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. | |||||
| 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. | |||||