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Coming Soon - Training Sessions Online
Solving Problems
For years, I have had the problem of not being able to be in
three or more places at the same time. Every day, I receive
phone calls and emails asking when I'll be in Kansas,
California, Michigan or someplace else to do training on Social
Security benefits. Obviously, I can only be in one place at a
time. So, I solved this problem.
Another problem I've faced - many attendees state the all-day
training is too long and ask if it can be broken down. Well,
most organizations can not afford to let staff off to attend
multiple days of training and it financially not feasible for me
to offer two half-day training events. Also, recent studies
have shown many people can no longer absorb information
presented over a long period because the technology we use every
day (computers, cell phones, text massaging , tweeter, etc..)
has allowed us to multi-task and as a result people are losing
the ability to stay focused on one task for a sustained period
of time. So, I solved this problem.
Another problem I encounter - people ask questions during a
training, and others comment that the questions distract them.
While I encourage audiences to ask questions to help them
clarify the topic beginning presented, some questions can
distract others. And occasionally, I'll have as attendee who
tries to dominate the session with questions that are not
appropriate to the topic being presented at that time. So, I
solved this problem.
In a few weeks, I will be offering training sessions on the
Internet on a 24/7 basis. Right now, we are working on
technical points in accessing the sessions. Each training
session will be about one hour in length and focus on a specific
topic. This will allow you to pick what you want to learn, when
you what to learn it. Each training session will have an
accompanying handout for you to take notes and jot down
questions. You'll be able to email me the questions and receive
a response. From the privacy of your work space or home, others
will not distract you from focusing on the content. The
fee for participating in these training will be nominal.
While I have a list of topics available or
being developed, I would like to know what topics you want in a
training session. Please send me your recommendations:
[email protected]
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Proposed Changes in
Medical Criteria for Mental Disorders |
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The medical criteria Social Security uses to determine if a person is
disabled is contained in the Listing of Impairments. By law, Social
Security is required to periodically update this criteria to reflect
current medical findings and practice. The medical criteria is
divided into sections based on body functions or specific type of
illness. In the Listing of Impairments, there are 14 sections for
adults and 15 sections for children. The updates are done by section.
For instance, Section 2.00 Special Senses and Speech (for adults) and
Section 102.00 Special Senses and Speech (for children) were updated,
effective August 2, 2010.
On August 19, 2010 Social Security announced they are beginning the
process of updating Section 12.00 Mental Disorders (for adults) and
Section 112.00 Mental Disorders (for children). The last time they
updated Section 12.00 was August 28, 1985 and Section 112.00 was
December 12, 1990.
The announcement of August 19th, provides the proposed
changes Social Security has for updating this medical criteria and
they are asking the public to comment on these proposed changes and to
offer additional points the update should consider. Public comments
must be submitted to Social Security by November 17, 2010.
The proposed changes include modifying the content and the structure
of the mental disorders listings. Social Security also proposes to
broaden most of the listing categories to include more mental
disorders, add listings, and revise the criteria that must be met.
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Current listing
category Proposed
listing category
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12.02
Organic Mental Disorders......... 12.02
Dementia and Amnestic and
Other
Cognitive Disorders.
12.03
Schizophrenic, Paranoid and Other
12.03 Schizophrenia and Other
Psychotic
Disorders. Psychotic
Disorders.
12.04 Affective Disorders...............
12.04 Mood Disorders.
12.05 Mental Retardation...............
12.05 Intellectual Disability/
Mental Retardation (ID/MR).
12.06 Anxiety Related
Disorders........ 12.06 Anxiety Disorders.
12.07 Somatoform Disorders.............
12.07 Somatoform Disorders.
12.09 Substance Addiction Disorders.... 12.09
[Removed]
12.10 Autistic Disorder and Other
12.10 Autism Spectrum Disorders
Pervasive Developmental Disorders
12.11 Other Disorders Usually First
Diagnosed
in Childhood or
Adolescence.
