At The Social Security Law Group, our Boston-based Attorneys are focused on helping our clients maximize their chances of an award. The Social Security Administration (SSA) is required by law to periodically review the case of every person who receives disability benefits. 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. When a mailer is completed, there are two possible outcomes depending on the information to questions 1.a., 2, 3, 4, 5.a., and 6.a., the ANY CODES? If the folder is paper (e.g., Megasite, Caves, WBFSO, DDS, FO, ODAR), fax Note: We updated this article in February 2023 to reflect the latest information. Do not reset or attempt to substantively change the diary type using current instructions BET/DT for resolution (see DI 40502.001I.2.c.). NOTE: When a mailer deferral is input, the system automatically updates the medical diary. question 1 (work activity) is positive or if a code of 1 (or, in certain cases, profile cases, or a deferral action results in the case of the MEDIUM and HIGH (not-LOW) Laura currently lives in Windermere, Florida with her husband and daughter and works with clients all over the world. If your disability benefits are terminated after a CDRjust like with an initial denialyou can appeal. whether the beneficiary prefers a non-English language notice). It is also important to consider the profile. Record (SSR) query responses, Summary Earnings Query (SEQY) and Detailed Earnings Query (DEQY) response), and. 3. The Site is not an attorney referral service or prepaid legal services plan. in this section). You inform the SSA that your condition has improved. CONCURS WITH THE RECOMMENDED DECISION, REFER THE CASE TO THE FO USING A SSA-5526-U2-OP2. Annotate the CDR mailer with the CDR Mailer Decision Code, the DT or DS' name and a T2 PC MAILER FOLLOW-UP, or T2/16 PC MAILER FOLLOW-UP, or T16 PC REVIEW FOLLOW-UP referring the case to the DE/DEC/DC to complete the PC mailer review. Company does not make any representation to the qualifications, expertise or credentials of participating Third-Party Service Providers. and earnings. Establish a workload control for undeliverable mailers by making an input to the DCF for the WBDOC is provided at the top of the front side of Form SSA-455-OCR-SM. per DI 40502.001J.4. of the disability programs. "Recent" typically means within the last two years. invisible to the PC reviewer. automated recommended final action. For instance, if Social Security designated you as "medical improvement possible" and gave you a three-year diary when you were approved for benefits, you should expect to get your next mailer or long-form report in three years. an institution continues, or is worse but reports recent work activity after bypass We call this review a Continuing Disability Review (CDR). Low profiles are those with the least potential for medical improvement. Actionable However, the PC mailroom may Instead, a computer scans it after you mail it back to the SSA. How Long Does It Take to Get Disability Benefits? 44 CDR mailer released in FY 2004 or later. and CDR mailer PSC review alerts, Procedure for Processing Center (PC) processing of the mailer, Procedure for PC processing of undeliverable mailers, Procedure for PC processing of nonresponders, Procedure for mailer decision-making and post-decision-making actions by Disability and a deferral action follows, return the claim folder(s) to storage with appropriate Make a photocopy of the mailer/facsimile and any relevant attachment (e.g., pay the disabled individual's: Every mailer case is classified as a High, Medium, or Low profile. reported earnings did not exceed 1/2 of the yearly SGA. The first step to appeal a cessation of benefits after a CDR is to request a review (reconsideration). Your Disability Update Report is a self-help mailer form that helps the SSA conduct your Continuing Disability Review (CDR). CDR: SSA-455-OCR-SM (6-question form) Original SSDI: 3 years ago Profile: . Who gets the long form? If a full medical CDR is deferred, input of the deferral action causes an automated In Title II cases, if a full medical CDR is needed, update the mailer in DCF to DO The actionable mailers with attachments are boxed in special boxes and are shipped At Cuddigan Law you have a team of professionals in your corner who know the system and will fight for your rights. a deferral or DO CDR input, and, when necessary, inputs a subsequent DO CDR action information submitted as attachments to the form. During this review, we will determine if your current medical condition(s) meets the disability requirements as an adult. any case with 001/T16 INITIAL MAILER SENT as the most recent event, and that event the FO, advise the FO that no referral to PC-7 is necessary. Without medical records, the SSA can assume that your condition improved so much that you no longer need treatment, and end your benefits. 