TN 2 (06-09)

The Field Office (FO) forwards initial and reconsideration Medicare Qualified Government Employee (MQGE) disability cases for a worker, Childhood Disability Beneficiary (CDB), or Disabled Widow(er) Benefits (DWB) to the Disability Determination Services (DDS), when a disability determination is necessary. DDS can identify MQGE cases when the FO creates a message in the Electronic Disability Collect System (EDCS).

When completing a notice for a MQGE claim, the DDS examiner:

• designates DDS or (D/L) and the appropriate notice or paragraph in item 29 of the SSA-831 (Disability Determination and Transmittal); and

• prepares and releases the denial notice unless the claim is selected for Quality Assurance (QA) or Pre-effectuation Review (PER).

If the claim is selected for QA or PER review, the DDS:

• prepares the notice; and

• places the undated notice in the appropriate section of the Certified Electronic Folder (CEF) for release by the reviewing component.

References:

• DI 23540.000, Medicare for Qualified Government Employment (MQGE) Cases

• DI 81020.135, Federal Quality Review (QR)