Last Update: 9/2/2005 (Transmittal I-2-63)
HA 01280.103 Exhibit - Response
to Inquiry by Individual/Representative Regarding Title XVI Payment
Continuation
Renumbered from HALLEX section I-2-8-103
Social Security Administration
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Date:
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From:
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HO
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Subject:
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Response to Inquiry by Individual/Representative
Regarding Title XVI Payment Continuation
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To:
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DO/BO _______________________
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RE:
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____________________________ _______________________
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Individual's Name SSN
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1.
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a. ___
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Individual initiated action
on _________________(date)
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or
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b. ___
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Representative of individual
initiated action on _________________(date)
__________________________________
Name
of Representative
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2.
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a. ___
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Do not reinstate
continued payments -- a final decision or dismissal order has already
been issued for this remanded case on _________________(date)
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or
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b. ___
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The remand is still pending
without a final action. The individual has been referred to your
office to complete a written request for continued payments. Please
perform SSI queries to determine whether or not the individual received continued
payments before at the ALJ level and follow the instructions in
POMS DI 12027.065ff.
_____________ Date of prior decision
or dismissal order
_____________ Date of Appeals Council
remand order
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NOTE TO DO/BO:
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The HO will not send a notice
to the individual regarding continued payments, since the individual/representative
initiated the process.
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