Basic (09-26)

GN 01775.310 The Romanian Liaison Agency Requests for Medical Examinations

 

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  A. Background for liaison agency requests a medical examination

If the Romanian liaison agency National House of Public Pensions requests a medical examination for a U.S. resident, the Social Security Administration (SSA) will schedule the examination and send the results to the liaison agency. The liaison agency requests medical examinations using the Form SSA e2960 USA/RO 3 (U.S. Romania Agreement on Social Security Transmittal/Request/Certification).

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  B. Process for the liaison agency to obtain medical examinations

To obtain medical examinations for the liaison agency, use the following process:

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  1. Schedule an examination or forward pertinent medical evidence

SSA will schedule an examination, or forward “pertinent medical evidence” from SSA records to the liaison agency. Pertinent medical evidence is medical evidence that SSA obtained in connection with a continuing disability review or a disability claim filed or adjudicated within a year of the date for which the liaison agency has specifically requested medical evidence. SSA’s records include a paper claims folder and electronic files.

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  2. Requests reimbursement for cost of medical examinations

SSA requests reimbursements for the cost of medical examinations obtained for the liaison agency using Form SSA 1278 USA/RO 3 (Request for Payments of Reimbursable Expenses under U.S. - Romania Agreement on Social Security). SSA will complete the form, scan it into electronic file and send a paper copy to the following address:

Address:

National House of Public Pensions 8 Latina Street, 2nd District Bucharest Romania 020793

NOTE:

Form 1278 USA/RO3 can be printed from the SSA Totalization Forms section of the International Benefits and Processing’s "Totalization Resource Kit ".