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Report File
Date Issued
Submitting OIG
Social Security Administration OIG
Other Participating OIGs
Social Security Administration OIG
Agencies Reviewed/Investigated
Social Security Administration
Report Number
072304
Report Description

Objective: To determine whether the Social Security Administration accurately applied the law and policy pertaining to disability waiting period exclusions for Old-Age, Survivors, and Disability Insurance beneficiaries.

Report Type
Audit
Agency Wide
Yes
Number of Recommendations
5
Questioned Costs
$0
Funds for Better Use
$13,900,058

Open Recommendations

This report has 5 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
1 Yes $0 $1,119,103 Agree

Review and take corrective action for the 222 cases we identified where the Social Security Administration (SSA) may have incorrectly applied a waiting period and delayed Medicare coverage, if applicable.

2 Yes $0 $3,704,487 Agree

Review and take appropriate corrective action on the remaining population of 2,269 beneficiaries with Amyotrophic Lateral Sclerosis, beneficiaries entitled to Childhood Disability Benefits, and beneficiaries re entitled within 5 years for whom SSA may have incorrectly applied waiting periods.

3 Yes $0 $9,076,468 Agree

Determine whether it should review and take appropriate corrective action on the remaining population of 28,877 beneficiaries entitled to Disabled Widow(er) Benefits and have Supplemental Security Income credit.

4 No $0 $0 Agree

Update all policies referring to the 5-month waiting period exclusion to include all applicable scenarios and clear instructions on how to process claims when the waiting period should not be applied.

5 No $0 $0 Agree

Create integrity checks within SSA systems that result in alerts or exceptions for scenarios where the 5-month waiting period was applied incorrectly.

Social Security Administration OIG

United States