Use the caption(s) and paragraphs in the following chart when SSA has examined the
beneficiary’s case file and they can meet or cannot meet one or more of the good cause
reasons, but additional evidence or information is needed from the beneficiary before
SSA can make a good cause determination. (See GN 02613.025 for the good cause procedures. See NL 00755.900C.5. for the language used in the good cause paragraphs and captions that explain what
evidence is necessary to prove good cause.)
IF:
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THEN:
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the action is for an Initial Award Plus Suspension Notice
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Use:
caption UTI# MESCO2 before the already established good cause paragraph
Add:
already established good cause paragraph UTI# PAY157
Select:
one or more of the appropriate paragraph(s) to use with PAY157 that provides the good
cause reason(s) that the beneficiary has already established based on evidence or
records in the beneficiary’s file
FUG032
FUG033
FUG034
FUG035
FUG036
FUG037
FUG038
FUG039
Add:
UTI# PAY158 to notify the beneficiary what evidence or information is still needed
to establish good cause.
Select:
one or more of the additional paragraphs from the list below to explain what additional evidence
is needed to establish good cause for the beneficiary:
FUG042
FUG040
FUG041
FUG043
FUG044
FUG045
FUG046
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IF:
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THEN:
|
the action is to send the Advance Notice of Proposed Suspension Notice
|
Use:
Caption UTI# MESCO2 before the already established good cause paragraph
Add:
already established good cause paragraph UTI# PAY157
Select :
one or more of the appropriate paragraph(s) to with PAY157 that provides the good
cause reason(s) that the beneficiary has already established based on evidence or
records in the beneficiary’s file.
FUG032
FUG033
FUG034
FUG035
FUG036
FUG037
FUG038
FUG039
Add:
UTI# PAY158 to notify the beneficiary what evidence or information is still needed
to establish good cause
Select:
one or more of the additional paragraph(s) from the list below to explain what additional
evidence is needed to establish good cause:
FUG042
FUG040
FUG041
FUG043
FUG044
FUG045
FUG046
|