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.
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. |