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SSI QUERY GUIDE – (Supplemental Security Income Display)

PAGE NUMBER

SSID DISPLAY SUMMARY EXPLANATION

1. MSG (Message Line) 22. CCTL (Case Control Data) 23. NAME (Standard Response) 24. CMSC (Case Misc. Data) 35. CRZD (Case Redetermination) 46. PRSN (Person Related) 57. AUTH (Authorized Representative) 78. LEGG (Legal Guardian Data) 89. RCRD (Record) 810. ADDR (Mailing Address) 911. RADR (Residence Address) 912. HADD (Historic Mailing Address Data) 913. REPY (Representative Payee) 914. DIAR (Diary) 1015. DISB (Disability) 1116. WORK (Work Incentive Data) 1217. CONV (Conversion) 1218. DRDP (Direct Deposit) 1219. HDDP (Historical Direct Deposit) 1220. NOTC (Notices) 1221. APPE (Appeals Data) 1222. MULT (Multiple ssn’s) 1223. TRAN (Transaction History) 1324. ENIH (Earned Income) 1325. UMIH (Unearned Income) 1326. INST (Institutionalization Data) 1427. CMPH (Computational History) 1428. WCMP (Windfall Computation Data) 1729. PMTH (Payment History) 1730. DUPR (Due Process) 1931. MPMT (Miscellaneous Overpayment Data) 1932. OPSQ (Overpayment Sequence Data) 2033. OPDR (Overpayment Decisions & Refunds) 2134. RMKS (Remarks Data) 23

Payment Status Codes 24Transaction History Codes 26Case Characteristic (CG) Codes 28

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SSID DISPLAY SUMMARY EXPLANATION

1. MSG (MESSAGE LINE)

NO Message NumberDTE Date of ReplySSID Identifies SSR Online Display ResponseQN Query NumberRN Online Record Number and Record TotalUNIT Unit Number for RequestPAGE Reply Page Number

2. CCTL (CASE CONTROL DATA)

FUN Filed Under NumberCFL Current Folder LocationMV Current Folder Location Clearance/Receipt DateFRC Federal Records CenterPFL Prior Folder LocationPSC Program Service CenterCCY Court Case Year

3. STANDARD RESPONSE

NAME Last, First, Middle InitialSSN Social Security NumberPSY Current Payment Status CodeDS Denial Code/DateAB Abbreviated Application CodeTMR Type of Master Record

AI, BI, DI = Aged, blind or disabled individualAE, BE, DE = Aged, blind or disabled individual with eligible spouseAX, BX, DX = Aged, blind or disabled individual with ineligible spouseDC, BC = Disabled or blind childDF, BF = Disabled/blind child living with fatherDM, BM = Disabled/blind child living with motherDB, BB = Disabled/blind child living with both parentsES = Eligible individual awaiting spouse data20 = Initially denied record terminated when new record established

ID Person Identification Code

AI, BI, DI = Aged, blind or disabled individualAS, BS, DS = Aged, blind or disabled eligible spouseDC, BC = Disabled or blind childXF, XM, XS = Ineligible father, mother, or spouse

TDA Last Transaction Date (case)

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SEQ SSR Sequence Number

4. CMSC (CASE MISCELLANEOUS DATA)

HUN SSR-Housed Under NumberRIC Record Identification Code (G = active record, T = terminated record)CCD Exception Control Code

1 = Initial claim alert pending 6 = MBR edit & NUMI death edit pending2 = Initial claim edit pending 7 = NUMI edit pending3 = Alert and edit pending 8 = MBR interface edit pending5 = NUMI death edit pending 9 = MBR & NUMI interface edits pending

VER Record Verification Code

0 = SSNs/CANs not verified1 = All SSNs verified2 = All CANs verified3 = All SSNs/CANs verifiedB = CANs verified but SSN verification necessaryN = Finder to NUMI, no finder to MBR pending input of unearned incomeS = Finder to MBR and/or NUMIX = No finder released to MBR or NUMI due to missing ID data

FFL Force Flag (F = Record is in force pay)GKC Goldberg-Kelly Code (T = GK notice not released timely)EPF Essential Person FlagCPD Computational Date/Level (See 01601.445C for codes)CPF Last Full Computation DateCSC Couple Status Code and Date - Identifies special couple comp records

I = Eligibility established for eligible individual onlyS = Eligibility established for eligible spouse onlyC = Record now being computed as couple record

SD Start DateSBM Start Date Budget MonthSTP Stop DatePL Appeals Code/Date

Filed A (Recon) P (Hearing) W (Appeals council)Dismissed B “ Q “ X “Affirmation C “ R “ Y “Reversal D “ S “ Z “

K court activity pendingL court decision unfavorable to clmt & not appealedM court decision favorable to clmt & not appealed by SSAN court decision favorable to clmt & appealed by SSAO class action suit involved

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IRC Internal Revenue Service Case Code (see 01601.445C for codes)MSI Modernized System Indicator

Position 1

1 = Record established via routine SSA-450 input outside MSSICS3 = Claim established by and still in MSSICS4 = Claim established by MSSICS but updated outside MSSICS

Position 2

1 = SSA-450 or PR generated by MSSICS2 = Same as 1, MSSICS identified case as MSSICS limitation

Position 3 - Date latest transaction was created by MSSICS

1. CRZD (CASE REDETERMINATION)

CG Case Characteristic Data PC Pre-Effectuation Contact Code/Date

A = Completed, F = prior to entry deleted

IA Program Integrity Alert

Y = SSR contains individual who committed fraudP = SSR contains individual under investigation for fraud

RBD Redetermination Begin DateRZ Redetermination DataS Selection Indicator

Blank = Unsch RZ completed Q = FO unsch RZ established aspending

1 - 9 = FO LEPS & MEPS S = DOC RZ - profile A or BB = 1619(b) case T = DOC case transferred to FOD = FO selection (D6) U = UC redet - profile 2J = FY 87 delayed UC V = Force pay caseK = Unselected UC case current yr. W = Released to DOC - done by

FOL = Released to FO (obsolete) X = Limited issue case to FOM = UC redet - profile 1 Y = No-response DOC transfer to

FON = PE HEP case - profile C Z = FO selection HEPP = DOC case - 1619 (a) criteria met

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RZP Profile Indicator/Source Code 1st position = profile, 2nd = source

Profile Indicator Source Codes

Blank = Unscheduled redet A = Boston Region1 = UC profile, meets U/P score B = New York Region2 = UC profile, meets O/P score C = Philadelphia RegionA = LEP case D = Atlanta RegionB = MEP case E = Chicago RegionC = FO HEP case G = Kansas City RegionD = HEP case (obsolete) H = Dallas RegionE = HEP case (obsolete) I = Denver RegionK = MEP KB diary J = San Francisco RegionO = MEP old pending RZ K = Seattle RegionP = HEP SU (PASS) diary N = NationalV = MEP child clmt overseas Z = UnknownW = 1619 (b) caseX = Limited issue caseY = Force pay caseZ = HEP Zebly not selected

