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Social Security Administration § 416.2099

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Social Security Administration § 416.2099 § 411.650 20 CFR Ch. III (4–1–20 Edition) DISPUTES BETWEEN EMPLOYMENT 416.121 Receipt of aid or assistance for De- NETWORKS AND PROGRAM MANAGERS cember 1973 under an approved State plan under title I, X, XIV, or XVI of the § 411.650 Is there a process for resolv- Social Security Act. ing disputes between ENs that are not State VR agencies and PMs, Subpart B—Eligibility other than disputes on a payment GENERAL request? 416.200 Introduction. Yes. Under the agreement to assist us 416.201 General definitions and terms used in administering the Ticket to Work in this subpart. program, a PM is required to have pro- 416.202 Who may get SSI benefits. cedures to resolve disputes with ENs 416.203 Initial determinations of SSI eligi- that do not involve an EN’s payment bility. request. (See § 411.590 for the process 416.204 Redeterminations of SSI eligibility. for resolving disputes on EN payment REASONS WHY YOU MAY NOT GET SSI BENE- requests.) This process must ensure FITS FOR WHICH YOU ARE OTHERWISE ELIGI- that: BLE (a) The EN can seek a solution 416.207 You do not give us permission to through the PM’s internal grievance contact financial institutions. procedures; and 416.210 You do not apply for other benefits. (b) If the PM’s internal grievance 416.211 You are a resident of a public insti- procedures do not result in a mutually tution. agreeable solution, the PM shall refer 416.212 Continuation of full benefits in cer- tain cases of medical confinement. the dispute to us for a decision. 416.214 You are disabled and drug addiction or alcoholism is a contributing factor § 411.655 How will the PM refer the material to the determination of dis- dispute to us? ability. The PM has 20 working days from the 416.215 You leave the United States. failure to come to a mutually agree- 416.216 You are a child of armed forces per- sonnel living overseas. able solution with an EN to refer the dispute to us with all relevant informa- ELIGIBILITY FOR INCREASED BENEFITS tion. The information should include: BECAUSE OF ESSENTIAL PERSONS (a) A description of the disputed 416.220 General. issue(s); 416.221 Who is a qualified individual. (b) A summary of the EN’s and PM’s 416.222 Who is an essential person. position related to each disputed issue; 416.223 What happens if you are a qualified and individual. (c) A description of any solutions 416.250 Experimental, pilot, and demonstra- tion projects in the SSI program. proposed by the EN and PM when the EN sought resolution through the PM’s SPECIAL PROVISIONS FOR PEOPLE WHO WORK grievance procedures, including the DESPITE A DISABLING IMPAIRMENT reasons each party rejected each pro- 416.260 General. posed solution. 416.261 What are special SSI cash benefits and when are they payable. § 411.660 Is SSA’s decision final? 416.262 Eligibility requirements for special Yes. Our decision is final. SSI cash benefits. 416.263 No additional application needed. 416.264 When does the special SSI eligibility PART 416—SUPPLEMENTAL SECU- status apply. RITY INCOME FOR THE AGED, 416.265 Requirements for the special SSI eli- gibility status. BLIND, AND DISABLED 416.266 Continuation of SSI status for Med- icaid. Subpart A—Introduction, General 416.267 General. Provisions and Definitions 416.268 What is done to determine if you must have Medicaid in order to work. Sec. 416.269 What is done to determine whether 416.101 Introduction. your earnings are too low to provide 416.105 Administration. comparable benefits and services you 416.110 Purpose of program. would receive in the absence of those 416.120 General definitions and use of terms. earnings. 792 VerDate Sep<11>2014 15:23 Jun 08, 2020 Jkt 250067 PO 00000 Frm 00802 Fmt 8010 Sfmt 8010 Y:\SGML\250067.XXX 250067 Social Security Administration Pt. 416 Subpart C—Filing of Applications 416.428 Eligible individual without an eligi- ble spouse has an essential person in his GENERAL PROVISIONS home. 416.301 Introduction. 416.430 Eligible individual with eligible 416.302 Definitions. spouse; essential person(s) present. 416.305 You must file an application to re- 416.432 Change in status involving a couple; ceive supplemental security income ben- eligibility continues. efits. 416.435 Change in status involving a couple; ineligibility occurs. APPLICATIONS 416.310 What makes an application a claim Subpart E—Payment of Benefits, for benefits. Overpayments, and Underpayments 416.315 Who may sign an application. 416.320 Evidence of authority to sign an ap- 416.501 Payment of benefits: General. plication for another. 416.502 Manner of payment. 416.325 When an application is considered 416.503 Minimum monthly benefit amount. filed. 416.520 Emergency advance payments. 