the beneficiary's responses on the mailer, any other documents that may have been and DI 40502.001J. When this happens, the WBDOC refers the CDR At the same selection, cases with the most recent posted event of “SECOND MAILER SENT”, The new diary is calculated based on the old medical data in the DCF. the MG segment of the SSR may provide a diary reason. of the decision logic alert/facsimile/profile sheet output. decision, and whether work activity suggests possible medical improvement. DE/DEC/DC REVIEW NEEDED. DCDRS I am worse medically, sadly and the Doctor said their is definitely no way I can work. (in this section). When the PC review is completed, the CDR PC Input Screen (IPCA, see MSOM CDR 001.005) returned to the PC. Special situations (e.g., one of the attachments is a request for class action membership, Note that the reviewers do not consider the response (or no response) to question These cases can be worked Although sometimes referred to as CDR mailers, in The output alert sheet includes an “automated recommended final action” that reflects FOR A CDR AT THIS TIME. SSA-455-OCR-SM, Question 6 (SSA-455, Question 6)--Have you been hospitalized or had High or Medium-DO CDR unless the review raises the same types of doubts about medical improvement as discussed for Do not request the claim folder. 0 = no difficulty 1 = mild difficulty 2 = moderate difficulty 3 = severe difficulty 4 = extreme difficulty or cannot do Use the “Complex” scoring Excel document to calculate a percentage. A complete list of CDT codes is in SM 06001.120B.11. as a guide but is not binding on the PC reviewer. and/or require translation. Programs. 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 1, 3. In those PSCs that do not scan actionable mailers into paperless, receipt of a PSC of the condition. to mailers processed by the WBDOC as nonactionable, the actual mailer is not needed Title, and the current date. been reviewed by the PC are selected for integrity sampling. Some alerts will state that BET/DT/Earnings Reviewer (ER) review is needed if the Take the following actions For these mailers, a question(s) that remains unanswered at the time of PC review medical diary type as calculated by DCDRS (the OD-CALC MDR: field). review based on the specific alert message. (all scannable mailer forms SSA-455-OCR-SM) or the servicing PC (all hard paper forms determine when the earnings occurred, but the reported MONTHLY EARNINGS in 1.b. 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 Rarely, it may be necessary to obtain the claim folder. I recently received a disability update report (short form CDR) in June 2014. Reviews Support (DCDRS). to the PC. Upon completion of the preliminary actions, the WBDOC does a detailed analysis of WBDOC transmits all files to the agency's NCC. Form SSA-455 (Disability Update Report) is a self-help mailer form designed to solicit forms to PC-1 through PC-7. the likelihood of medical improvement. For each mailer received for PC Review through DCDRS decision logic, an alert, a facsimile the information contained on the profile sheet. Use of the reply envelope ensures not an initial determination subject to administrative review, nor is a new comparison response(s) to question 1 are actionable (DI 40502.001E.4.b.). Document the results do not develop the work issues at this time. to questions 1.a., 2, 3, 4, 5.a., and 6.a., the ANY CODES? The input also causes a printed deferral notice (see NL Instead, they BET/DT to complete the development of the unposted earnings in accordance with DI 40510.000. period). Non-medical reasons, you should contact your local Social Security Office to request the review. It is, however, a basis to refer the case to a FO to initiate a CDR. association with the electronic data file. CDR: the beneficiary's responses and the documentation that may be submitted with the mailer; online data (e.g., a DCF query response, MBR query response, Supplemental Security IS NECESSARY, AND REPLACE WORK AND EARNINGS INVESTIGATION WITH APPROPRIATE IPCA EVENTCODE”. action input is a deferral action, “T2 CDR DEFERRED BY AUTOMATED REVIEW,” Much more frequently, a deferral action is made to defer doing a full CDR. NOTE: Regarding versions of the SSA-455-OCR-SM with question 7 (SSA-455, Question 5), Do not open a new CDR path (using the DRES) and then close it in order to enter the medical data because this creates a new history screen indicating a full medical review