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DESCRIPTION
The SSA is gradually phasing out its Disability Redesign
pilot. The pilot, which is an SSI application process, was introduced
as a pilot in Los Angeles West and Los Angeles North SSA offices.
These offices accepted applications filed October 1, 1999 or later.
The new SSI applications filed by SSI Advocates, which are affected
by the test processing, are being served by the following districts:
Metro Special, South Special, Rancho Park, Glendale, Southwest Special
and South Central.
The redesign was
designed to expedite SSI application processing and to achieve an
earlier SSI approval for qualified participants. It eliminated
the reconsideration process and introduced a pre-decision conference
prior to SSI application denial. In the redesign districts, the first
appeal for denied SSI applications is the SSI hearing.
KEY POINTS
- Six GR districts are affected:
| Metro
Special |
South
Special |
Rancho
Park |
| Glendale |
Southwest
Special |
South
Central |
- New applications filed October 1, 1999
or later are processed under the redesign SSA offices:
Los
Angeles West offices Los
Angeles North offices
- DAPD will request a conference (face-to-face
or by telephone) with the participant if unable to approve SSI based
on information in the SSI claim file. The participant must respond to
the conference request within ten days.
- The SSI Advocate will participate in the
pre-decision conference process.
- The Reconsideration step is eliminated.
- The first appeal following SSI application
denial is the SSI hearing.
SSI ADVOCATE DUTIES
- Ensures the participant signs a request
for a pre-decision conference. Requests a face-to-face conference
for Needs Special Assistance (NSA), homeless and participants with
no telephone. Retains the request in the SSI folder until DAPD
requests a pre-decision conference or renders a medical decision.
- Encourages participants to contact
their SSI Advocate upon receipt of any correspondence or calls
from DAPD and
or SSA.
- Requests a working telephone number
or message number from each participant. Encourage homeless participants
to maintain regular contact with their SSI Advocate.
- Identifies and maintains contact with
the DAPD disability evaluation analyst early in the SSI application
process.
- Requests, coordinates and attends all
pre-decision conferences requested by DAPD. Makes the first preference
a face-to-face
conference. Mails a confirmation of the pre-decision conference appointment
to the DAPD analyst and the participant.
- Prior to a pre-decision conference,
contacts the participant and reviews DAPD's listing of the medical
documentation
in their SSI claim folder and attempts to identify treatment records
not in DAPD's file.
RESULTS
Upon conclusion of the preparation for the pre-decision conference, the outcomes should include:
- Participants understand the importance of contacting their SSI Advocate if contacted by SSA and/or DAPD. Participants will receive a written confirmation of the pre-decision conference.
- Participants understand that participation in a pre-decision conference is required and that failure to comply may adversely affect their General Relief.
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