannot correct the case in the manner requested on the SSA-93. This may occur if the Supplemental Security Record was in current pay when QR sent the SSA-93 but the record is now in terminated status and the FO must correct it using a different method. When this type of situation exists, the FO should document the file and the comments area of the SSA-93 website explaining why their action differs from the SSA-93.

If the FO agrees with QR’s findings, take corrective action within 90 days of the SSA-93 transmission to the Quality Review website. FO management must confirm all actions were taken before annotating the case is complete on the SSA-93 website.

There may be cases that require more than 90 days for correction. Examples include cases requiring;

• •

  cross component activities,

• •

  amended disability decisions, and

• •

  fraud or similar fault determinations.

• •

  To obtain more time for correction, the FO can request an extension past the 90-day deadline by submitting an email request to the ORC through the SSA-93 website with an estimate of the extra time needed, and a justification for the extension. Use the comments area of the website to record these items.

The ORC either grants or denies an extension request as follows:

• •

  document the SSA-93 website comments area with the determination and rationale for audit purposes, and

• •

  notify QR via email through the SSA-93 website with the name, SSN, reason for the extension, and the time granted.

• •

  the website will continue to send follow-ups at the regular scheduled intervals, however, there is an indicator to show that an extension was approved.

If the FO disagrees with QRs findings, they need to submit a rebuttal within 45 calendar days as outlined in QR 04461.030 and annotate the SSA-93 Quality Review website. If the final rebuttal decision affirms the deficiency, the FO takes corrective action within 90 days.

In order to ensure FOs take proper action on SSA-93 information, QR monitors the SSA-93 Quality Review website. QR reviews cases with a special indicator, known as High-Risk, when the FO annotates the case “complete” on the SSA-93 website.

The QR reviewer sends an email via the SSA-93 website to the responsible component within 20 calendar days including a description of the issue if;

• •

  The FO took no action, or

• •

  Their action was incomplete, or

• •

  The action was incorrect.

Upon receipt of the email, the FO should take the necessary action as timely as possible. The ORC/AC of OCO also receives a copy of the email to ensure the FO with jurisdiction completes the necessary action timely. The SSA-93 website sends a follow-up every 15 days. If the FO disagrees with the requested action, they should contact their regional office and have them contact QR for informal resolution of the issue.

When the QR reviewer determines all corrective actions are complete, they update the status of the case on the SSA-93 website to “Correct Action Taken” within 20 calendar days of receipt of the case. This moves the case to the completed listing.

In certain situations, QR may discover that the SSI recipient is potentially entitled or eligible for other benefits. The FO develops the potential entitlement or eligibility per SI 00510.000 and updates the SSA-93 Quality Review website. Review the website to ensure all corrective actions are complete.

QR uses Evidence Portal (EP) to scan the wage verification to NDRED or attaches it to the SSA-93. QR includes complete wage documentation for the period covered by the QR review so the FO does not have to re-contact the recipient or the employer and redevelop the same period(s).

However, in some cases, there may be additional development required to update wages for months within the administrative finality period that were not included in QR’s period of review. The SSA-93 identifies this additional development as an informational issue that the FO must complete.