Benefits and Work Incentives Exam
Questions and Answers
What needs to be reported for Title II? - Correct Answers
✅food, shelter, money
disability determination process - Correct Answers ✅This is
a sequential process
1) step 1, is the claimant performing substantial gainful
activity?
2)Does the claimant have a severe impairment or
combination of impairments?Impairment MUST impact ability
to work. Clearly flush out people who are not disabled at all,
who have no impairment whatsoever. Now it's a de minimus
test.
3)Does the claimant's impairment, or combination of
impairments, meet or equal the severity of a listing in the
SSA Listing of Impairments? If yes: Win
4) If the claimant's condition does not meet or equal the
severity of a listed impairment, does the claimant have the
"residual functional capacity"to do his past relevant work?
Past relevant work refers to any work that the individual has
performed at the SGA activity level within the past 15 years.
Past work is considered regardless of the country in which the
work was performed. This is where a lot of people get denied.
5) If past relevant work is excluded, does the individual retain
the residual functional capacity (RFC) to do any other kind of
work that exists in significant numbers in the national
economy?Does the individual have the capacity to perform
other work that exists in the national economy at the SGA
level? RFC is considered, along with the factors of age,
education, and work experience.
,Benefits and Work Incentives Exam
Questions and Answers
SGA amount -non blind 2020 (monthly) - Correct Answers
✅If the individual is a nonblind individual, in 2020, that
number is a wopping $1,260.
SGA is much more then a number
SGA amount -blind 2020 (monthly) - Correct Answers
✅$2,110
When a applicant for which of the following benefit programs
is performing SGA, their application will be denied. Is it SSI
disability? Is it SSDI? Is it both? Or is it neither? - Correct
Answers ✅Both SSI and SSDI
Once a person is found eligible for benefits, then, then the
SGA rule applies - Correct Answers ✅Once a person is
found eligible for benefits, then, then the SGA rule applies
only in title II cases, SSDI, once a person is on benefits, there
is no SGA for people on SSI at all.
The sequential evaluation applies to - Correct Answers
✅both in the title II program and in the SSI program, because
we are at the application stage. That is how a case is looked
at by the Social Security Administration.
presumptive eligibility consideration - Correct Answers
✅Applies only to SSI
,Benefits and Work Incentives Exam
Questions and Answers
SSI benefits may be paid for a period of up to 6months on the
basis of presumptive disability or blindness, pending a
disability determination.
May be subject to recoupment as the presumptive benefits
are paid prior to the applicant having met the disability
requirement.
It's applicants for SSI benefits and includes kids, and if their
disability is so severe and so intense, they can request
presumptive eligibility, which means that they can start
getting paid for up to six months on the basis that their
condition is so severe, and pending a real determination.
I would do it in cases that were clear-cut winners, because if
you lose the case, you are subject to recoupment. There is
going to be an overpayment.
Compassionate allowances - Correct Answers ✅The SSA
may quickly identify diseases and/or medical conditions that
clearly meet the Listings of Impairments with only minimal
medical evidence and review.
Over 250 medical conditions will give rise to consideration for
a Compassionate Allowance. POMS DI 23022.080 contains the
current list. The list is very active with impairments added
and deleted regularly.
, Benefits and Work Incentives Exam
Questions and Answers
Age 18 redetermination - Correct Answers ✅Each SSI
recipient under age 18 who continues to receive SSI benefits
upon turning age 18 mustundergo an Age-18
Redetermination.
An Age-18 Redetermination is neithera new application nor a
Continuing Disability Review (CDR).
An Age-18 Redetermination is a determination focusing on
whether the disabled child, now an adult, meets the adult
disability standard.Many people will say, oh, so age 18
redetermination is a new application. No. It is not a new
application, because the client does not have to fill anything
out. It happens automatically.
They are not looking to see if the person is still disabled,
because it's a different standard. They might still be disabled
under the kids, Childs standards, but the question is are they
disabled under the adult standards.
Section 301. - Correct Answers ✅Allows medically
improved individuals to continue receiving SSDI and SSI cash
and health benefits if:
They are participating in an approved vocational
rehabilitation program at the time their disability ceases;
The program will be completed in a reasonable time; and
The SSA has determined that continued participation in the
program increases the likelihood of permanent removal from
the disability benefit rolls.Let me tell you that with kids, it's
even better, because Social Security has very clearly stated
that if there is an individualized education plan, an IEP, that
Questions and Answers
What needs to be reported for Title II? - Correct Answers
✅food, shelter, money
disability determination process - Correct Answers ✅This is
a sequential process
1) step 1, is the claimant performing substantial gainful
activity?