12.13 Eating Disorders.
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The
proposed changes appear to be well thought out and reflect the input
from many people, organizations, medical professions, and commissions. The
changes also reflect current practices in the professional fields
serving people with mental disorders and make the qualifying criteria
more relevant to the current practices. But they are subject to
modification based on the comments and recommendations Social Security
receives prior to November 17th.
While it will take some time to develop a final set of rule changes,
the new rules will eventually impact the beneficiaries currently
receiving benefits. When a person qualifies for benefits, the
favorable determination of disability is based on the medical criteria
in effect at the time of qualification for benefits. Everyone
presently on benefits must be periodically medically reviewed to
determined if they met the medical criteria in effect at the time the
review is conducted. Similarly, in almost all states, the same mental
criteria is used to determine if a person with disability qualifies
for Medicaid and continues to qualify for Medicaid.
If you want to review the proposed rules, (there are two waysto get to
it)
1. Go the The Federal Register
(Main Page) Under the heading "2010 (Volume 75) Only" go to
"Advanced Search" and click on it. On the next page "Federal
Register: Advanced Search" "Select a Volume(s)" select "2010
FR, Vol. 75" then go to "Search by Issue Date":
and enter "08/19/2010" on the "specific date" line, then in the "Search"
box enter "Social Security" and press "submit." On the "Search
Results" screen select "fr19au10P Revised Medical Criteria
for Evaluating Mental Disorders"
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Questions I Have
Received |
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Note: Addressing
real-life questions and issues is an excellent way to learn new
points about the benefit programs. And, you may find a solution to
a problem you are dealing with.
Question 1
My daughter is 17 years old and we plan to
apply for benefits when she turns 18. Years ago I established a 529
plan for her. How will this money effect her eligibility for about
for SSI?
A "529 plan" is a Qualified Tuition Programs (QTPs), also known as
Section 529 Plans. A QTP allows a parent (and others) to prepay or
contribute to an account for their child's education expenses beyond
high school at an eligible educational institution. QTPs are
generally established by state and educational institutions.
There are two types of 529 plans: savings plans and pre-paid plans.
Savings plans
C
They are accounts that
provide investment options such as mutual funds or money market
funds
(similar to a retirement account (e.g.
401K)).
C
They are not
guaranteed by the State and the value is subject to fluctuations
in financial markets
(e.g. the stock market).
C
They can be
established for a beneficiary of any age.
Prepaid plans
C
They allow the
account owner to purchase units or credits at participating
colleges and
universities for tuition.
C
They allow the
account owner to lock-in future tuition rates at current
prices.
C
States may
guarantee investments in plans that they sponsor.
C
Most plans must
be established for a beneficiary of the account by a
certain age or grade.
The funds in a 529 plan are a countable resource to the
individual who owns the account (e.g. a parent or
grandparent). Normally, the owner is the person who
established the account. In most instances, the individual who
establishes a QTP retains the ability to withdraw any or all
of the funds in the account for his or her own benefit. The
designated beneficiary of the account is the individual (i.e.
a student or future student) who is to receive the benefit of
the funds in the account. The designated beneficiary can be
changed to a member of the beneficiary's family.
While the son or daughter is a child (under 18), the 529 plan
is a resource of the parent. A portion of the parent(s)
resources are deemed to the child, thus the 529 plan can
effect the child's eligibility for SSI. If a grandparent owns
the account, it is not a deemed resource for the child's
eligibility for SSI. The parents' resources no longer effect
the son's or daughter's eligibility for SSI at 18 years of
age.
Withdrawals or distributions to the account owner are not
income but a conversion of a resource. The distribution is a
countable resource to the account owner. Any distribution the
designated beneficiary receives from a 529 plan is a gift.
Distributions, which meet Social Security's definition of a
gift and are used for educational expenses of the designated
beneficiary, are excluded as income in the month of the SSI
eligible student receives the money. If the student holds on
to the money, it remains an excluded resource for up to 9
months following the month it was received.
The gift can be used for educational expenses, which include:
tuition and fees; books; laboratory fees; student activity
fees; transportation; stationary supplies; technology fees;
and impairment-related expenses necessary to attend school or
perform schoolwork (e.g. special prosthetic devices necessary
to operate school machines or equipment). Any portion of the
gift the student uses for food and/or shelter is unearned
income. Any part of the gift the student saves for future
needs (i.e. emergency funds) becomes a resource.