T Disposition Indicator

A/1 = Face to face 8203 J = Face to face 8202B/2 = Telephone 8203 K = Telephone 8202C/3 = Mail 8203 L = Mail 8202D = Limited issue case N/7 = Telephone 8203 BKE = No data input 9 = mail 8203 BKF/6 = Pymt Quality Review case P = Redet pendingH/8 = Policy Analysis Review case U = Nonselected UC caseM/5 = Face to face 8203 BK O = Abbreviated redet for inst recipient

RZD Date of Selection/Transfer or ProcessingRZI Development Initiation MonthRZC Development Completion Month

2. PRSN (PERSON RELATED)

RE Resources

H (Home) A = Owns I (Insurance) C = FV > $1500 J = Agrmt to dispose L = Agrmt to dispose F = Unvrfd Value P (Property) D = Income Producing S = Equity in prop O = Under/over limit T = House/equity in prop M = Agrmt to dispose

C (Car) B = Owns vehicle O (Other) E = Over limit K = Agrmt to dispose N = Agrmt to dispose

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AP Date of ApplicationDF Date of FilingEXS Exclude from StatusDB Date of Birth

Proof of age indicator:

A = Alleged but not proven, or age not factor of eligibilityB = Public or religious record before age 5C = Evidence which meets requirements of GN 00302.110 of 00302.125E = Proof of birthdate but type is unknownF = DOB formerly established for SSA as evidence by M-fiche or MBRQ = DOB established but none of the above codes apply

SX Sex F = Female, M = Male, U = Not determinedAR Citizen/Alien Status - Residence Date - Country of Origin - Sponsor Status

First AR Field - Citizen/Alien Status Code:

A = Proven US Citizen L = Alien granted asylum INAB = Alleged US CZ, NUMI intrfc M = Resident of NMI (obs)C = US CZ, born outside US N = CZ estab by NUMI (overlays B)D = Algd CZ, no NUMI, in US 1/72 P = PRUCOL alien (1/1/72)E = No dvlpmnt - denial Q = Algd CZ, NUMI as proofF = Admitted to US under INA R = Alien temporary res statusG = Paroled into US under INA S = Alien perm res status (IRCA)H = Silva vs Levi alien T = Alien voluntary departureI = Indochinese refugee (obs) U = UnknownJ = Deferred action V = System override (obs)K = Permanent resdnt alien W = Alien granted stay of deportation

X = Cuban/Haitan entrant Y = Legalized special agrcltrl worker Z = Relative selection alien

2nd AR Field Month and year of residence for codes F-L, R-T, W-Z3rd AR Field Country of origin for codes F-L, R-T, W-Z (see SM 01005.103)4th AR Field Alien sponsor status for deeming for code K (see SM 01601.474C)

FV Foreign language and/or Blind Notice Indicator

English Spanish

A = BI certified mail = DB = BI regular mail w/phone contact = FC = BI regular mail = GE = Not blind, regular mail = S

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DOE Date of EligibilityDH Date of Death/Source Code

Source codes:

0 = XS record shows date of departure 3 = MBR notification1 = DO notification 4 = Treasury return check2 = HI notification 5 = Obsolete

SSD State Reporting DeathMEF Medicaid Effective DateAK Other NameMS Military Service Indicator (Y = had military service)VAA VA Aid/Attendance/Housebound Code (see SM 01601.475C)IRS IRS Code/Date (see SM 01601.475C)W2P Pension Code/DateENF Earnings Enforcement IndicatorTERI Terminal Illness IndicatorZEB Zebley Indicator D = denied, F = allowed, Z = class memberCCID Court Case ID CodeMCI Medicare Coverage Indicator

3. AUTH (AUTHORIZED REPRESENTATIVE)

T Representative Type A = Attorney, N = Non attorneyNME Representative’s NameADR Representative’s AddressZIP Representative’s Zip CodeTEL Representative’s Phone NumberEXT Representative’s ExtensionUPT16 Underpayment T16FIN Fee Agreement Involved: S = SSI only, C = Concurrent, R = T2 onlyT16S Authorized Fee Amount (not countable income for SSI)FEND Retroactive ending date of fee periodCST Fee Comp Status: D = T16 Fee = 0 (no past due benefits); L = Amt is less

than Agreement; M = T16 = 0/T2 = Max; R = T2 data posted; Y = T16 = FullAmt

FST Fee Status: F = Fee Agrtmnt; P = Fee Petition; W = Fee Waived; U =Unknown

AGR Authorized Representative Agreed Flat Fee AmountAFOC Office Code that Approved FeePKTE Out of Pocket Expenses not included in rep’s feeT2S Auth Rep T2 FeeT2FAT Auth Rep T2 Fee Agrmnt TypeT2APRI Auth Rep Atty Protest IdentifierT2PDT Auth Rep T2 Protest DateT2W Amount withheld from T2 retro check to cover rep’s fee

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4. LEGG (LEGAL GUARDIAN DATA)

NME Legal Guardian NameAGCY Legal Guardian Agency NameADR Legal Guardian AddressFZO Foreign Postal ZoneCON Consul CodeTEL Telephone NumberFTEL Foreign Telephone Number

5. RCRD (RECORD)

RSC Record Source CodeEST Record Establishment DateXD0 Transmitting District Office (last 450SI or PR input)IDD Initial Decision DateSNV SSN Verification Code

0 = SSN unverified - no reply from NUMI or MBR1 = SSN not established on NUMI2 = SSN unverified - surname or year of birth discrepant3 = SSN verified4 = RN field transmitted7 = SONU transmitted to override NUMI editF = NIF

CNV CAN Verification Code

0 = CAN unverified - no reply from MBR1 = BIC/NIF2 = CAN unverified - name, SSN/BOAN, or DOB discrepancy3 = CAN alleged and two NIFs received4 = No CAN alleged, or CAN alleged for recent filing and NIF received5 = CAN verified7 = SOMB transmitted to override MBR edit

LAF MBR LAF Code (see AACT Reader)UMR Unearned Income Reduction CodeQCR Quarters of Coverage Required (Title 2)QCE Quarters of Coverage EarnedQCI Quarters of Coverage IndicatorWIN Windfall Indicator/Windfall Period

D = TXVI offsetB, E = Manual offset comp posted to MBR prior to 4/84F, G = Automated offset computation completedH = Manual offset computation pendingI, J = Manual offset computation completedK = Same as I except negative amount computed

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N = Manual offset computation requiredR,C,S = Manual recomputation completedT = Same as R except negative amount computedZ = Automated comp awaiting FO input to resolve exclusion

WNC Windfall Offset Noncountable Income TII payable after offsetWPA Windfall Prior Month Accrual Total TII retro amount subject to offsetWFT Windfall Offset Federal TotalWST Windfall Offset State TotalWAB Windfall Indicator Code from MBRECI Exception CodePRC Proration/Pending CodePCO Program Service CenterPT Third Party Medical Insurance IndicatorUE Unpaid Medical Expenses IndicatorFS Food Stamp Information/DateIRS IRS Savings Account Interface Flag

