Form Ssa-561-U2 Social Security Administration - Request For Reconsideration (Page 2 of 4) in pdf

ADMINISTRATIVE ACTIONS THAT ARE INITIAL DETERMINATIONS

(See GN03101.070, GN03101.080, and SI04010.010)

Title XVI

NOTE: These lists cover the vast majority of

administrative actions that are initial

1. Eligibility for, or the amount of, Supplemental

determinations. However, they are not all

Security Income benefits;

inclusive.

2. Suspension, reduction, or termination of

Title II

Supplemental Security Income benefits;

3. Whether an overpayment of benefits must be

1. Entitlement or continuing entitlement to benefits;

repaid;

2. Reentitlement to benefits;

4. Whether payments will be made, on claimant's

3. The amount of benefit;

behalf to a representative payee, unless the

4. A recomputation of benefit;

claimant is under age 18, legally incompetent,

5. A reduction in disability benefits because benefits

or determined to be a drug addict or alcoholic;

under a worker's compensation law were also

5. Who will act as payee if we determine that

received;

representative payment will be made;

6. A deduction from benefits on account of work;

6. Imposing penalties for failing to report important

7. A deduction from disability benefits because of

information;

claimant's refusal to accept rehabilitation services;

7. Drug addiction or alcoholism;

8. Termination of benefits;

8. Whether claimant is eligible for special SSI cash

9. Penalty deductions imposed because of failure to

benefits;

report certain events;

9. Whether claimant is eligible for special SSI

10. Any overpayment or underpayment of benefits;

eligibility status;

11. Whether an overpayment of benefits must be repaid;

10. Claimant's disability; and

12. How an underpayment of benefits due a deceased

11. Whether completion of or continuation for a

person will be paid;

specified period of time in an appropriate

13. The establishment or termination of a period of

vocational rehabilitation program will

disability;

significantly increase the likelihood that

14. A revision of an earnings record;

claimant will not have to return to the disability

15. Whether the payment of benefits will be made, on

benefit rolls and thus, whether claimant's

the claimant's behalf to a representative payee,

benefits may be continued even though he or

unless the claimant is under age 18 or legally

she is not disabled.

incompetent;

16. Who will act as the payee if we determine that

NOTE: Every redetermination which gives an

representative payment will be made;

individual the right of further review

17. An offset of benefits because the claimant previously

constitutes an initial determination.

received Supplemental Security Income payments

Title VIII (See VB 02501.035)

for the same period;

1. Meeting or failing to meet the qualifying and/or

18. Whether completion of or continuation for a

entitlement factors for special veterans benefits

specified period of time in an appropriate vocational

(SVB);

rehabilitation program will significantly increase the

2. Reduction, suspension or termination of SVB

likelihood that the claimant will not have to return to

payments;

the disability benefit rolls and thus, whether the

3. Applicability of a disqualifying event prior to

claimant's benefits may be continued even though

SVB entitlement;

the claimant is not disabled;

4. Administrative actions in SVB cases similar to

19. Nonpayment of benefits because of claimant's

those listed under Title II--items 3, 4, 10, 11 &

confinement for more than 30 continuous days in a

16.

jail, prison, or other correctional institution for

Title XVIII

conviction of a criminal offense;

1. Entitlement to hospital insurance benefits

20. Nonpayment of benefits because of claimant's

and to enrollment for supplementary

confinement for more than 30 continuous days in a

medical insurance benefits;

mental health institution or other medical facility

2. Disallowance (including denial of

because a court found the individual was not guilty

application for HIB and denial of

for reason of insanity; a court found that he/she was

application for enrollment for SMIB);

incompetent to stand trial or was unable to stand trial

3. Termination of benefits (including

for some other similar mental defect; or, a court

termination of entitlement to HI and SMI).

found that he/she was sexually dangerous.

4. Initial determinations regarding Medicare

Part B income-related premium subsidy

Form SSA-561-U2 (06-2012) ef (06-2012)

reductions.

Form Ssa-561-U2 Social Security Administration - Request For Reconsideration Page 2

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