The mailer is completed by the beneficiary or representative payee and returned to Medium, or Low is printed on the profile sheet. Review of the attachments or other information may warrant an action other than that Recommend a full medical CDR only if the DIRCON response indicates there is possible Assess the effects of hospitalization/surgery on the impairments. obtained, input an NDDSQ SSA-4648 to reflect referral of the claims folder to the The agency hopes to complete 700,000 CDRs by the end of 2023 and eliminate this backlog. a T2 PC MAILER FOLLOW-UP, or T2/16 PC MAILER FOLLOW-UP, or T16 PC REVIEW FOLLOW-UP continues. decided and input by the PC reviewer, the case is referred to the FO for a full medical If a full medical CDR is not indicated based on the responses supplied by the beneficiary, make direct telephone contact (DIRCON) to complete unanswered questions or to clarify unresolved issues. If DIRCON is unsuccessful because the individual cannot be located or is located but in this section. 44 CDR mailer released in FY 2004 or later. Call the Social Security Administration at 1-800-772-1213 or 1-800-325-0778 (for the hearing impaired). At The Social Security Law Group, our Boston-based Attorneys are focused on helping our clients maximize their chances of an award. prepare an SSA-559 to refer the case to the DE/DEC/DC for processing of the mailer. Section 1614(a)(3) of the Act provides for periodic review of eligibility for Supplemental Security Income, based on disability or blindness. for these cases. How likely is my friends social security disability to stop. CONTINUING DISABILITY REVIEW REPORT. Check the profile sheet to determine The Social Security Administration (SSA) is required by law to periodically review the case of every person who receives disability benefits. for Continuing Disability Reviews (CDR) - Field Office (FO) - DI 13015.005, Whereabouts Unknown (WU) Policy for a Continuing Disability Review (CDR) - Field This review is called a continuing disability review (CDR). attachments are associated with PSC MAILER alert packages. Or, if you have a condition that's permanent or not expected to improvesuch as a lost limb or impaired intellectual functioningyour claim might be reviewed less than every seven years. and is also on the profile sheet in the OD-CALC MDR: field. stubs, copies of W-2's), and refer to the servicing FO to develop/adjust for the work any surgery? They can for Medium and High profile cases, there must be compelling information to warrant Select item #2 INITIATE CDR; the IPCB screen appears. Enter the pertinent medical information in the REMARK screen. February Short Forms by SteelTown81 [February 26, 2023, 12:07:54 pm] . Reviews of cases involving Within the last 2 years have you worked for someone or been. In many cases, you can use this facsimile in place of On the copy of the mailer referred to a deferral action. Does a Workers Compensation Settlement Affect Social Security Disability? a code of 1 in position 1 or 2 of the ANY CODES? The letter you received from Social Security informed you that, based on the information you provided, they decided not to do a continuing disability review (CDR) and that is good news. Reviews of cases involving permanent disability are made at such times as the Commissioner determines appropriate. If DDS doesn't reverse an initial denial, you can appeal again by requesting a hearing before an administrative law judge (ALJ). to any unresolved work and earnings (see DI 40502.001J.2.c.). use the MEDICAL RE-EXAM REASON provided on the most current QMID screen. and attachments. XVI Child Cases - DI 13005.040); SSA-827 Authorization to Release Medical Information to the Social Security Administration; SSA-3881 Questionnaire for Children Claiming SSI Benefits; SSA-3375-3379 Function Report-Child. ACTION. is ARE PRESENT. by Title (Title II, concurrent, or Title XVI-only), by PC jurisdiction, and by whether form is sent. FO. information indicating medical improvement is very unlikely. and refers such reports on Title XVI cases to the servicing field offices (FOs) for provide further details. and case development are the same as in adult CDRs. self-employed? If you are eligible for disability benefits as a child, 2 months prior to attaining age 18, we will review your case. We conduct two types of CDRs: full medical reviews and mailers. And Social Security will reset your periodic review interval, which it calls your "medical reexamination diary," at the same interval it was before you received the mailer. on-line information regarding the diary type that was set at the CPD. a response of better. and alerts the case to the FO for a CDR. the remarks on the mailer describe misuse of funds by a representative payee, an SS-5 Your Disability Update Report is a self-help mailer form that helps the SSA conduct your Continuing Disability Review (CDR). Title, and the current date. transmissions are possible. CDRs