6. ADDR (MAILING ADDRESS)

X’s Name and AddressFZO Foreign Postal ZoneCON Consular CodeTL Telephone NumberDIS Servicing FO CodeST ST/CY of Res./FO DesignationACD Address Change Date

7. RADR (RESIDENCE ADDRESS)

X’s Residence Address

8. HADD (HISTORIC MAILING ADDRESS DATA)

CHG Address Change DateX’s AddressZIP Zip Code

9. REPY (REPRESENTATIVE PAYEE)

S Selection DateT Rep Payee Type

SEL Bene is own payee SLM State/local mental institutionSPO Spouse PRO Proprietary nonmental institutionFTH Natural or adoptive father PRM Proprietary mental institutionMTH Natural or adoptive mother NPO Noprofit nonmental institutionSFT Stepfather NPM Nonprofit mental institutionSMT Stepmother FIN Financial organization

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GRP Grandparent AGY Social AgencyCHD Child (Nat, adopt, or step) OFF Public official REL Other relative OTH OtherFDO Federal nonmental inst PYE Payee has custodyFDM Federal mental inst ESP Essential personSLO State/local nonmental inst

CO Recipient Competency Code

A = Recipient is competent and payee is legal guardianB = Recipient is competent and there is no legal guardianC = Recipient is competent and someone other than legal guardian is payeeD = Recipient is incompetent and payee is legal guardianE = Recipient is incompetent and there is no legal guardianF = Recipient is incompetent and someone other than legal guardian is payee

CU Custody Code (see Type of Payee codes above)M Accountability MonthPA Payee Accounting Code

0 = Case selected, 1 = Diary cleared, 2 = Payee on 150 day list

RPN Rep Pye Accounting Verification CodeCF Conserved FundsMM Misused Money Amount/Code/Date

Status of Recovery Codes:

A = Recoupment efforts abandonedB = Misused, money paid in fullC = Misused, case being prosecuted (civil)D = Misused, case being prosecuted (criminal)E = Misused, money amount determined disposition pendingF = No misuse involved; money amount previously input deleted

SN/EI Social Security Number or Employer ID Number of Payee

10. DIAR (DIARY)

XX Diary Code MMDDYY Diary Maturity DateX Followup CodeOPJ Overpayment JurisdictionX T = TSC, F = FOMMDDYY Date of FollowupXXX TSC Code

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11. DISB (DISABILITY)

DPC Disability Payment Code

P = Presumptive findingF = Final determinationS = State determination (conversion cases only)R = Referred to State Agency (no determination code)T = Presumptive finding (State conversion case)X = No disability determination - denied for non-dib reasons

SAC State Agency DDS codeDSA Date to State AgencyDDO Date of OnsetDT Drug/Alcohol Treatment Code

Y = Under approved treatment plan, N = Not under plan, U = Unknown

DFT Date DA&A payments should terminateRB Rollback CodeVR Vocational Rehabilitation (see 1601.595C for codes)SPD Presumptive Disability Payment Start DateEPD Presumptive Dib Pymt Stop DateTW Trial Work MonthsEW Ending Date for EPECS Substantial Gainful Activity Code/Date S = Engaging in SGA, N = notMG Medical Recovery Code/Date C = Continuance, T = TerminationMFR Medical Folder Review DateCIT 1619 CDR Initiation Type/DateCIP 1619 CDR Initiation Type/Date - Prior RecordSI Status Indicator for Title XIX/XX/Date

1 = Meets “use” and “sufficiency of earnings” tests2 = Does not meet “use” test3 = Does not meet “sufficiency of earnings” test4 = Does not meet “use” and “sufficiency of earnings” tests5 = “Use” and “sufficiency of earnings” test being developed6 = Force pay record - meets TXIX criteria7 = Force pay record - does not meet TXIX criteria

MQ Prior Period Status Indicator (see 1601.595C codes)MD Medical Diary Reason (see 1601.595C for codes)DIG Disability Diagnosis CodeDP Permanent Disability IndicatorTPI Test Process Indicator

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12. WORK (WORK INCENTIVE DATA)

T Work Incentive Activity CodeDTE Work Incentive Activity DatePASS S = Pass Start Date, E = PASS End Date

13. CONV (CONVERSION)

FL 12/73 FED. Living ArrangementFIS 12/73 FCI. Source CodeFI 12/73 FED. Countable IncomeGA State grant amountSTC ST/CY Code of ConversionWE Welfare Identification Number

14. DRDP (DIRECT DEPOSIT)

BC Bank Routing and Transit NumberBCA Account Type/Number C = Checking, S = Savings, O = Electronic TransferDDC Direct Deposit Date of Change Code

15. HDDP (HISTORICAL DIRECT DEPOSIT)

DDC Historical DRDP Date of ChangeDDT Historical DRDP Date of TerminationBCR Historical DRDP Routing NumberBCA Historical DRDP Depositor Account Number

16. NOTC (NOTICES)

C/O Title II Protective Filing Closeout IndicatorM/D/Y Notice DateXXXX Notice form No. (first entry after date)XXXX Paragraph Numbers Included in Notice (see NL 00801.001ff)

17. APPE (APPEALS DATA)

T Appeal TypeRSN Appeal ReasonFILED Appeal Filing DateDECISION Decision Code and DateOFC Appeals Office ID CodeEFFECT Appeals Effectuation Type and Date

18. MULT (MULTIPLE SSN’s)

XXX-XX-XXXX Multiple SSNX Multiple SSN Verification CodeMM/DD/YY Date Multiple SSN Established on the Record

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19. TRAN (TRANSACTION HISTORY)

UN Unit NumberXX Transaction TypeMM/DD/YY Transaction DateXXX Transmitting FO/Systems Generated Code

20. ENIH (EARNED INCOME)

T Type of Earned Income

B = Student earned income exclusionC = Blind work expense exclusionD = Exclusion of income under a PASSN = Net loss from self employmentS = Self employment incomeT = IRWE exclusionW = Wages

ENP Start DateENS Stop DateENA AmountF Frequency Code

C = Continuing, N = One time amount, T = Termination

V Verification Code

0 = Unknown1 = Unverified2 = Unverified - not engaging in SGA3 = Unverified - prerequisite month met7 = Verified - prerequisite month met8 = Verified - not engaging in SGA9 = Verified

21. UMIH (UNEARNED INCOME)

T Type of Unearned Income

A = SSA or Medicare M = OPM PensionB = Black Lung N = Support from absent parentC = VA not based on need O = Income based on needD = Railroad Retirement P = Employment related pensionE = VA based on need Q = Worker’s CompensationF = AFDC R = Rents, dividends, interest, royaltiesG = Retro TII (TXVI offset) S = Other incomeH = ISM T = Alaska Longevity BonusI = IC deeming allocation V = Manually computed deemed income

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J = VTR W = Retro T2 (T2 offset)K = Blind Countable Income X = Mandatory Income Level (MIL)L = Military retirement Y = MIL Special Needs Reduction

Z = State Countable Income

UMP Income Start DateUMS Income Stop DateUMA Amount

F Frequency Code

C = Continuous monthly R = Recent filing (TII)N = One time payment T = Terminated

