SI 02305: Redeterminations of Eligibility and/or Payment Amount
TN 56 (10-07)
A. Policy
The following provides the policy for determining:
The effective dates of change in SSI policies and procedures; and
When an RZ is considered initiated for the purposes of effective dates for policy changes.
1. General
There may be changes in SSI policy during the period of review that may affect a recipient's eligibility or payment amount, even though there were no changes in circumstance.
2. Effective Dates
POMS transmittals introducing changes may have specific effective dates for field completed RZs.
3. Criteria for Effective Date
Unless 2 above applies, the effective date of change depends on whether the change is advantageous or disadvantageous to recipients.
NOTE: FOs may not alter this date in individual cases.
Whenever policy change results in higher payments or no payment changes to individuals, the policy change effective date will be the month the RZ is initiated or the effective date specified in the law or regulations.
Whenever payments will be reduced as a result of the policy change, the policy change is effective with the month after the month in which the first RZ is initiated after the policy effective date.
4. What Is An Initiated RZ
An RZ has been initiated when the adjudicator:
Documents recipient allegations on an RZ form or opens a MSSICS event and completes MSSICS screens during a personal contact interview;
Receives a signed mailer RZ; or
In the case of an abbreviated RZ as described in SI 02305.045, has information documented on a report of contact.
For the definition of initiation date, see SI 02305.034A.3 and SI 02305.034 A.4.
5. What Is Not An Initiated RZ
An RZ completed by the DOC or as a result of a payment quality review is not considered an initiated RZ for the purposes of policy changes.