SI 02305: Redeterminations of Eligibility and/or Payment Amount
TN 57 (01-08)
A. Policy
1. General
A limited issue (LI) case requires development of a specific issue or event without conducting an RZ. When developing LIs, if a deemor's income caused the diary to be set, exclusions and allocations for the recipient and all the members of the deeming unit should be reviewed for accuracy and updated if necessary.
The LI case profile code is X.
2. Using RZwiz to conduct RZ and LI interviews
Use RZwiz with all LIs. Also use RZwiz with all RZs, LI and wage-related diary interviews, and wage-related diaries. See SI 02305.071.
B. Description of Limited Issues
The LI indicators and a description of each indicator are as follows.
DI - Dedicated account monitoring required. See SI 02305.011 and GN 00605.200 through GN 00605.235.
5B - Internal Revenue Service (IRS) interface diary. See SI 02310.045.
5H - IRS/SSR interface pension diary. See SI 02310.052.
SB - Savings Security Instrument diary. See SI 02310.015.
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K6/K7 - MEF/SSR interface earned income diary. See SI 02310.055.
NOTE: Use DISCO when working a K6 diary for disabled/blind recipients not entitled to Title II on their own SSN.
KC/KE/K8/K9 - Critical birthday diaries. See SI 02309.001 through SI 02309.006.
KP - Critical birthday. Identifies spouses with possible Title II entitlement. See SI 02309.007.
KV-VA pension referral cases diary. See SI 02309.011.
KZ - Insured status diary. See SI 02309.010.
R8 - Conserved funds diary. See SI 01140.021.
U5 - Unemployment compensation/SSR interface diary. See SI 02310.065.
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S2 - State wage match diary. See SI 02310.062.
NOTE: Use DISCO when working a S2 diary for disabled/blind recipients not entitled to Title II on their own SSN.
D8 - Medicaid Statistical Information System (MSIS) match diary. See SI 02310.064.
3D - Removal from the United States. See SI 02310.018.
I8 -The SSI individual is voluntarily leaving the United States. See SI 02310.017.
Continuing type F (TANF) unearned income on the record. See SI 00830.400, SI 00830.403, SI 00830.410D, SI 00830.415, SI 00830.645, and SI 00830.800 for procedures on developing type F unearned income. These cases are identified in the CRZD segment on the SSID with a selection indicator of F. SUMS/MCAS MI Central counts and case data are available by selection indicator.
Unverified type S (self-employment) earned income on record. See SI 00820.220 and SI 00820.230 for procedures on developing net earnings from self-employment. These cases are identified in the CRZD segment of a SSID by a selection indicator of C. SUMS/MCAS MI Central counts and case data are available by selection indicator.
Payment continuation cases. See SI 02301.325 and SI 02005.010 for procedures on reviewing and correcting payments in these cases. These cases are identified in the CRZD segment of an SSID by a selection indicator of G. SUMS/MCAS MI Central case data is available by selection indicator.
J3 Diary - The recipient’s or deemor’s wages on the Supplemental Security Record (SSR) are greater than the recipient's or deemor’s wages on the MEF. (SI 02310.056)
J5 Diary - The deemor’s wages on the Supplemental Security Record (SSR) are greater than the deemor's wages on the MEF. (SI 02310.056)
S7 Diary - There are discrepancies between deemor's the wages on the SSR and the deemor's wages on the Office of Child Support Enforcement (OCSE) database. (SI 00820.143) (SI 02305.099)
C. Policy - LI and Special Veterans Benefits (SVB) cases
Only 2 LIs are associated with SVB cases. They are the 5H and U5 LIs. All other LIs, continuing Type F income and all redeterminations are suppressed. (See VB 00901.020.)
D. Procedure
1. Clearing a LI or closing a LI event
a. Resolve the diary or identified issue
Resolve the diary or identified issue per appropriate POMS instructions outlined in SI 02305.015B.
NOTE: For all LIs involving residents of Texas receiving type H unearned income for any month(s) after 04/96, see Dallas regional POMS instructions on processing Diaz cases at SI DAL00835.380C.
b. For LIs on Non-MSSICS cases
For LIs on non-MSSICS cases, clear the LI using 1719B input. See SM 01501.003 for instructions on types of RZ inputs. Delete all diaries using Direct SSR input on the UDIA screen in MSSICS. For 5B diaries, make appropriate input to the MS field per SM 01301.950 and SM 01501.250B.
c. For LIs Sseeded into MSSICS
For LIs seeded into MSSICS, MSSICS will delete the 5B, 5H, D8, I8, K6, KB, KC, K7, K8, K9, KP, KE, KZ, S2, SB, R8, 3D and U5 diaries upon completion of the appropriate Development Documentation Screen (MSOM MSSICS 022.012 through MSOM MSSICS 022.018). Clear the DI diary on the UDIA screen through Direct SSR Update.
NOTE: When you complete processing a S2, U5, or D8 diary you MUST close the MSSICS LI event at the same time that you clear the diary.
If the MSSICS LI event and the S2, U5, or D8 diary are not cleared at the same time, the Diaries SDO report on MI Central will continue to count the diaries as pending.
NOTE: If the case is placed into non-payment and the LI is deleted from the SSR, the LI event will remain open in MSSICS and the LI event will continue to show as pending on MI Central. The MSSICS file must be locked by the manclear process in order to clear the LI from SUMS/MCAS MI Central. If the case becomes “stuck” because manclearing does not remove it from the list of pending LIs, report it to your Regional Office. They will delete the case from SUMS/MCAS MI Central.
2. Clearing a LI or closing a LI event upgraded to an unscheduled RZ
Development of a LI may lead to completion of an unscheduled RZ as described in SI 02305.022A.5. Clear a LI that results in an unscheduled RZ, as follows:
a. For LIs not seeded into MSSICS
For LIs not seeded into MSSICS, clear the case using a disposition code M (face-to-face interview) or N (telephone interview). Clear the diaries via the Diary function in Direct SSR Update per MSOM BUSSR 002.019. The diaries must be cleared before or at the same time as the RZ input to avoid the VP reject (SM 01501.005).
b. For LIs seeded into MSSICS
For LIs seeded into MSSICS:
Upgrade the event to a Redetermination with or without recap on PMEN (see MSOM MSSICS 004.008);
Complete an RZ path; and
Close the RZ event.