UMI Claim Identification NumberP Processing Center Code (see 1601.760C for codes)V Verification Code (see 1601.760C for codes)

0 = Unknown1 = Unverified2 = Unverified - not engaging in SGA3 = Unverified - prerequisite month met7 = Verified - prerequisite month met8 = Verfied - not engaging in SGA9 = Verfied

22. INST (INSTITUTIONALIZATION DATA)

XX Sequence NumberMOC Month of ChangeMLG Eligibility Month123 Months 1, 2, 3 of Temporary StatusMOR Month of Resolution

23. CMPH (COMPUTATIONAL HISTORY)

FAM Federal Amount DueSAM State Amount DueSUP ST/CY Code for SupplementationUMC Countable Unearned IncomeENC Countable Earned IncomePCI Payment Countable IncomePS Payment Status Code (see page 24)B Budget Month CodeELG Federal (E), OSS (L), and MMSS (G) Eligibility CodesPF Proration Factor DayF Federal Living ArrangementO Optional State Supplemental CategoryM Martial Status Code

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1 = Married 3 = single/widowed/divorced 4 = separated

H Head of Household IndicatorS Student IndicatorW Welfare IndicatorA Medicaid Eligibility Code

A = Ineligible for Medicaid; refused to assign 3rd party insB = Deeming Waived; child under state home care planC = Meets TXIX for status as SSI recipient [1619(b)]D = Disabled adult child (1634 states)E = Eligible per State determinationG = Goldberg-Kelly involvementI = Ineligible per State determination R = Referred to State for determinationS = State determination, not SSA responsibilityY = Eligible for Medicaid (SSI)

D Drug Addict/Alcoholic I. D. Code

A = Alcoholic N = NeitherD = Drug Addict Q = May be eitherB = Both Blank = No code transmitted

CM Multicategory Elg (C) and Payment (M) Codes

C Codes

1 = Aged 5 = Aged and disabled2 = Blind 6 = Blind and disabled3 = Aged and Blind 7 = Aged, blind, and disabled4 = Disabled

M Codes

1 = Paid as aged H = Disabled, engaging in SGA [1619(b)]2 = Paid as blind J = same as H except DIB & aged4 = Paid as disabled K = same as H except DIB & blind8 = Calif cpl, one blind L = same as H except DIB, blind & aged9 = Mandatory sup paid M = Disabled 1619(a) pymt dueM = Pd extra $10 (no fd stmps) N = same as M except DIB & agedD = Disabled [1619(b)] O = same as M except DIB & blindE = DIB and aged [1619(b)] P = same as M except DIB, blind & agedF = DIB and blind [1619(b)] Q = Disabled - prerequisite month not metG = DIB, blind & aged [1619(b)]

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I Institutionalization Determination CodeC Current Composition CodeT Medicaid Test Field [1619(b)]

A = Meets Income test; no data for Use or Sufficiency of Earnings testsB = Meets all three testsC = Meets Income; does not meet UseD = Meets Income; does not meet Sufficiency of EarningsE = Meets Income; not Use or Sufficiency of EarningsF = Meets Income; Use & Sufficiency decision is pendingG = Does not meet Income; no data on other testsH = Does not meet Income; meets Use and Sufficiency of EarningsJ = Does not meet Income or UseK = Does not meet Income or Sufficiency of EarningsL = Does not meet Income, Use, or Sufficiency of EarningsM = Does not meet Income; other tests decision pendingN = Does not meet prerequisite payment (system)P = Does not meet prerequisite payment (DO)

TOP Overpayment AmountTUP Underpayment AmountSQN Overpayment Sequence NumberRSN Reason for Overpayment

ES Self-employment income increaseEW Wage increaseLD FLA change to DMU Multiple reasonsPS PSY change from C01 to nonpayU Unearned income increase (second code shows type of income) (see section

25)XX Reason cannot be determinedYY O/P decreased, reason no longer identifiedZZ Pre-implementation of AONS run

DMA Deemed AmountDMC Deeming Code

C = Comp based on adjusted FCI because it exceeds individual FCID = Comp based on individual FCI because exceeds adjusted couple FCII = Comp based on individual FCI; ineligible’s income insufficient to deemP = Parental deeming based on 1977 rulesS = Simple deemingT = Ineligible children in familyU = Multiple eligibles in familyV = Type V income tranmitted

OFS SREW Offset Amount

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24. WCMP (WINDFALL COMPUTATION DATA)

MMYY Month/YearWFA Windfall Federal Amount DueWSA Windfall State Amount DueWUM Windfall Countable Unearned IncomeWEN Windfall Countable Earned IncomeWCI Windfall Payment Countable IncomeWFO Windfall Federal Offset AmountWSO Windfall State Offset Amount/State CodeB Windfall Offset Budget Month CodeELG Windfall Offset Fed, State, Mandatory Eligibility CodesWDA Windfall Deemed AmountD Windfall Deeming Code (see 1601.820C for codes)WFX Windfall Federal Excess Offset AmountWSX Windfall State Excess Offset Amount

25. PMTH (PAYMENT HISTORY)

MM/DD/YY Date of Payment or Processing

1 Pay Flag 1 (Type of Check Paid or Returned Check Indicator)

0 = No payment made A = Recurring pymt returned by FO/Treasury

1 = Recurring pymt 1st month / = Recurring pymt returned by Treasury only

2 = Underpayment J = Recurring pymt returned by FO only

3 = Suplmntl pymt 1st of month B = Type 2 check r eturned by FO and

Treasury

4 = One-time payment (OTP) K = Type 2 check returned by FO only

5 = Payment recovery S = Type 2 check returned by Treasury only

6 = Nonreceipt for Type 1 check C = Type 3 check returned by FO/Treasury

7 = Nonreceipt for Type 2 check L = Type 3 check returned by FO only

8 = Nonreceipt for Type 3 check T = Type 3 check returned by Treasury only

9 = Replacement check issued as D = Type 4 check returned by FO/Treasury

result of nonreceipt claim M = Type 4 check returned by FO only

V = Recovery action voided U = Type 4 check returned by Treasury only

2 Pay Flag 2 Special Payment Indicator

E = Total of type 2 underpayment checkF = Force Payment CheckS = Force Pay to zeroT = Termination (PS = TXX)N = Force Payment not involved, or total of type 4 OTP check

3 Pay Flag 3 Miscellaneous Check Indicator

A = Direct deposit refundB = AOTP Direct deposit refund

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C = Returned OTP check for which no prior posted OTP could be matchedD = Direct DepositG = Goldberg-Kelly protected paymentH = Automated OTP direct depositI = Zebley automated OTP, direct depositJ = Presumptive disability payment direct depositK = Goldberg-Kelly payment direct depositL = Automated OTP due the deceased member of a couple paid to sur spouseM = Same as L except direct depositN = Underpayment due deceased and paid to surviving spouseP = Presumptive disability paymentQ = Same as “N” except direct depositR = Overpayment withheld from retroactive checkS = SF - 1184 or nonreceipt credit posted - no GKT = SF - 1184 or nonreceipt credit posted - GKU = SF - 1184 or nonreceipt credit reversed - no GKV = SF - 1184 or nonreceipt credit reversed - GKW = Zebley automated OTP with SF - 1184 Credit PostedX = Zebley automated OTP with SF - 1184 Credit ReversedY = Zebley manual OTPZ = Zebley automated OTP1 = check sent to State agency as grant reimbursement2 = Zebley manual OTP with SF - 1184 Credit Posted3 = Zebley manual OTP with SF - 1184 Credit Reversed4 = Automated OTP5 = Zebley AOTP sent to State as loan reimbursement