416.327 Pilot program for photographic iden- 416.525 Reimbursement to States for in- tification of disability benefit applicants terim assistance payments. in designated geographic areas. 416.532 Method of payment when the essen- tial person resides with more than one EFFECTIVE FILING PERIOD OF APPLICATION eligible person. 416.330 Filing before the first month you 416.533 Transfer or assignment of benefits. meet the requirements for eligibility. 416.534 Garnishment of payments after dis- 416.335 Filing in or after the month you bursement. meet the requirements for eligibility. 416.535 Underpayments and overpayments. 416.536 Underpayments—defined. FILING DATE BASED UPON A WRITTEN 416.537 Overpayments—defined. STATEMENT OR ORAL INQUIRY 416.538 Amount of underpayment or over- 416.340 Use of date of written statement as payment. application filing date. 416.542 Underpayments—to whom underpaid 416.345 Use of date of oral inquiry as appli- amount is payable. cation filing date. 416.543 Underpayments—applied to reduce 416.350 Treating a title II application as an overpayments. oral inquiry about SSI benefits. 416.544 Paying benefits in installments: Drug addiction or alcoholism. DEEMED FILING DATE BASED ON 416.545 Paying large past-due benefits in in- MISINFORMATION stallments. 416.351 Deemed filing date in a case of mis- 416.546 Payment into dedicated accounts of information. past-due benefits for eligible individuals under age 18 who have a representative WITHDRAWAL OF APPLICATION payee. 416.355 Withdrawal of an application. 416.550 Waiver of adjustment or recovery— 416.360 Cancellation of a request to with- when applicable. draw. 416.551 Waiver of adjustment or recovery— effect of. Subpart D—Amount of Benefits 416.552 Waiver of adjustment or recovery— without fault. 416.401 Scope of subpart. 416.553 Waiver of adjustment or recovery— 416.405 Cost-of-living adjustments in bene- defeat the purpose of the supplemental fits. security income program. 416.410 Amount of benefits; eligible indi- vidual. 416.554 Waiver of adjustment or recovery— 416.412 Amount of benefits; eligible couple. against equity and good conscience. 416.413 Amount of benefits; qualified indi- 416.555 Waiver of adjustment or recovery— vidual. impede administration. 416.414 Amount of benefits; eligible indi- 416.556 Waiver of adjustment or recovery— vidual or eligible couple in a medical countable resources in excess of the lim- treatment facility. its prescribed in § 416.1205 by $50 or less. 416.415 Amount of benefits; eligible indi- 416.557 Personal conference. vidual is disabled child under age 18. 416.558 Notice relating to overpayments and 416.420 Determination of benefits; general. underpayments. 416.421 Determination of benefits; computa- 416.560 Recovery—refund. tion of prorated benefits. 416.570 Adjustment. 416.426 Change in status involving an indi- 416.571 10-percent limitation of recoupment vidual; ineligibility occurs. rate—overpayment. 793 VerDate Sep<11>2014 15:23 Jun 08, 2020 Jkt 250067 PO 00000 Frm 00803 Fmt 8010 Sfmt 8010 Y:\SGML\250067.XXX 250067 Pt. 416 20 CFR Ch. III (4–1–20 Edition) 416.572 Are title II and title VIII benefits 416.660 Transfer of accumulated benefit pay- subject to adjustment to recover title ments. XVI overpayments? 416.665 How does your representative payee 416.573 How much will we withhold from account for the use of benefits? your title II and title VIII benefits to re- cover a title XVI overpayment? Subpart G—Reports Required 416.574 Will you receive notice of our inten- tion to apply cross-program recovery? INTRODUCTION 416.575 When will we begin cross-program 416.701 Scope of subpart. recovery from your current monthly ben- 416.702 Definitions. efits? 416.580 Referral of overpayments to the De- REPORT PROVISIONS partment of the Treasury for tax refund 416.704 Who must make reports. offset—General. 416.708 What you must report. 416.581 Notice to overpaid person. 416.582 Review within SSA that an overpay- 416.710 What reports must include. ment is past due and legally enforceable. 416.712 Form of the report. 416.583 Findings by SSA. 416.714 When reports are due. 416.584 Review of our records related to the PENALTY DEDUCTIONS overpayment. 416.585 Suspension of offset. 416.722 Circumstances under which we make 416.586 Tax refund insufficient to cover a penalty deduction. amount of overpayment. 416.724 Amounts of penalty deductions. 416.590 Are there additional methods for re- 416.726 Penalty period: First failure to re- covery of title XVI benefit overpay- port. ments? 416.728 Penalty period: Second failure to re- port. Subpart F—Representative Payment 416.730 Penalty period: Three or more fail- ures to report. 416.601 Introduction. 416.732 No penalty deduction if you have 416.610 When payment will be made to a rep- good cause for failure to report timely. resentative payee.
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