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HRD-78-97 1 (1978-04-18)

handle is hein.gao/gaobaaxeo0001 and id is 1 raw text is: DOCUAKIT RESUIg 05891 - 11060681 Review of the Eligibility of Persons Converted from State Disability Rolls to the Supplexental Security Income Program. HRD-78-97; B-164031(4). April 18, 1978. 7 pp. * ecloaure (1 PP.) 0 Report to Secretary, Depattment of Health, Education, AX4 Welfare; by Yregory J. Ahart, Directtz, Human lesourcestiv. Issue Area: Income Security trograms: Eligibility Detotwiation (1301) ; Income Security Programs; Program it-ectIveneas (1302);JTncoe Security Programs: Vzogrem oanitoing-and Administration t1303). Contact: Human Aesources Div. Budqet Function: Income Security: Geastal etiresent and Disability Insurance (601); Income Security; Public Assistance and Other Income Sup'oloveta (60). Orqanization Concerned: Social Security' Administration. Conqressional Relevance: Houe Committe on Mays and Heus; Senate Committee on Finance. Authority: P.L. 91-233. The Social Security Administration's (SSAla) activities relatinq to assessment of the continud medical eligibility of over 2 million disabled Supplemental Security Income (SSI) recipients were reviewed. SSA vas asked to evaluate two samples of SSI disabled recipients: (1) an evaluation of medical evidence supporting tbe disability determination of 402 recipients who were c.onverted to the SSI program frag State disability proqrams; and (2j evaluation of more recent medical evidence on 175 recipients. Of the 402 converted recipients, only 152 (38%) had sufficient medical evidence in their files to support a disability decision. Thirty-six of the 152 cases 4248%) were not disabled as defined by apprcpziate State disability criteria. About 10% of the 175 recipients for whom current medical evidence vas obtained were no longer disakled. Omce they are approved for the program, the van* majority of SSX disabled recipients are not subject to medical reexaminations. SSI assumes that these recipients have imparments which will not improve. The Commissioner of the SSA should immediately establish appropriate mechanisms for systesatIcally reviewing the disabled recipients' caseload so that perscns no longer disabled can be removed from the rolls. SSA should establish and impleaent systems for ioriodically reaesessing the adequacy of quidelines for establi:,hing diaries fox the total disability caseload and reviewing, on a priority kasis, the disability determinations for converted recipietta. (RBS)

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