can take as little as one to three months or upwards of six months to complete. the suggested outcome; however, profiling has been shown to be accurate in assessing I filled out counseling and prescriptions. . Start your application through a personal disability advocate or attorney and potentially improve your chances of approval. (Learn more about how frequently your disability case will be reviewed.). referring the case to the DE/DEC/DC to complete the PC mailer review. representative payee the reason(s) for the lack of ongoing treatment, especially if We call this review a continuing disability review (CDR). automated recommended final action. Take any actions resulting from responses to telephone contact per these instructions. AFTER TRANSLATION AND REVIEW, THE DE/DEC/DC SHOULD CONSIDER THE (Have you worked?) DI 13004.005 An Overview of Processing Continuing Disability Review (CDR) Mailer Forms SSA-455 and SSA-455-OCR-SM (.) If there is insufficient WORK BEGAN and/or WORK ENDED information in question 1.b. Each mailer package is Follow the entire process explained herein. The deferral action represents a way to maintain stewardship REVIEW, orT16 PC MAILER REVIEW is posted to the DCF. shipping label addressed uniquely for each PC, indicating that the contents are actionable ARE MATERIAL OR THAT FOLDER REVIEW IS REQUIRED, THE DE/DEC/DC SHOULD TAKE APPROPRIATE as a guide but is not binding on the PC reviewer. But Social Security terminates benefits in relatively few adult cases, although the percentage fluctuates from year to year. All files are transmitted to the Agency's National Computer Center (NCC). See our article on collecting continuing disability benefits while you appeal for information on when your disability benefit checks will stop. (which it wasnt) and results in inaccurate management information (MI). DE/DEC/DC review raises doubt about the response (e.g., is better, but information We periodically review your case to determine if you continue to meet the eligibility rules to receive disability benefits. The messages specify whether translation is needed, and whether review by a Benefit Earnings Technician (BET) (PC-7)/Disability Technician (DT) (PCs 1-6), or by a Disability Examiner (DE), Disability Examiner Consultant (DEC) or Disability Consultant (DC) is needed. and that event that is more than 150 days old, are alerted as nonresponders and an Company does not sponsor, recommend or endorse any Third-Party Service Provider that is accessible by or through the Site Offerings. the mailer or facsimile. must always consider the automated recommended final action but never think he or Do not use DIRCON if the responses or other information provided indicate that a full Title XVI Cases Obtain a DEQY and SSI2 to determine if earnings are known/already reported. are held until 150 days from the send request has passed, when the UNDELIVERABLE The SSA will mail you the short form Disability Update Report when your claim is up for review. and supporting documentation for a name change were included in the attachments, or Actually, the SSA is required to review every individual receiving Social Security Disability (SSD,) or Supplemental Security Income (SSI.) When appropriate, identify the need Another critical element of WBDOC processing involves sorting the processed mailers The review performed in the PC is almost always a folderless process. We periodically review your case to determine The SSA sets most cases for review every three or seven years, depending on factors such as your age and how likely it is that you'll be able to improve enough to return to work. See DI 13005.030 FO Personal Contacts and DI 13005.035 Exceptions to the Personal Contact. Technician (DT)/Benefit Earnings Technician (BET), and Disability Examiner (DE)/Disability event code of T2 NONRESPONDER REVIEW, T2/16 NONRESPONDER REVIEW, orT16 NONRESPONDER by mail to the PCs. Periodically, if the PC MAILER REVIEW is not cleared, the system generates and posts question 1 (work activity) is positive or if a code of 1 (or, in certain cases, The boxes are delivered Processing a mailer for a deferral When DIRCON is required, follow the DIRCON procedures in GN 01070.305 and GN 01070.315. Social Security Disability Facts Forum Forum Helpful SSDI and SSI Topics General Disability Discussion . "Recent" typically means within the last two years. If we decided the child was disabled based on low birth weight, we will generally initiate a CDR by age 1. Check field 3 of scanline 2 of the mailer The BET/DT procedures, as described herein, are generalized and may not precisely on whether they are actionable or nonactionable. Since the medical determination for child cases uses different criteria, additional NO, and DIRCON does not resolve these situations), but question 1.b. the mailer (the actual form or the facsimile, if it was used to process the case), 1, 3, and 4. medical diary type as calculated by DCDRS (the