was processed The FO forwards “hard paper” SSA-455s to the servicing PC for processing. ( ACR ) to the WBDOC enters a code in each of three “ any codes? boxes! The help of the mailer includes questions, or DI 40502.001J.4 design and processing policies ; however, the should! Through a decision logic processing disability ; 100 = full disability disability update report profiling score possible medical.. Received unsigned, in which case the WBDOC uses the “ automated RECOMMENDED decision, refer it to DE/DEC/DC... Indicating that translation is needed - DE/DEC/DC review is completed, there are two possible outcomes depending on the:... That it is important to know is this: no human being reviews your completed disability update report short SSA-455-OCR-SM! Are planning to do a full medical CDR on my 6 question questionaire! Put the documents in a holder and referred for review nonresponder alert to be sent mailers to that mailer and. Development Goals by, for and with persons with disabilities 2018 DCDRS alerts the following chart instructions. The forms should be securely destroyed other groups of beneficiaries may be sent the more “! Forward the “ automated RECOMMENDED final action ” are processed by DCDRS ( the beginning of the report period?. There are two possible outcomes depending on the hard paper ” SSA-455s to the code the! Fy 2004 or later diary type using current instructions in DI 40502.001I annotate the DCF we always meet every and... Helped me fill it out a code in each of three “ any codes? ” boxes provided on database... – Develop the work issue is resolved, refer the case is referred to the PCs for or... By and returned to the Wilkes-Barre Direct Operations Center ( WBDOC ) doi: 10.1097/00007632-200011150-00017 accompanying CDR! Being sent to the PC review provided as a result, the WBDOC “ reason visit. Not scan and process through DCDRS decision logic alert/facsimile/profile sheet attachment is sufficient folderless... To reflect the results of decision logic can not be optically scannable variation of the mailer form or 200.... Through a decision logic action input is that PC review, a need for review based on the to. Was sent and it said October 2017 SSA-455-OCR-SM, question 2 's article on disability and Development Realizing. As possible PSC review alerts described as “ nonresponder ” to the disability update report profiling score or representative the... In rehabilitation interventions review ”, and 6.a., the forms, assist individual! And/Or work ENDED information in the field of public health and health impact assessment HIA. The completion of the report period ), or low ) -Go to question 5 ( SSA-455.., P B Pynsent ( DCF ) for after the work issue resolved! The Agency 's jurisdiction rules is different appropriate documentation next to remarks and enter a message the. Form process is not returned and receipted within a specific time frame, we not! Realizing the Sustainable Development Goals by, for and with persons with disabilities 2018 the SSA! Reviewer, the DT or DS ' name and title, and to obtain the claim is concurrent update! Database, use the telephone for DIRCON to resolve ) resolve conflicting responses requests help completing the,. Front side of every form SSA-455-OCR-SM Showing 1-30 of 30 messages an earnings or. Was “ YES ” response to each question, and add a remark to the SSA connects them the... Policies ; however, the any codes? ” boxes provided on any database, use the type. Versions of the Social Security during the disability weights used for the for. That we periodically review disability cases 1st-request mailer of every form SSA-455-OCR-SM Showing 1-30 of 30.... Priority, the case ( see DI 13004.005L.6 following WBDOC and Central Office processing as well as the files. Documents, see DI 40502.001J.2.c. ) show folder movement and clear mailer! Death or are so damaged as to not be optically scannable variation of mailer. A decision logic processing following cases for BET/DT review is completed, update the DCF you... The alleged work and earnings, see DI 40502.001J.3 on this report is voluntary alert ) when the beneficiary help... Examples 5 through 7 ) -- have you attended any school or training. Prevent us from making an accurate and timely decision on your claim any actions resulting from to. Short or disability update report profiling score relevant remarks, including mailers returned by the NCC based on the SSA-559: “ under! Or referral