Source: POMS SI 01140.150
Qualified Tuition Programs (QTPs)
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Question 2
My client lost her Medicaid, when her SSI stopped. She still
receives SSDI and has Medicare. I took her to the state
economic support office (they administer Medicaid) to see if
she could qualify for any other type of Medicaid. The worker
said she might qualify for Medicaid under the Pickle
category. I don't know what this means. Can you help me.
Unfortunately, through a subsequent phone call, I learned the
person's SSI was suspended when she left employment and
cash-out her company-sponsored retirement. The following
month she was over the resource limit for SSI and Medicaid. So
the Pickle amendment does not apply to her. If she can bring
her resources below $2,000 within twelve months, the
suspension of her SSI can be removed, thus her Medicaid
eligibility will be reinstated.
So what is the "Pickle Amendment"?
There are over 70 categories of Medicaid eligibility. The
"Pickle Amendment" is one of those categories. [It is named
after the Congressman who introduced the amendment.] It
applies to a person who was a concurrent beneficiary until a
cost-of-living increase (COLA) to the title II benefit wipes
out eligibility for SSI. For instance, the person was
receiving $693 of title II and was eligible for $1 of SSI,
then the next COLA adjusts the title II payment above the SSI
Federal Benefit Rate (FBR) plus $20 (this year $694). So the
person's unearned income (title II) exceeds the limit for SSI
eligibility and the SSI-related Medicaid eligibility ends.
Under the Pickle category, the state Medicaid office would
disregard all COLA adjustments to the title II benefit after
SSI eligibility is stopped and compares this adjusted amount
to the current FBR. If the adjusted amount is below the
current FBR, the person remains eligible for Medicaid
(provided resources are below $2,000).
In other instances, when the FBR rate is adjusted and this new
amount exceeds the title II benefit amount when SSI was
originally lost, the person may be eligible for Medicaid under
the Pickle category. This application is important in states
with Social Security administered state supplements. Until
recently, many concurrent beneficiaries were receiving only a
portion of the SSI state supplemental payment and a title II
benefit. The SSI state supplemental payment provided access
to Medicaid. Due to state budget problems, the state
supplemental payment was reduced, and some people no longer
qualified for SSI. Future adjustments to the FBR may bring
the title II benefit amount (at the time SSI ended) below a
new FBR, at which time the person may re-qualify for Medicaid
under the Pickle category.
The Pickle category does not apply to a
concurrent beneficiary who works and through additional
contributions to the Social Security trust fund, the title II
benefit is increased beyond the FBR plus $20, so SSI ends
because the unearned income is too high.
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What Does It Take To Schedule A Workshop? |
People have called asking for more
details on hosting workshop on Social Security and medical benefits. To
some people, the offer sounds too simple and there must be a catch.
By serving as the host organization for
a workshop, the organization has ten free seats at the workshop.
This certainly reduces staff training costs, particularly when your
program is on a tight budget.
We ask the host organization to provide
meeting space, for approximately 40 people in a classroom setting. The
host organization is responsible for providing light refreshments
(coffee, soda, snack foods). We also ask the host organization to
distribute an advertisement of the workshop to local contacts, as they
have a better mailing list of contacts in the local area.
The host organization's distribution of the advertisement is an
important role in suburban and rural areas. This usually assures a
minimum registration of people to conduct the workshop. We supply the
master copy of the ad by e-mail in Word format.
Benefits Training and Consulting provides the training materials and
audio-visual equipment. In addition, we take care of registration
matters and the confirmation of registrations.
Host organizations have used a variety of free meeting space when their
own facility was inadequate to accommodate the workshop. The meeting
site must be accessible to individuals with disability.
We maintain a list of interested organizations and contact them
approximately 3 months prior to the week I will be in their area.
Contact me if you would like to host a workshop during 2004. You can
reach me by phone: (610) 696-1551, fax (610) 932-0428, or by e-mail:
[email protected]
We are now planning for Winter and Spring of 2011 |
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