CKA Check AmountFMA Federal amount paid or recoveredSMA State amount paid or recoveredU Unnegotiated check indicator

Checks prior to 10/01/89:

A = Unnegotiated check notice received from Treasury-FO investigation pendingB = Unnegotiated check notice from Treasury - no FO investigation requiredC = Recipient indicates check was cashed (overlays code A)D = Recipient did not cash check (overlays Code A or B)E = Notice from Treasury that a check previously annotated as unnegotiated has

now been cashed (overlays codes A, B, or C)F = Notice from Treasury that a check previously annotated as unnegotiated has

now been cashed (overlays code D)

Checks dated 10/1/89 and later:

I = Limited pay credit received and alert generated to FO (overlays Code T)K = Limited payment credit received - computation not madeL = Limited pay credit investigated by FO and recipient confirms check not

received (overlays Code I). Causes comps to reissue payment.

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M = Limited pay credit investigated by FO and recipient acknowledged receivingcheck (overlays Code I)

N = 6 months limited pay alert received from TreasuryT = Check unnegotiated for 12 months, credit forthcoming (overlays Code N)X = Reversal of 6 months alert, check cashed or 1184 credit received

CCYY NET YEARLY PAYMENT TOTAL:

1st line: Total of SSI pmts received for current calendar year2nd line: Amount for 1st prior year3rd line: Amount for 2nd prior year

26. DUPR (DUE PROCESS)

STA Status Code of Due Process

N = NOPA sent but recipient did not file timely appealP = NOPA sent and recipient filed timely appealI = Subsequent NOPA sent proposing reduction to $30 or $0 and recipient filed

timely appealS = Recipient filed timely appeal but amount due is paid because it exceeds PPF

and PSS rateR = Appeal decision renderedE = Start date record and PPF and PPS for start date month are recorded in the

PPF and PSS fields

NGD Notice Generation DatePPF Protected Payment (Federal)PPS Protected Payment (State)SCR ST/CY Code of Residence before Adverse ActionSOR GK Source Code (FO or Interface Ident)AVM Adverse Action MonthMBF Minimum Benefit Level (Federal)MBS Minimum Benefit Level (State)

27. MPMT (MISCELLANEOUS OVERPAYMENT DATA)

OPU Overpayment Unresolved AmountOPX Overpayment Excess Decision AmountOPD Overpayment Total Collect/Suspend DecisionsTNP Ten Percent Recovery IndicatorOPR Overpayment Recovery RateOPC Total Amount of Overpayment CollectedARC Accounts Receivable Control Code

1 = Installment case only (G TAC on SSR)2 = Unresolved case only (OPU on nonpay record)3 = Installment and unresolved case (G TAC and OPU on nonpay record)4 = Nonpay D TAC (TXVI withholding) case only

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5 = Installment and nonpay D TAC case6 = Unresolved and nonpay D TAC case7 = Unresolved, installment and nonpay D TAC case8 = Deleted from IBFS control

UPX Underpayment Total (TUPs in CMPH)UPV Underpayment Verification Code

U = Pending disposition decisionR = Computation may be required on records with PS of N01, N07, or N08

APM Advance/Immediate Payment AmountAPB Advance/Immediate Payment Balance DueGRC Grant Reimbursement Status Code

State and County Code Reimbursement

C = IAR check returned L = Late grant reimbursement field inputF = Pending IAR case (PE) N = No IAR check due when reco rd

computed and paid (IC)G = IAR check pd to State (PE) P = IAR check paid to State (IC)H = No IAR check due when R = Pending IAR case (IC)

record comped & paid (PE)

28. OPSQ (OVERPAYMENT SEQUENCE DATA)

XX Sequence NumberOPB O/P Period Beginning DateOPE O/P Period Ending DateOPA O/P Sequence AmountA O/P Adjustment Indicator D = Net decrease, I = Net increaseX O/P Cross Reference NumberT O/P Sequence Type

A = Automated sequence - systems detected O/P - notice issued by systemD = Deleted O/P sequence (TOPS reduced to 0 before notice issued)M = Manual sequence - system detected O/P excluded from AONSN = Sequence requires no initial notice of O/PO = Overlapped sequenceP = Manual sequence - manual O/P transmitted and manual notice preparedZ = Clean-up run sequence

S O/P Notice/Disposition Status

B = Small debt in OPA permanently written off by posting NB dec. in OPDRD = Release of automated notice delayed until all checks for O/P period issuedF = FO responsible for O/P disposition unless record under IBFS controlG = Release of automated O/P notice delayed 22 days for appeal periodM = O/P notice manually prepared

21

N = O/P notice released but automated collection not yet activated (C01 only)R = OPA in sequence resolved before O/P notice issued, but no automated collect

decision posted because it would create an OPXU = Netting performedX = O/P notice released and collection activatedY = O/P notice released, record in nonpay, automated collection does not applyZ = Manual O/P notice issued prior to AONS

SQD O/P Sequence Debt Detection DateNTD O/P Sequence Notice Type and Date

A = Automated notice releasedD = Undeliverable notice situationM = Manual notice issuedN = No notice requiredU = Netting applied

SQR O/P Sequence Recovery RateSBL Suspend Billing Code/Date

A = Request for explanation pending (FO input)B = Request for waiver pending (FO input)C = Request for recon pending (FO input)D = Request for hearing if hearing is 1st level of appealE = Other FO development pending (FO input)F = Request for explanation referred to FO (PSC input)G = Request for waiver, recon, hearing (PSC input)H = Jurisdiction referred to FO (PSC input)K = Notice undeliverable. PSC jurisdiction for skip-tracing.