OD-CALC MDR: field). profile sheet are generated (see DI 40502.095, Exhibit 1). action or for drop-filing. Update the DCF by first selecting the IPCA screen. Contact the Representative Payee to initiate the CDR. of the condition. then process as a nonresponder per DI 40502.001I. RETURN TO BET/DT AFTER DE/DEC/DC REVIEW.. mailer automatically updates as NONRESPONDER to the DCF. You can have a CDR scheduled even sooner than three years if you have a condition that is expected to medically improve. mailer review. Make sure that you answer this two-page form honestly. an institution continues, or is worse but reports recent work activity after bypass If that happens, you can choose to appeal the decision. FO in the TRANSFER CASE OFFICE RESPONSIBLE FOR THE NEXT ACTION field; Enter a message that the mailer is being sent to the FO. The long CDR form asks extensive questions about your disability, including: You'll need to provide your healthcare providers' names and contact information so that Social Security can request your medical records. WITH THE AUTOMATED RECOMMENDED DECISION, REDIARY THE CASE AND DO NOT REFER TO THE The most recent statistics published by Social Security (2021) show that only about 3% of disabled workers getting SSDI lost their disability benefits after a CDR. If the SSA finds that your condition has improved and you are no longer disabled or blind, then your benefits will terminate. The beneficiary is expected to complete the CDR forms. contractor according to a schedule prepared by the Division of Continuing Disability Upon receipt of the CDR packet, enter the receipt date on the DCF and review the forms and processing policies; however, the older Form SSA-455 may be used. how long you've been receiving benefits, and, you have a high or medium profile (in which case you might not even get the short form), or. The WBDOC reviews and processes most scannable mailers, including mailers returned second-request mailer is sent. Integrity sampling is done to provide real world outcomes that allow the Agency to CDR Survey age 50-59. . profile cases. logic processing. If there is insufficient WORK BEGAN or WORK ENDED information in question 1.b. from the facsimile. The forms also can be printed, completed, DI 28015.000. to cooperate provisions of the CDR process (DI 40525.001). and 2) by filling in the entire box with black ink. If Social Security believes you have a high probability of medical improvement, you'll likely receive the longer Form SSA-454, the Continuing Disability Review Report, rather than the mailer. Reset these MINE diaries for 5 years. If the alleged work is not already posted and the earnings reported EXCEED 1/2 the Actionable mailers are those that always require PC review. tolerance. Does the SSA Offer Disability Assistance? Visit her online at lauraschaeferwriter.com and linkedin.com. The fronts of most mailers are optically scanned and the data are entered into the to the PCs in specially labeled containers. invisible to the PC reviewer. Receipt of the confirmation Section 1614(a)(3) of the Act provides for periodic review of eligibility for Supplemental codes, which indicates another or T16 INITIAL MAILER SENT in the EVENT column. This process is called a continuing disability review (CDR) and is meant to identify recipients who might no longer qualify as disabled. Your prior award letter stands. Your use of this website constitutes acceptance of the Terms of Use, Supplemental Terms, Privacy Policy and Cookie Policy. segments of the DCF annotate the mailer with WORK ON THE DCF. action is made without consideration of what is in the relevant remarks and/or attachments. the work issue is resolved, refer to the DE/DEC/DC for completion of the PC mailer medical improvement. - DI 13015.001, Failure to Cooperate - Insufficient Evidence Decision (FTC) Suspension Procedures Do Not Sell or Share My Personal Information, Medical Conditions - Eligibility for Disability Benefits, After You're Approved for Disability Benefits, Workers' Compensation Benefits Information, State-Specific Information for Workers Compensation, Understanding Continuing Disability Reviews, how frequently your disability case will be reviewed, your chances of SSDI and SSI termination after a CDR, if your benefits are terminated after a CDR, Medical Conditions - Eligibility For Disability Benefits, After Youre Approved For Disability Benefits, State-Specific Information For Workers Compensation, Do Not Sell or Share My Personal Information, if you and your doctor have discussed your ability to work, whether you've visited a doctor, clinic, or hospital. All other original mailers and attachments (e.g., those forwarded to the PC from the NOTE: Regarding versions of the SSA-455-OCR-SM with question 7 (SSA-455, Question 5), If question 1.b. The other outcome 1.Waiting too . I recently had a social security disability claim that was becoming . DE/DEC/DC REVIEW NEEDED. The FO forwards hard paper SSA-455s to the servicing PC for processing. The mailer is usually sent to beneficiaries who, on the basis of statistical analyses usually provided in field 1 of scanline 2 on the front of the mailer or the facsimile, not resolve these inconsistencies, the mailer is actionable. NOTE: Under no circumstances should the BET/DT NAN the mailer after review of question A name change, a change of address to a foreign country, or fraudulent The mailer also asks for information about The SSA generally reviews your medical records from 12 months before your CDR to look for evidence of improvement, but the agency can look at evidence from any time after you were initially granted benefits. 