2)Does the claimant have a severe impairment or
combination of impairments?Impairment MUST impact ability
to work. Clearly flush out people who are not disabled at all,
who have no impairment whatsoever. Now it's a de minimus
test.
3)Does the claimant's impairment, or combination of
impairments, meet or equal the severity of a listing in the
SSA Listing of Impairments? If yes: Win
4) If the claimant's condition does not meet or equal the
severity of a listed impairment, does the claimant have the
"residual functional capacity"to do his past relevant work?
Past relevant work refers to any work that the individual has
performed at the SGA activity level within the past 15 years.
Past work is considered regardless of the country in which the
work was performed. This is where a lot of people get denied.
5) If past relevant work is excluded, does the individual retain
the residual functional capacity (RFC) to do any other kind of
work that exists in significant numbers in the national
economy?Does the individual have the capacity to perform
other work that exists in the national economy at the SGA
level? RFC is considered, along with the factors of age,
education, and work experience.
,Benefits and Work Incentives Exam
Questions and Answers
SGA amount -non blind 2020 (monthly) - Correct Answers
✅If the individual is a nonblind individual, in 2020, that
number is a wopping $1,260.
SGA is much more then a number
SGA amount -blind 2020 (monthly) - Correct Answers
✅$2,110
When a applicant for which of the following benefit programs
is performing SGA, their application will be denied. Is it SSI
disability? Is it SSDI? Is it both? Or is it neither? - Correct
Answers ✅Both SSI and SSDI
Once a person is found eligible for benefits, then, then the
SGA rule applies - Correct Answers ✅Once a person is
found eligible for benefits, then, then the SGA rule applies
only in title II cases, SSDI, once a person is on benefits, there
is no SGA for people on SSI at all.
The sequential evaluation applies to - Correct Answers
✅both in the title II program and in the SSI program, because
we are at the application stage. That is how a case is looked
at by the Social Security Administration.
presumptive eligibility consideration - Correct Answers
✅Applies only to SSI
,Benefits and Work Incentives Exam
Questions and Answers
SSI benefits may be paid for a period of up to 6months on the
basis of presumptive disability or blindness, pending a
disability determination.
May be subject to recoupment as the presumptive benefits
are paid prior to the applicant having met the disability
requirement.
It's applicants for SSI benefits and includes kids, and if their
disability is so severe and so intense, they can request
presumptive eligibility, which means that they can start
getting paid for up to six months on the basis that their
condition is so severe, and pending a real determination.
I would do it in cases that were clear-cut winners, because if
you lose the case, you are subject to recoupment. There is
going to be an overpayment.
Compassionate allowances - Correct Answers ✅The SSA
may quickly identify diseases and/or medical conditions that
clearly meet the Listings of Impairments with only minimal
medical evidence and review.
Over 250 medical conditions will give rise to consideration for
a Compassionate Allowance. POMS DI 23022.080 contains the
current list. The list is very active with impairments added
and deleted regularly.
, Benefits and Work Incentives Exam
Questions and Answers
Age 18 redetermination - Correct Answers ✅Each SSI
recipient under age 18 who continues to receive SSI benefits
upon turning age 18 mustundergo an Age-18
Redetermination.
An Age-18 Redetermination is neithera new application nor a
Continuing Disability Review (CDR).
An Age-18 Redetermination is a determination focusing on
whether the disabled child, now an adult, meets the adult
disability standard.Many people will say, oh, so age 18
redetermination is a new application. No. It is not a new
application, because the client does not have to fill anything
out. It happens automatically.
They are not looking to see if the person is still disabled,
because it's a different standard. They might still be disabled
under the kids, Childs standards, but the question is are they
disabled under the adult standards.
Section 301. - Correct Answers ✅Allows medically
improved individuals to continue receiving SSDI and SSI cash
and health benefits if:
They are participating in an approved vocational
rehabilitation program at the time their disability ceases;
The program will be completed in a reasonable time; and
The SSA has determined that continued participation in the
program increases the likelihood of permanent removal from
the disability benefit rolls.Let me tell you that with kids, it's
even better, because Social Security has very clearly stated
that if there is an individualized education plan, an IEP, that