29. OPDR (OVERPAYMENT DECISIONS AND REFUNDS

DTE Transmission/Processing DateAMT Amount of Decision/Refund/Admin Waiver/Uncollectable DecisionUSD Used Amount

Systems applied waiver or uncollects - or rate of recovery for G and K TACs

SCD Overpayment Decision Schedule NumberDOC Input Office CodeT Type of Overpayment Decision

D = Collection or suspension of collection via check adjustmentG = Collection via installmentsK = Collection via TII payment adjustmentN = Uncollectible P = O/P from prior record, penalty, or manually computed O/PZ = Erroneous O/P computation; or with Q in R column O/P carried forwardB = Refund by both FO and ORS

22

C = Refund by FO onlyH = Refund received in ORS or PSC directly from recipientJ = Direct deposit refundR = Refund from ORS onlyT = Refund from TII withholding or Treasury via transfer of fundsA = Former code B in which refund was returned for insufficient fundsI = Former codes H, R, or T returned for insufficient fundsW = Waiver

R Recover Action Code

When code T is D, the R may be:

A = Collection delayed pending activation of automated collect decisionB = Unwilling or unable to repayL = Referred to another agency for collectionM = Out of country or unable to locateBlank = Collection or suspension of collection via check adjustment

When code T is N, the R may be:

Blank = Uncollectible by FOA = System applied administrative uncollectible O/P less than $200B = System applied admin uncollectible less than $30D = System applied admin uncollectible, death before 1982E = System applied admin uncollectible on prior unresolved & undiaried O/PY = Uncollectible based on compromise settlement

When code T is W, the R may be:

Blank = FO authorized waiverA = System applied administrative waiverC = Court ordered waiverD = System applied admin waiver for first 6 months of 1974E = System applied admin waiver for last 6 months of 1974

When code T is Z, the R may be:

Blank = Erroneous O/P computationQ = O/P carried forward to new record

When code T is other than D, N, W, or Z, the R may be:

A = Duplicate paymentB = SSI systems overpaymentC = OTP overpaymentE = Advance payment overpaymentM = Misused fundsP = Conserved funds

23

X = Former OPX amount less than $1.00U = Unknown

1 Recover Flag 1

B = Backlog refund (obs)C = Two or more “BB” refund entries combined (obs)D = Combined remittances originally posted SSR/IBFS interfaceS = FO refund overlaid by ORS input (obs)U = Transaction posted by SSR/IBFS interface* = Possible duplicate refund entry99 = Federal overpayment (used with type codes P or Z)98 = Penalty assessment (used with type code P)State Code = State overpayment (used with codes P or Z)

OSN Overpayment Sequence NumberRCT Receipt NumberADN Account Document Number

30. RMKS (REMARKS DATA)

1 First Remark2 Second Remark3 Third Remark4 Fourth Remark5 Fifth Remark

24

PAYMENT STATUS CODES (PS) -SM01305.001

The following list includes abbreviated definitions. Complete instructions and definitions may befound in SM 01305.001. The PS code is found in the PSY field and CMPH segment of SSI2, SSID,QUJ, QUS, and the PSY field of the SSI3 and SSI4 query.

CODE DEFINITION

C01 Current PayE01 Eligible but no payment dueH10 Living arrangement change pendingH20 Martial status change pendingH30 Resource change pendingH40 Student status change pendingH50 Head of household change pendingH60 Hold for PE input to post deathH70 Hold for subsequent PE inputH80 Hold for early input (allowance/denial pending)M01 Force payment caseN01 Nonpay - Excess incomeN02 Nonpay - Inmate of public institutionN03 Nonpay - Outside of U.S.N04 Nonpay - Excess resourcesN05 Nonpay - Unable to determine eligibilityN06 Nonpay - Failed to file for other benefitsN07 Nonpay - Medical cessation of disabilityN08 Nonpay - Medical cessation of blindnessN09 Nonpay - Refused VR without good causeN10 Nonpay - Refused treatment for drug addictionN11 Nonpay - Refused treatment for alcoholismN12 Denial - Voluntary withdrawalN13 Nonpay - Not a citizen or eligible alienN14 Denial - Aged claim, denied for ageN15 Denial - Blind claim denied not blindN16 Denial - Disability claim denied not disabled (obsolete)N17 Denial - Failure to pursueN19 Nonpay - Voluntary terminationN20 Nonpay - Failure to provide requested report or evidenceN27 Termination due to SGAN30 Denial - Slight impairment medical consideration onlyN31 Denial - Capacity for SGA - customary workN32 Denial - Capacity for SGA - other workN33 Denial - Engaging in SGAN34 Denial - Lack of severity and durationN35 Denial - Lack of durationN36 Denial - Insufficient or no medical evidence submittedN37 Denial - Refused consultative examinationN38 Denial - Discontinue development - claimant’s requestN39 Denial - Willful failure to follow prescribed treatment

25

PAYMENT STATUS CODES (continued)

N40 Denial - Impairment(s) does not meet/equal listing - DC under age 18 onlyN41 Denial - Slight impairmentN42 Denial - Capacity for SGA - customary work - no blindnessN43 Denial - Capacity for SGA - other work - no blindnessN44 Denial - Engaging in SGA despite impairment - no blindnessN45 Denial - Lack of severity and durationN46 Denial - Lack of durationN47 Denial - Insufficient or no medical evidence submitted (obs)N48 Denial - Failure or refusal to submit to consultative exam (obs)N49 Denial - Discontinued development at claimant’s request (obs)N50 Denial - Willful failure to follow prescribed treatment (obs)N51 Denial - Impairment does not meet or equal listings - DC under age 18 onlyN52 Denial - Deleted from state rolls prior to 12/73 paymentN53 Denial - Deleted from state rolls after 12/73 paymentN54 Denial - Unable to locate applicant (obs)P01 Reinstatement pending sga development, n/a after 06/87S04 Suspended - Awaiting disability decision inputS05 Suspended - SGA determination neededS06 Suspended - Address UnknownS07 Suspended - Returned check for other than address, payee, deathS08 Suspended - Payee development pendingS09 Suspended - Miscellaneous codeS10 Adjudicative SuspenseS20 Suspended - Presumptive disability - received 3 payments (DO input)S21 Suspended - Presumptive disability - received 3 payments (sys gen)T01 Terminated - Death of claimantT20 Terminated - Received duplicate payment on two records - FO inputT22 Terminated - Received duplicate payment on two records - sys generatedT30 Terminated - Manual terminationT31 Terminated - Systems generatedT50 Terminated - Manual termination - no payments on recordT51 Terminated - Systems generated - no payments on record

26

TRANSACTION HISTORY CODES

CODE EXPLANATION CODE EXPLANATION

A1 Eligible Name Change KZ Auth Rep ZipAD/AM Address LA Living ArrangementBC Direct Deposit LT Last TransactionCC Folder movement M Cross Reference SSNCF Conserved Funds MA Title II A - PaymentCG Case Characteristics MB MBR/SSR Interface (PE)CH Returned Check MC IRS DataCM Multicategory MD Medical DataCO Overpayment Decision MG CDR or 1619CP Refund MI Title II CPS PaymentCS Substantial Gainful Activity MM Misused MoneyD1 Death (FO) MP Manual PaymentD3 Death (MBR) NC Nonreceipt or DCND4 Death (Treasury) ND Overpayment Notice DateDA Diary NM Rep Pye AccountingDD Direct Deposit (Systems) NP Notice SupressionDM Deemed Income NU Numident/SSR InterfaceDO Date of Disability Onset PC 1184/Deletion of Returned Check