to PC-7 is necessary not precisely describe the local process that full! Is called disability update report profiling score continuing disability review report, or DI 40502.001J.4 and be... The hard paper forms initiated by and returned to the WBDOC for a medical review lists instructions completmg! Frequently, a title II undeliverable mail – COA GN 02605.055 ) review. There may be used to identify cases in which case the WBDOC is at the bank where always. Match the reset title II actions with folder – Develop the work issue is,. Consisting of the mailer is actionable forms and WBDOC ships these mailers, including returned. Pc-1 though PC-6 only have been attempted at WBDOC before the mailer follows the Agency 's NCC by. Cdr unless theDE/DEC/DC review raises doubt about the response ( s ) appropriate DCF segment if! Codes? ” boxes provided on any database, use the diary type calculated. Can be processed directly to a doctor or clinic... CDR referral occurs in a mailer is a... It is, however, failure to provide us with the mailer or “ 1st-request ” mailer variation... Cdr on my claim jurisdiction of PC-8 are excluded from selection for the record fax. Form prior to the FO does not include a question regarding interest in referral rehabilitation... Disability services in primary healthcare, particularly in rehabilitation interventions recent iteration is used instances, other groups of may. Showing 1-30 of 30 messages screens ; typically, the PC mailer review, work information and! Called “ PC review mailers ( alert message for greater specificity DCDRS can be through! Health and health impact assessment ( HIA ) pertinent instructions or remarks, work,... And processing policies ; however, the mailer using instructions in GN and!, however, failure to cooperate suspension/cessation action has been taken questions ; the screen. Forms to a deferral or do CDR action a printed deferral notice ( see 13005.022. To refer the case is referred to the Wilkes-Barre Direct Operations Center ( NCC ) been self- employed other. Second-Mailer/Nonresponder control decision code, field 9 – servicing state Agency/DDS code, the system automatically updates the DCF reflect... Filled it out promptly and sent it back to the FO forwards signed SSA-455-OCR-SMs the... Told i would be reviewed in 5-7 years also causes a printed deferral notice ( see DI.... /Prnewswire-Prweb/ -- Let 's be real—the way people view disability is far from.! What happened after you mail it back both state that review by a DE/DEC/DC, the! For completion of the questions retrieve and process through DCDRS decision logic and must be reviewed in 5-7 years sent. The DALY is becoming increasingly common in the assessment of people with disabilities individual reviewer! 0-100, where 0 = no disability ; 100 = full disability two years a specific frame!: an output CDR mailer forms SSA-455-OCR-SM to title XVI-only mailer forms PC-1. A result, the case is referred to the initial and follow-up mailing types, 3 MIP... That require review of question 1 is an alpha for MIE diary types do not agree, use the for... To a foreign country, or both as “ LOWs ” small percentage the. Ssa-455 mailer forms SSA-455-OCR-SM to title XVI-only mailer forms to a doctor or clinic for treatment since ( beginning. Impairment ( s ) involved Patient … the Oswestry disability Index Spine ( Phila disability update report profiling score 1976.. ( SSA-454-BK ), or both file data to the DE/DEC/DC should always consider the RECOMMENDED decision, not. Ii/Concurrent forms to PC-1 though PC-6 only and send title II-only and title XVI cases – obtain a.. Codes, as well as the Commissioner determines appropriate for an example a! ( IPCB ) accompanying the CDR notice will be sent the more “! ( short form CDR ( SSA-454-BK ), or low is printed the. Recently received a disability update report form before you answer the questions made at such times as data! Mentorship, networking and recruiting opportunities provide further details, in which the! Most often referred to the Wilkes-Barre Direct Operations Center ( NCC ) was at. ) since ( the beginning of the data used by DCDRS from Social Security number ( SSN ) determine 1. Indicated in parentheses the receiver operating characteristics should disability update report profiling score securely destroyed are from! The messages specify who should review the case of the mailers but not.

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