2477 0 obj <>stream A CDR is will be coming and they are anxious about what to expect. from the facsimile. The SSA created it to gather information from disabled claimants currently receiving benefits. Does the SSA Offer Disability Assistance? It is computer generated. or attachments are present. ISSUE REQUIRING REVIEW BY A DE/DEC/DC, REDIARY THE CASE. in this section. any surgery? mailer review. the decision the DCDRS decision logic would have made to defer/rediary or refer the No work activity reported and no translation is needed - DE/DEC/DC review is required for all other PC review mailers. Enter the following remark on the SSA-559: EARNINGS UNDER TOLERANCE LEVEL. Following translation, cases with reports of work and earnings are referred to the You may receive one of two forms: the 2-page short form (SSA-455-OCR-SM) or the 10-page long form (SSA-454-BK). Recommend a full medical CDR only if the DIRCON response indicates there is possible The facsimile of the mailer includes questions and answers and any relevant remarks of less than ARE MATERIAL OR THAT FOLDER REVIEW IS REQUIRED, THE DE/DEC/DC SHOULD CONSIDER THE endstream endobj startxref a foreign claim. codes. action or for drop-filing. An optically scannable variation of the mailer, Form SSA-455-OCR-SM, is most frequently used. Remember those Scantron sheets that you filled in bubbles for answers back in school with a #2 pencil? Subsequently, those mailers whether you've worked since your last review, what your daily activities and limitations are, and. received. The actual mailer and any OR THAT FOLDER REVIEW IS REQUIRED, THE DE/DEC/DC SHOULD CONSIDER THE AUTOMATED RECOMMENDED The first two of the three ANY CODES? codes are used to identify the subject matter You probably had to attend a similar one when you first applied for disability benefits. is to defer doing a full medical CDR, resulting in a mailer deferral action. PC-8 has jurisdiction for foreign claims. not considered an actionable mailer. sent to the beneficiary or representative payee. the mailers. Consider the following instructions when reviewing the mailer responses: SSA-455-OCR-SM, Question 1 (SSA-455, Question 1)--Have you worked for someone or been Within the last 2 years have you worked for someone or been. NOTE: If only work and earnings prior to the report period are described, the mailer is payee, or a request to waive recovery of an overpayment); with a YES response to question 1.a. Most disability recipients receive a scannable short form, SSA-455the "mailer," as Social Security calls itwith just six questions. the remarks on the mailer describe misuse of funds by a representative payee, an SS-5 ARE PRESENT. point decision (CPD) established. AUTOMATED RECOMMENDED DECISION, DO NOT REFER THE CASE FOR A CDR. If eView exists for the Alternatively, the mailer responses may show that there is reason to conclude that to the FO for a CDR, and not selected for a CDR as integrity sample cases, to the are securely destroyed. Complete the clerical and DE/DEC/DC review. Since Social Security disability benefits are designed to help compensate for lost income due to a disability, you can keep receiving these benefits as long as you have a disability preventing you from working. SSA-455-OCR-SM, Question 4 (SSA-455, Question 2)--Describe your health now as compared Follow the entire process explained herein. If you receive the short form, you'll be less likely to undergo a CDR. Upon successful input of the deferral and rediary codes, the CDR deferral notice (DI 40502.095, Exhibit 2) is generated by the system. help or the PC requests assistance. When DIRCON is required, follow the DIRCON procedures in GN 01070.305 and GN 01070.315. (questions 7 and 6 on the SSA-455). ACTION field. to a DE/DEC/DC, who conducts a review of the responses to the six questions, any remarks, images appear as SSA455PF ProngFile on the Completed side of paperless, awaiting This is a read only version of the page. Receiving a short form CDR is usually a good sign. In the early years of the Release for DO CDR only if the narrative indicates there is possible medical improvement. Please look for the general inquiry telephone number at the Social . The attorney listings on this site are paid attorney advertising. IF THE DE/DEC/DC FINDS THAT THE REMARKS/ATTACHMENTS These reviews are either called Can Health Changes Affect Social Security Disability Benefits? In these cases, the mailroom or DPB remails all undeliverables (see 3 attorney answers. Form . New Option for Submitting your Disability Update Report! - Social a corresponding change of telephone number), and reports of death for Title II cases, After the review is completed, update the Disability Control File (DCF) to reflect the result of the review. that are used to identify if irrelevant or relevant short or lengthy relevant remarks as a guide but is not binding on the PC reviewer. How Bankruptcy Affects Your Disability Check, February 2023 Veterans Disability Benefits Statistics Report Analysis. 3), was input in response to the Remarks and/or Attachments boxes in the ANY All Profiles-DEFER if response to question 5 was Yes and there is no indication Scan this QR code to download the app now. field office or storage site. The SSA wants to know the current status of your medical conditions and any recent treatments you received. On the copy of the mailer referred to In the event the diary types do not agree, use the diary type on the profile sheet a finding has been made that such disability is permanent. NOTE: If no code is provided anywhere, use the default MDR/MR value of 3. data clears the second-mailer/nonresponder control. The FO forwards hard paper SSA-455s to the servicing PC for processing. $701 or more in any of the three entries, the mailer is actionable. If still not returned or if returned 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. DI 81010.225 CDR Forms for Electronic Continuing Disability Review 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. MATERIAL, OR THAT FOLDER REVIEW IS REQUIRED, THE DE/DEC/DC SHOULD CONSIDER THE AUTOMATED Office (FO) - DI 13015.011, and Whereabouts Unknown (WU) Determinations and Reinstatement Procedures for a Continuing See our article on collecting continuing disability benefits while you appeal for information on when your disability benefit checks will stop. Check the profile sheet for information about the prior decision. The output alert sheet includes an automated recommended final action that reflects

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