DT Drug/Alcohol Indicator PL AppealDY Diary Selection (Systems) PN/PM Payee NameEN Earned Income PR PR1, PR4, or PR9EP Immediate or Advance Pymt PS Payment StatusFI 12/73 Federal Countable Income RA Resident AddressFL 12/73 Fed Living Arrangement RB RollbackFS Food Stamps RC Returned Check (Treasury)FV Foreign Language or Blind Notice RD Resource DisposalGA Grant Amount RE ResourceGC GK Notice Date RF-RK Related to RedeterminationGF GK Adverse Action Date RP Rep PayeeGJ Protected Payment Level RR Remittance Register RefundGM Minimum Benefit Level RS-RY Related to Redet ProcessingIC Initial Claims Accretion RZ Redetermination InputIF MBR Reply (IC) R1-R5 RemarksIR IRS Interface Selection SB Suspend BillingJB Legal Guardian Consular Code SC ST/CTY of ConversionJC Leg Gdn Foreign Country SE MEF/MBR InterfaceJD Leg Gdn Foreign Postal Zone SI TXIX StatusJM Leg Gdn Mailing Address SZ Special ActionJN Leg Gdn Name TP Type of ClaimJP Leg Gdn Telephone Number TS Manual PaymentJW Leg Gdn Foreign Tel # UC Unnegotiated Check Credit JZ Leg Gdn Zip (TRSY)KM Auth Rep Mailing Address UD Unnegotiated Check DebitKN Auth Rep Name UF-UL Limited PayabilityKP Auth Rep Telephone Number UM Unearned Income

27

TRANSACTION HISTORY CODES (continued)

KT Auth Rep Type VA VA InterfaceKX Auth Rep Tel Ext VB RRB InterfaceW Welfare Number VC OPM InterfaceWA Waiver ZC Zip Code (Residence Addr)WI Windfall Offset Data ZP Zip Code (Mailing Address)XI Mass Rep Payee Z4 IRS Interface Reply

01 O/P Sequence Number

28

CASE CHARACTERISTIC (CG) CODES SM 01301.820

16OF (?) TXI offset applied using manual proceduresAONS OPSQ is incompleteARCU Cuban/Haitian Entrant-Status Pending - entered US between 4/21/80 - 6/19/80ARHA Cuban/Haitian Entrant-Status Pending - entered US on or after 6/19/80AR00 Citizenship unverified; failure to cooperateA299 Ineligible spouse refuses to file though potentially eligibleBL00 Recipient filed for Black Lung and was deniedBRGD Berger, definite (GN E00303.070 C.)BRGI Berger, indefinite (GN E00303.070 C.)BURY Burial funds excluded from resourceCLST Close out of TII aspects of SSI claimCMAP Multicategory application pendingCMDS Multicategory application deniedCONG Used to identify a case for special studyCOPY Rep Payee solely liable for SSI overpaymentsCORG Nonpay O/P case referred to DOJ for collectionCORP Nonpay O/P case referred to Program Integrity for collectionCORO Nonpay O/P case referred to agency other than DOJ or Program IntegrityCS00 Recipient filed for OPM benefits on own account and was deniedCS01 (?) Recipient filed for OPM benefits on other’s account and was deniedC001 O/P due to change in FLAC002 Alien O/P resulting from sponsor deeming of income/resourcesC010 O/P due to change in optional State supplementC020 O/P due to change in wagesC021 O/P due to overstated blind work expensesC022 O/P due to overstated PASS exclusionC023 O/P due to change in net loss from self employmentC024 O/P due to change in net profit from self employmentC025 O/P due to change in TII benefitsC026 O/P due to change in Black Lung benefitsC027 O/P due to change in VA benefits not based on needC028 O/P due to change in Railroad Board benefitsC029 O/P due to change in VA benefits based on needC030 O/P due to change in income based on needC031 O/P due to change in countable ISMC032 O/P due to change in blind countable incomeC033 O/P due to change in OPM pensionC034 O/P due to change in support payments from absent parentC035 O/P due to change in employment related pensionC036 O/P due to change in Worker’s CompensationC037 O/P due to change in rental incomeC038 O/P due to change in dividend, interest, or royalty incomeC039 O/P due to change in unspecified incomeC040 O/P due to change in deemed incomeC050 O/P due to erroneous conversionC060 O/P due to change in marital status

29

CASE CHARACTERISTIC (CG) CODES (continued)

C070 O/P due to change in student statusC080 O/P due to death of spouse, parent, or essential personC085 O/P due to duplicate paymentC089 FO which should be servicing a RIC T nonpay O/P caseC090 O/P due to excess resourcesC091 O/P due to GK payment continuationC092 System unable to compute O/P on RIC T record - earned income involvedC093 System unable to compute O/P on RIC T record - unearned income involvedC094 System unable to compute O/P on RIC T record - resource or PSY involvedC095 System unable to compute O/P on RIC T record - FLA change involvedC096 System unable to compute O/P on RIC T record - OSS change involvedC097 System unable to compute O/P on RIC T record - grant amount change involvedC098 System unable to compute O/P on RIC T record - Prouty amount involvedC099 System unable to compute O/P because of leap year eligibilityDB00 Date of birth unverified; failure to cooperateDM01 1 ineligible child in deeming householdDM02 2 ineligible children in deeming householdDM03 3 ineligible children in deeming householdDM04 4 ineligible children in deeming householdDM05 5 ineligible children in deeming householdDM06 More than 5 ineligible children in deeming householdDM11 Father on this record is also on SSR as essential person or ineligible spouseDM12 Mother on this record is also on SSR as essential person or ineligible spouseDM13 Both parents on record are also on SSR as an eligible coupleDM14 Protected child status prior to 9/83DM15 Parent on child’s record receives AFDCDM2X Number of eligible children in household - last digit indicates numberDM3B Both parents on child record were denied on own record based on incomeDM3F Father (deemor) on child record denied on own record based on incomeDM3M Mother (deemor) on child record denied on own record based on incomeDNXX Multiple denial situationEN00 Earned income unverified; failure to cooperateEN01 Ineligible spouse/parent has income used to determine AFDCEN05 Wages determined to be in-kind paymentEN11 Earned income derived from sheltered workshopEPXX Number of essential persons in householdEXCS Excess windfall offsetFFFF Face to face interview required with recipientF201 Force pay - death of parent, spouse, or essential personF202 Force pay - couple record to individual record due to divorce/separationF203 Force pay - parent, ineligible, spouse, or essential person removed from recordF204 Force pay - 2 individual records to couple recordF206 Force pay - ineligible spouse, parent or essential person added to recordF208 Force pay - couple record - one member should be ineligible spouseF211 Force pay - members of couple with different living arrangementsF215 Force pay - child record - change in marital statusF216 Force pay - child record - change in student status

30

CASE CHARACTERISTIC (CG) CODES (continued)

