Effective Dates: 10/06/2021 - Present Previous | Next

TN 4 (10-21)

DI 32010.055 Continuing Disability Review (CDR) 'Medicare Qualified Government Employee (MQGE)' Cases

A. Procedure for transfers of MQGE cases

Individuals who qualify as MQGE are subject to the same conditions and reviews that apply to regular Title II disabled individuals (e.g., extended period of eligibility (EPE), medical and trial work period (TWP).

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    If the folder is electronic, insert: 'Attn: Disability Examiner. See Form SSA-833 in file' on the Alerts and Messages screen.

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    If folder is paper, attach an SSA-408 (Route slip) annotated with 'Attn: Disability Examiner. See Form SSA-833 in file.'

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    Include messages to explain what action is necessary, if any, for both the paper and electronic folder.

B. Routing CDR MQGE cases

Refer to the chart below for instructions regarding routing of CDR MQGE cases.

Situation

Destination

Remarks

Continuance Cases:

Title II Only or Concurrent Cases (Title II and Title XVI claims - two folders)

Send to the originating Field Office (FO)

'MQGE Continuance - establish a Medical Review diary. See form SSA-833 in File.'

Cessation Cases:

Title II Only or Concurrent Cases (Title II and Title XVI)

Send to the originating FO

 'Title II MQGE Cessation, or Title II/Title XVI Concurrent MQGE Cessation - Termination Action Required.'
To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0432010055
DI 32010.055 - Continuing Disability Review (CDR) 'Medicare Qualified Government Employee (MQGE)' Cases - 10/06/2021
Batch run: 10/06/2021
Rev:10/06/2021