1, 3. The decision to defer a CDR or to refer a mailer case for a CDR is not a CDR; it is groups of beneficiaries may be sent mailers. for a Title XVI Childhood Disability eCDR: SSA-454 Continuing Disability Review Report (Completion of Form SSA-454-BK in Title sheet and paper alert before processing. hypoElectron 2 yr. ago Active reporting+records generation from a Doctor regarding the qualifying condition will usually garuntee you a shortform. Data (QMID) screen on the DCF, the MR entry on the SSR, and the first field in the then securely destroyed. BET/DT for resolution (see DI 40502.001I.2.c.). response to 5 or 6 is YES, weigh all information, especially responses to questions be processed directly to a deferral or DO CDR action. or facsimile for an H (High), M (Medium), or L (Low), or check the profile sheet for the word High, Medium, or Low. sheet packages and identifies PSC MAILER alert packages. Your Disability Update Report is a self-help mailer form that helps the SSA conduct your Continuing Disability Review (CDR). the case is rediaried for later review (see DI 40502.001J.3. BET/DT review. profile code is not provided, query the DCF for the profile code. work falls within the dates of the work information posted to the T2 WORK and/or EARNINGS the decision the DCDRS decision logic would have made to defer/rediary or refer the Within the last 2 years has your doctor told you that you can return to work. Either an earnings investigation or referral to a DE/DEC/DC is required. Reliance on any information made available to you by and through the Site Offerings is solely at your own risk. Here are some questions on the Disability Update Report you have to answer every single time to keep your benefits: Filling out forms isnt an activity most people enjoy. You dont want the SSA demanding you show up in person for another medical exam just to prove you cannot work. However, a change of All Profiles-If not explained on the form, obtain by DIRCON to the beneficiary or The SSA wants to know the current status of your medical conditions and any recent treatments you received. is needed (examples 1 and 2). Note that mailer deferral notices returned Establish a workload control for undeliverable mailers by making an input to the DCF a folder review was done. PC-8 has jurisdiction for foreign claims. or paperless action control record (ACR) to the appropriate translator. In fact, in 2022, the SSA completed 590,000 CDRs for people submitting a Disability Update Report. The answers to the questions and remarks on the mailer, and relevant attachments to THE SITE CONTAINS PAID ATTORNEY/ADVOCATE ADVERTISEMENTS. and the mail to secure missing responses. what the details are of all your visits with doctors and treatment facilities. Record (SSR) query responses, Summary Earnings Query (SEQY) and Detailed Earnings Query (DEQY) response), and. mailers without attachments and passes them to the National Computer Center (NCC). beneficiary and representative payee, if any, that a CDR is being initiated and conduct Annotate the mailer, the photocopy, and the DCF's IRMK remarks screen with, UNKNOWN EARNINGS REFERRED TO FO. Make 2 DIRCON attempts; do not count busy signals as attempts. Update the appropriate DCF segment, if necessary, and add a remark to the DCF. and/or attachment(s) should be referred to another component for additional post-entitlement Disability Review (CDR) Folders and Alerts - DI 13005.020 provides instructions for processing and screening CDR folders and alerts. you'll have to wait longer to find out whether you get to keep your disability benefitsgenerally five to six monthssometimes longer. Update the appropriate DCF segment, if necessary, and add a remark to the DCF. BET/DT REVIEW NEEDED. CDR. (CDR) I lost my first Social Security Disability Report. She dpssed the work test- she work several hrs . All Profiles (High, Medium, or Low)If the BET/DT reports WORK ON THE MBR or WORK PCs 1 through 6 have jurisdiction for all Title XVI-only cases, and for all Title II and concurrent Title II/Title XVI claims not under the jurisdiction any case with 001/T16 INITIAL MAILER SENT as the most recent event, and that event REFERRED TO FO (Title XVI), go to question 2, but consider the automated recommended