F217 Force pay - child record - change in head of household statusF221 Force pay - one member of couple C01, the other in suspense or nonpayF222 Force pay - individual record - ineligible spouse becomes eligibleF224 Force pay - members of couple have different addressF226 Force pay - members of couple have different payeeF228 Force pay - change in date of eligibility requiredF229 Force pay - change in type of claim requiredF230 Force pay - MIL caseF231 Force pay - MIL case - State countable income used in comp T30 exclusionF232 Force pay - Blind covertee with eligible spouseF233 Force pay - multiple essential personsF234 Force pay - more than two people on SSR and essential person involvedF237 Force pay - initial claim for couple - different dates of eligibilityF238 Force pay - initial claim for couple separated less than 6 monthsGA01 12/73 Grant amount verifiedGA02 Welfare folder, UTLGA03 Grant verified, AFDC cooperative caseIHSS Receives in home support servicesIR00 IRS interface data unverified; failure to cooperateIR01 IRS data verified; no O/P or period of ineligibility, data previously developedIR02 IRS data verified; no O/P or period of ineligibility, not previously developedIR03 IRS data verified; O/P and/or period of ineligibility foundIR04 IRS data verified; no O/P or period of ineligibility, data not pertain to recipientLA00 Living arrangement unverified; failure to cooperateLA01-09 Recipient in own household due to sharing - # of people excluding recipientLA10 Recipient in own household due t home ownershipLA11-19 Recipient paying but VTR applies - # of people excluding recipientLA20 Recipient in own household due to rental liabilityLA21 Rental subsidy existsLA22 Public Assistance householdLA23 No contribution for household expenses - VTR appliesLA24 Own household - room in a private homeLA30 Own household - consumes meals outside the householdLA40 Own household - room in commercial establishmentLA50 Recipient lives in mobile homeLA60 Own household due to foster or family careLA70 Own household due to separate food stamp grantLA71 Own household due to separate purchase of foodLA72 Own household due to meeting earmarked payment of shelterLA73 Own household due to meeting earmarked payment of foodLA75 FLA-A residence in public educational institutionLA76 FLA-A residence in private residential care institutionLA77 Own household due to flat fee for room or boardLA80 Own household due to private residential care institutionLA90 FLA-A in public operated community residenceLA99 Claimant lives alone, no outside ISMMB01 TII medical denial on own record

31

CASE CHARACTERISTIC (CG) CODES (continued)

MB02 TII nonmedical disallowance on own recordMB03 Child benefits developed but none existMB04 Spouse benefits developed but none existMB05 Widow(er)/parents benefits developed but none existML11 “Holding out” marriage establishedMS01 Eligible for MSS but not for State resource exclusionOS00 Optional supplement not verified; failure to cooperatePASS PASS approved, followed by datePR83 Special study casePS41 N04 due to vehiclePS42 N04 due to life insurancePS43 N04 due to income producing propertyPS44 N04 due to liquid assetsPYGC Good cause for relief for a penalty assessment has been foundPYXX Number of penalties assessedPY00 Penalty should be input to system when and if Fed amt becomes payableRA00 Entering mailing address instead of residence in RA fieldREAL Excess resources belong to alienRESP Excess resources belong to sponsor of alien or spouse of sponsorRE00 Resources unverified; failure to cooperateRE01 Savings account with financial organizationRE02 Two savings accountsRE03 More than two savings accountsRE04 Checking accountRE05 Multiple checking accountsRE06 Trust - Recipient has access to principalRE07 Trust - Recipient has no access to principalRE08 Certificate of deposit rather than standard savings accountRE10 CMV of automobile does not exceed the reasonable value limitRE11 CMV of automobile exceeds the reasonable value limitRE12 Auto excluded - equipped for handicappedRE13 Auto excluded - medical treatmentRE14 Auto excluded - employmentRE15 Auto excluded - essential daily activitiesRE16 Vehicle excluded - PASSRE17 Vehicle excluded - essential to self-supportRE18 Multiple vehiclesRE20 Stocks and bondsRE21 US Savings BondsRE22 Promissory notes and mortgagesRE30 Non-income producing property under $500RE31 Non-income producing property over $500RE32 Non-income producing property over $1,000RE33 Ownership of restricted Indian landRE34 Real estate which cannot be liquidatedRE35 Life estate, lived on, non-income producingRE36 Life estate, lived on, income producing

32

CASE CHARACTERISTIC (CG) CODES (continued)

RE37 Life estate, not lived on, non-income producingRE38 Life estate, not lived on, income producingRE39 Property excluded for self-supportRE40 Irrevocable burial contract/arrangementRE41 Revocable burial contract which is not all excludedRE42 Burial plot or crypt excludedRE43 Burial plat or crypt not excludedRE50 Term life insurance with value over $1,500RE51 Life insurance - face value $1,500 or lessRE52 Multiple life insurance policiesRE60 Total countable resources exceed reasonable value limitRE61 Household goods and personal effects exceed reasonable value limitRE62 Unusual resource for which value has been verifiedRE70 Ownership in a house which is not a residenceRE71 Home ownership resulting from unprobated estateRE72 Non-home real estate property resulting from unprobated estateRE74 Recipient absent from home but intends to return - Home remains principal place of

residenceRE75 Remainder interest is non-home real propertyRE80 Grandfathered rules apply to real property (land)RE81 Grandfathered rules apply to real property (other than land)RE82 Recipient has protected eligibility for use of State Plan resources and rulesRE83 Recipient does not have protected eligibilityRE99 Resources within allowable limits based on equity values; CMV over allowable limitsRP01 Amount of conserved funds at last rep payee accountingRP02 Keys Amendment - unlicensed board and care facility appointed as pyeRR00 Recipient filed for RRB and was deniedRR01 RRB interface data not verified; failure to cooperateRR02 RRB interface data verified; RRB pymt does not belong to recipient/deemorSC1 State countable income codes, see SM 01301.820SER1 MEF/SSR earned income alert, wages do not belong to eligible personSER2 MEF/SSR earned income alert, wages do not belong to ineligible personSER3-4 Earned income discrepancy alert resulting in O/P, see SM 01301.820SL00 Recipient filed for State/local pension and was deniedSPCO Special computation - couple’s caseSP (?) Couple separated, followed by month and yearSPMS SCI/MMSS correctly paid by system, SCI reviewedSSXX Number of QC’sSW00 State wage interface data not verified; failure to cooperateSW01 State wage interface data verified; wages do not belong to recipient/deemorT2OF,FSET TII offsetTL00 Telephone does not belong to recipientTRUS Trip outside US has been documented - followed by dates of travelTZ01 Answer to totalization question was “NO”UC00 Recipient filed for unemployment and was deniedUC01 State unemployment compensation interface data not verified; failure to cooperateUC02 State UC interface data verified; UC pymt does not belong to recipient/deemor

33

CASE CHARACTERISTIC (CG) CODES (continued)

UGMA Uniform Gift to Minors Act accountUM00 Unearned income unverified; failure to cooperateUM01 Excluded meals and food commodities distributed USDA Food Donation ProgramUM02 Exclude bonus value of food stampsUM03 Excluded value of free meals under USDA Special Food Service Program for

ChildrenUM04 Excluded value of free meals under USDA School Breakfast ProgramUM05 Excluded value of free meals under USDA National School Lunch ProgramUM06 Excluded value of milk under USDA Special Milk Program for ChildrenUM07 Excluded value of meals under USDA Special Sup Food Program for Wm, Infants,

and ChildrenUM08 Excluded value of meals under DHHS Special Program for the Elderly