NL: Notices, Letters and Paragraphs
TN 26 (07-95)
A. INTRODUCTION
Each caption is listed by its paragraph number. The captions are listed in the order in which they should appear on the notice. Captionsnever appear alone. For a caption to be used, at least one paragraph must be generated under it. Captions for AONS are found in NL 00804.260, (part of paragraph).
B. INITIAL CLAIMS SITUATIONS
The following captions are used on SSA-L8025's, Notice of Award (some of the captions are also used on other notices).
1901. |
How Much We'll Pay |
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1919. |
Our Decision About How We'll Pay (1) |
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(1) |
Choice 1 - You |
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1905. |
Information About (1) Payments |
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(1) |
Choice 1 - Your |
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1907. |
(1) (2) Is Based On These Facts |
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(1) |
Choice 1 - Your |
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(2) |
Choice 1 - Payment |
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NOTE: Use Choice 1 if recipient is C01 in CCM or later. Use Choice 2 if recipient is not C01 in CCM or later. | ||
1929. |
How You May Be Able to Receive SSI |
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1908. |
Information About (1) Back Payments |
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(1) |
Choice 1 - Your |
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1918. |
Information About (1) Disability |
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(1) |
Choice 1 - Your |
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1909. |
About (1) Overpayment |
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(1) |
Choice 1 - Your |
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1911. |
If You Think (1) Shouldn't Have To Pay Us Back |
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(1) |
Choice 1 - You |
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1915. |
Information About Medicaid (1) |
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(1) |
Choice 1 - And Other Benefits |
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1928. |
Where You Can Apply For Medicaid |
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1927. |
We Will Review (Your) Case |
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1926. |
(1) Things to Remember |
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(1) |
Choice 1 - Other |
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C. DENIAL SITUATION
The following captions are used on SSA-L8030's, Notice of Disapproved Claim (some of the captions are also used on other forms).
1903. |
Why We Can't Pay (1) |
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(1) |
Choice 1 - You |
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1906. |
Our Decision Is Based On These Facts |
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1909. |
About (1) Overpayment |
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(1) |
Choice 1 - Your |
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1911. |
If You Think (1) Shouldn't Have To Pay Us Back |
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(1) |
Choice 1 - You |
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1915. |
Information About Medicaid (1) |
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(1) |
Choice 1 - And Other Benefits |
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NOTE: Select Choice 1 if a paragraph is being issued; otherwise select Choice 2. | ||
D. PE SITUATIONS
The following captions are used on PE notices (some of the captions are also used on IC notices).
2016. |
(1) Will Be (2) As Follows: |
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| From | Through | Amount Due Each Month |
|---|---|---|
| (3) | (4) | (5) (6) (7) |
(1) |
Choice 1 - Your Payments |
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(2) |
Choice 1 - Changed |
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(3) |
(Month/Day/Year) |
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(4) |
Choice 1 - (Month/Year) |
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(5) |
$$$.¢¢ |
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(6) |
Choice 1 - This includes ($$$.¢¢) |
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(7) |
Choice 1 - from the State of (Name State) |
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1919. |
Our Decision About How We'll Pay (1) |
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(1) |
Choice 1 - You |
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1904. |
Why (1) (2) Changed |
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(1) |
Choice 1 - Your |
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(2) |
Choice 1 - Payments |
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NOTE: If there is a due amount change, use Choice 1; if there is no due amount change, use Choice 2. | ||
1930. |
Why (Your) Payments Are Stopping |
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1905. |
Information About (1) Payments |
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(1) |
Choice 1 - Your |
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1916. |
Information About Medicaid |
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NOTE: This caption is used with computer matching paragraphs. | ||
1907. |
(1) (2) Is Based On These Facts |
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(1) |
Choice 1 - Your |
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(2) |
Choice 1 - Payment |
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NOTE: Use Choice 1 if recipient is C01 in CCM or later. Use Choice 2 if recipient is not C01 in CCM or later. | ||
1908. |
Information About (1) Back Payments |
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(1) |
Choice 1 - Your |
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1912. |
Our Decision On Your Waiver Request |
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1913. |
About Your Request For Direct Deposit |
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1915. |
Information About Medicaid (1) |
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(1) |
Choice 1 - And Other Benefits |
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NOTE: When paragraph number 1311 is used, use Choice 1. When paragraph number 1311 is not used, use Choice 2. | ||
1928. |
Where You Can Apply For Medicaid |
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1925. |
Please Remember This |
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1927. |
We Will Review (Your) Case |
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2298. |
This paragraph consists of two captions: |
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NOTE: For the paragraphs used under these captions see NL 00804.185. | ||
1918. |
Information About (1) Disability |
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(1) |
Choice 1 - Your |
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1926. |
(1) Things To Remember |
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(1) |
Choice 1 - Other |
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