SI 00602.001: The Abbreviated Application Process

changes
←	*	→

~~Effective Dates: 09/11/2012 - Present~~
Effective Dates: 12/04/2017 - Present
TN 4 (03-07)
SI 00602.001 The Abbreviated Application Process
A. Introduction
We use the Supplemental Security Income (Supplemental Security Income (SSI) abbreviated application (ABAP) to formally deny Title XVI benefits for nonmedical reasons when the applicant alleges information that clearly results in ineligibility. A thorough pre-application interview is essential to determine if an ABAP is appropriate. An ABAP can be taken using the traditional paper SSI application forms (SSA-8001-BK and SSA-8000-BK (Application for Supplemental Security Income) or using the modernized SSI claims system (MSSICS), which is the preferred claims taking method.
The ABAP process:
* creates a systems record of the denial,
* generates an automated denial notice and
* protects the claimant's appeal rights with minimal documentation.
B. Definitions
1. Technical Denial
A denial that is based on the applicant's allegation (or evidence presented) at the time of application, about a nonmedical factor of eligibility. A technical denial is appropriate when the individual's/couple's allegation indicates ineligibility for SSI and any federally administered State supplementation from the filing date through the end of the month after the month the claim is adjudicated.
2. Abbreviated Application (ABAP)
a. Paper ABAP
A partially completed SSA-8001-BK or SSA-8000-BK used to document a nonmedical factor(s) of eligibility that results in a technical denial.
or
b. MSSICS ABAP
The ABAP screen path used to document a technical denial; it’s shorter than the full claim path.
C. Policy
1. When to Use the ABAP Process
It is appropriate to complete an ABAP only if it is clear at the time of application that the claimant does not meet one or more of the nonmedical eligibility requirements through the end of the month after the month the claim is adjudicated.
2. When Not to Use ABAP Process
a. Question of Nonmedical Eligibility Exists
It is not appropriate to complete an ABAP if a question of nonmedical eligibility exists.
Aged claims
If eligibility is unclear complete a full application and all required development.
Disability/blindness claims
See SI 00603.001 through SI 00603.004.
NOTE: When a Title II disability application is pending and the only item that might preclude SSI benefits is the anticipated future Title II benefit amount, an ABAP is not the appropriate application to complete. (The Disability Determination Services (DDS) or Administrative Law Judge (ALJ) may determine a date of onset other than the date alleged at the time of the application, thereby affecting the Title II benefit.)
OR
b. Other Situations
It is not appropriate to complete an ABAP in the following situations:
* E01 Claim--Claimant or Couple Appears Eligible But No Payment Due-This is not a denial situation.
EXAMPLE 1: An individual residing in a Title XIX institution (in a state with no supplementation) with countable income of $200 per month is SSI eligible, but no payment is due.
EXAMPLE 2: An individual has countable income exactly equal to the Federal benefit rate (FBR) and no federally administered optional State supplement applies from the filing date through the end of the month after the month the claim is adjudicated. He/she is SSI eligible, but no payment is due.
* E02 month followed by ineligibility during remaining months of the evaluation period (SI 00601.009C.3.).
* Earned income is below the break-even points (SI 00810.350) but above the SGA level (DI 10501.015). See DI 10501.025, Responsibilities and Procedures-Work Issue Cases.
* Prerelease Claims-Complete a full application if prerelease procedures in SI 00520.900 apply.
* Oral Inquiry Resulting from Title II Application – See SI 00601.027 for the policy regarding when a Title II application constitutes an oral inquiry for SSI benefits and GN 00201.005 F.2. for the procedures to close out the inquiry.
3. Who May Use ABAP Process
The following staff may use the ABAP process:
* Claims representative;
* Field representative;
* Technical expert;
* Member of Social Security Administration (SSA) management;
* Service representative;
* Service representative/data review technician; or
* Teleservice representative.
4. Methods of Documenting Technical Denials
a. Paper Application Forms
There are two paper applications that can be used to document technical denials:
* Form SSA-8001-BK
The preferred paper form to document clear technical denials.
* Form SSA-8000-BK
Use only in the following situations:
* You discover ineligibility after partially completing an SSA- 8000-BK; or
* You decide the SSA-8000-BK can better document the denial (e.g., deeming is involved); or
* An SSA-8001-BK is unavailable at the time of the interview (e.g., contact station interview).
b. MSSICS Application
Select function #3 (New Claim) from the SSI Menu (Teleservice representatives select #16 (New Claim/Abbreviated). On the ACLM screen, select the reason for denying the claim. That selection determines which additional screens will appear in the path (MSOM MSSICS 008.003).
Select function #3 (New Claim) from the SSI Menu (Teleservice representatives select #16 (New Claim/Abbreviated). On the Supplemental Security Income Application page, select the reason for denying the claim. That selection determines which additional screens will appear in the path (INTRANETSSI 008.003).
5. General Documentation Requirements
Review appropriate queries to determine if an SSI or Title II application has ever been filed for the claimant and the status of any prior claim.
a. For Paper Applications
Answer the mandatory questions (listed in SI 00602.010) and only those questions material to the denial. In most cases, this will suffice to document ineligibility. (MSSICS applications however, currently require more information. See SI 00602.010A.2. and SI 00601.015A.2.)
NOTE: It is not necessary to add statements such as "No children" to document when deeming is not a factor in the denial.
See SI 00602.020 if the answers to pertinent questions on the application fail to document a material allegation or otherwise raise an issue that bears directly on the denial.
b. For MSSICS Applications
The reason ("type" selected on the ACLM screen) for taking an ABAP determines which screens will appear in the path. Currently, MSSICS requires answers to all questions on some screens. For example, if the ABAP type selected is #4 (excess resources), all the questions on the RMEN (resource) screen must be asked.
D. Procedure
1. Interview
Follow the guidelines in SI 00601.060. Conduct a thorough pre-application interview. REMINDER: Refer the individual to the local food stamp office if the applicant is interested in applying for food stamps.
2. Before Denying Claim
Consider whether the individual is ineligible from the filing date through the end of the month after the month the claim is adjudicated. Explore all basic eligibility issues. Before denying a claim for excess income (N01) or excess resources (N04), consider all income or resource exclusions, including less common exclusions such as:
* Income or resources excluded under a plan for achieving self-support (PASS) (SI 00870.001)
* Impairment-related work expense (IRWE) and blind work expense (BWE) (SI 00870.010)
* Exclusion from income of an ineligible spouse or parent's public income maintenance payments (SI 01320.141)
* Any impending SSI benefit increases; e.g., cost of living adjustment; and
* Any expected decrease in income or resources.
* The possibility of entitlement to conditional benefits if the claimant meets the criteria in SI 01150.200.
3. Transfer of Resource Notice Requirement
Follow the instructions in SI 01150.010C. for notifying the claimant about the effect of transferring a resource. Provide a reproduction of the language in SI 01150.010D. in addition to any other automated or manual notice.
4. Signature
A signature is required from all applicants. Alternative signature methods (GN 00201.015) apply to ABAPS.
a. In Person Interview
Follow procedures in SI 00604.111C.
b. Teleclaim
Follow procedures in SI 00604.111D.
Mail the unsigned application with a cover notice SSA-L305-U3 (Application Cover Notice) to the individual following the procedures in SI 00601.040C.5.b.
NOTE: If the application is not returned, the SSA-L305-U3 closes out the claimant's filing protection the day after the date entered in the letter's third paragraph.
See MSOM MSSICS 022.003 and MSOM MSSICS 024.001 for applications taken through MSSICS.)
5. Systems Input
Use the SSA-462 (SSI Abbreviated Application Data Input Form) to establish a systems record per SM 01010.010 for paper applications.
See MSOM T16INPUTS 002.004 and MSOM T16INPUTS 002.005.

POMS Reference

SI 00602.001: The Abbreviated Application Process