Effective Dates: 10/16/2006 - Present Previous | Next

Basic (10-06)

DI 12027.090 Processing Title II Disability Cessation (DIB CESS) Appeal Pending Alerts

The field office (FO) will receive follow-up alerts on Title II claims that have an appeal pending on a medical cessation. Identify the alerts by the title line reading: DIB CESS APPEAL PENDING. Take the following action to resolve the alerts:

A. Process – Alert Intervals

1. Reconsideration Level

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    Initial alerts occur when the reconsideration has been pending 4 months from the date of request.

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    Subsequent reconsideration alerts occur at 3-month intervals until the appeal is resolved.

2. ALJ Hearing Level

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    Initial alerts occur when the hearing has been pending 6 months from the date of request.

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    Subsequent hearing alerts occur at 3-month intervals until the appeal is resolved.

B. Procedure – Processing Alerts

Take the following actions upon receiving a DIB CESS alert

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    Check the status of the appeal. Review the Disability Determination Services Query (DDSQ), if the appeal is at the reconsideration level, or the Case Processing and Management System (CPMS), if the appeal is at the ALJ level

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    Take no action if the appeal is still pending.

If the appeal is resolved and the account is active, take the following action to update the record and terminate the issuing of DIB CESS Appeal Pending Alerts:

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    Initiate a Post Entitlement Online System (POS) transaction and select #6 (DIB Cessation) and enter through to the next page;

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    Input the cessation reason, either #1 (Medical) or #5 (Failure to Cooperate);

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    Input the date of the appeal determination/decision and the level of the determination/decision with the appropriate payment or Medicare information; and

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    Input the notice information.

NOTE: If the account is terminated, update the Master Beneficiary (MBR) via the Manual Adjustment Credit and Award Process (MADCAP).

C. References – Systems Input References for DIB CESS Appeals Pending Alerts

See the following reference for details concerning POS inputs and MADCAP processing:

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    See MSOM T2PE 003.024 for POS inputs;

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    See MSOM T2PE 003.025 for POS inputs;

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    See MSOM T2PE 003.039 for POS inputs and notices;

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    See SM 00801.001 and SM 00801.010 for information on MADCAP.

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0412027090
DI 12027.090 - Processing Title II Disability Cessation (DIB CESS) Appeal Pending Alerts - 10/16/2006
Batch run: 04/14/2014
Rev:10/16/2006