DI 44005: Processing Joint Freeze Cases in the Great Lakes Program Service Center-Disability Processing Branch (GLPSC-DPB)
BASIC (06-10)
A. Allowances: Freeze only – Not insured for Disability Insurance Benefits (DIB)
Complete the following items on the SSA-831:
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Item 17 (Diary) |
Regular procedures apply – DI 26510.020, DI 26525.000. |
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Item 22 (Reg. basis code) |
See DI 26510.045 for codes. Most common codes: (A1) meets listing, (B1) equals listing, (C1) med/voc |
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Item 23 (Med List No) |
If claimant meets or equals a listing–show listing code. See DI 26510.050 for Item 23 format – enter up to 7 positions of the appropriate listing number, e.g. listing 4.02 A2 should be coded as “004.02A2”. |
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Items 32 – 33 |
Complete items 32 through 33 per DI 26510.090. See DI 24501.002C.2. for the Medical Consultant/Psychological Consultant (MC/PC) signature requirements. See DI 24501.004 for medical specialty codes for Item 32 B. NOTE: The MC/PC signature requirements for Joint Freeze SSA-831s are the same as for dual eligibility cases. |
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Items 37 and 38 |
Sign and date—SSA code is “04” |
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Items 20, 25A and 28 |
Usually completed by the Railroad Retirement Board (RRB)—if not, complete these entries per DI 26510.035, DI 26510.065, and DI 26510.080 respectively. |
Make two photocopies of the SSA-831; annotate one “Folder copy” and the other one “Data copy” at the bottom of the form. On these copies only, change the diagnosis basis codes in Items 16A and B to the SSA codes per DI 26510.015. Do not amend the coding on the original RRB SSA-831.
File the original SSA-831 on the left side of the folder.
B. All denials (regardless of insured status for cash DIB)
Complete the following items on the SSA-831:
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Item 22 (Reg. basis code) |
See DI 26510.045 for codes. Most common codes: (F1) non-severe, (H1) past work, (J1) other work |
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Items 19, 20 and 25A |
Usually completed by RRB–if not, complete these entries per DI 26510.030, DI 26510.035, and DI 26510.065 respectively |
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Items 32-33, 37 and 38 |
Same as for allowances |
Make two photocopies of the SSA-831. Annotate one copy “Folder copy” and the other one “Data copy”. On these copies only, change the diagnosis basis coding in Item 16A and B to the SSA codes per DI 26510.015. Complete the field office code and address in Item 12. Do not amend the coding on the original RRB SSA-831.
File the original SSA-831 on the left side of the folder.
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