From The NOSSCR Conference -- Glenn Sklar

Some notes from the presentation by Glenn Sklar, Social Security's Associate Commissioner for the Office of Disability Programs at the conference last week of the National Organization of Social Security Claimants Representatives (NOSSCR), with my comments in brackets:

• Commissioner Astrue is talking about holding public hearings on Social Security issues. [Social Security has held public hearings only very rarely -- but the Food and Drug Administration (FDA) does this a lot. Astrue spent a lot of time dealing with the FDA in the past.]
• Commissioner Astrue is talking about setting up various committees under the Federal Advisory Committee Act, perhaps on various Listings. [I think that the FDA uses advisory committees a lot.]
• Social Security will be publishing a Notice of Proposed Rule-Making (NPRM) to change the mental impairment Listings. There will be "significant" changes. [I have heard nothing to suggest that this should make me tense, but I am getting tense anyway.]
  
• Sklar kept saying that "we're teeing this up" or "we teed that up." He was apparently referring to placing some issue under in-house discussion. I have heard him use this unusual phrasing in the past. [Sklar must be an avid golfer.]
  

From The NOSSCR Conference -- Marty Ford

Marty Ford, the head of the Association for Retarded Citizens (ARC) and the Coalition for Citizens with Disabilities (CCD), a very important umbrella group, spoke last Thursday morning at the conference of the National Organization of Social Security Claimants Representatives (NOSCRC). Here are some points she covered and some comments by me in brackets:

• She wants to see details of Social Security's budget submission. Social Security has been releasing little more that a bottom line number. She would like to know more. [A lot of people are paying a lot more attention to Social Security's budget after the fiasco of this year's budget. There is also an increased realization that it is not just how much money Social Security is getting, although that is most important, but also how the money is being spent.]
  
• The U.S. Comptroller General held a forum two weeks ago on disability policy. She spoke. The Government Accountability Office (GAO) is under the direction of the Comptroller General. [There was no public notice of this "forum."]
• Ford had a meeting with Commissioner Astrue about two and a half weeks ago.
• Ford expects changes in Social Security's Office of Medical and Vocational Experts. [Tell us more.]
• Ford expects Social Security to work on its Listings of Impairments, with more listings added and more old listings updated.
• Ford thinks Astrue wants to "close the record" in Social Security disability cases earlier. [Nancy Shor mentioned concerns about the same thing.]
• Ford expects new Ticket to Work regulations to reach the Office of Management and Budget soon, but does not necessarily expect them to be published soon.
• Commissioner Astrue seemed concerned about the limited time he has to accomplish something as Commissioner. [Nancy Shor said much the same thing.]
  

Was SSA Involved?

From the Washington Post:

White House officials conducted 20 private briefings on Republican electoral prospects in the last midterm election for senior officials in at least 15 government agencies covered by federal restrictions on partisan political activity, a White House spokesman and other administration officials said yesterday.

The previously undisclosed briefings were part of what now appears to be a regular effort in which the White House sent senior political officials to brief top appointees in government agencies on which seats Republican candidates might win or lose, and how the election outcomes could affect the success of administration policies, the officials said.

Bush "A Little Defeatist"

From the Dow Jones Newswire:

President Bush conceded this week that he's likely to fall short of his goal of reforming the nation's Social Security program.

"That's going to be hard," Bush said in an interview Tuesday with PBS's Charlie Rose. "I wish we could get it done. I'm not sure it's going to happen... I'll keep pushing, but I don't think it's going to happen. It's a little defeatist. I don't see it happening yet is a better way to put it."

Direct Deposit Of Fees For Representing Claimants And Law Firms Representing Claimants

At a session at the conference of the National Organization of Social Security Claimants Representatives (NOSSCR) last week, I learned that 18% of fees for representing claimants are already being paid by direct deposit, which is surprising since currently only those in solo practice can qualify and most of the solos are leery of direct deposit.

We were also told that Social Security hopes eventually to allow law firms to get direct deposits for attorneys they employ and, indeed, that Social Security will recognize law firms as representing claimants. Currently, Social Security only recognizes individual attorneys and some non-attorney representatives, but no entities.

From The NOSSCR Conference -- Nancy Shor

I attended the conference of the National Organization of Social Security Claimants Representatives (NOSSCR) in Baltimore last week. Typically, these conferences run from Wednesday afternoon until Saturday morning. Except for Thursday morning, the conferences have three different continuing legal education sessions going on in separate rooms at any given time. On Thursday morning the whole group meets in one room to hear speakers of more general interest. This was a very large room indeed in Baltimore, since there were over 1,100 people at this conference. For most people who attend, Thursday morning is the highlight of the conference.

The first speaker on Thursday morning was Nancy Shor, the executive director of NOSSCR. Here are some of the points she covered and a few of my comments in brackets:

• Commissioner Astrue will speak at the next NOSSCR Conference in St. Louis in October 2007.
• Social Security's Office of Disability Adjudication and Review (ODAR) plans to detail 5% of all Administrative Law Judges (ALJs) to Falls Church, VA, the headquarters of ODAR, to do video hearings to help clear Social Security's hearing backlog. [Why do they have to go to Falls Church? Why not avoid the extra expense of sending them to Falls Church, by letting them do this from the comfort of their own hearing offices?]
• Social Security plans to offer retired ALJs the opportunity to hold hearings to work on the backlog -- but only in Falls Church. [There seems to be a pattern here. Does someone like the idea of having all ALJs located in just one or a few offices where they can be carefully controlled -- sort of like what happened with Medicare ALJs?]
• The Columbus, OH ODAR office is refusing to process any requests for cases to be approved without a hearing -- on the record reversal is the term of art for these. [That will really help with the backlogs!]
• The no-show rate for ALJ hearings is 30%. This drives a lot of people in ODAR nuts. [I cannot blame them for being upset. No solution is likely, however.]
• Commissioner Astrue is not interested in plans that will take long. He is aware that he has only a limited time as Commissioner and that there is pressure from Congress on Social Security's backlogs.
• Shor thinks that the Federal Reviewing Officers (FedROs) currently being used in a trial of the Disability Service Improvement plan in the Boston region are not likely to be around much longer. She thinks it likely that at some point soon they will be told to finish off the cases they have already, but that no new cases will be sent to them. [So what happens to all these FedROs?]
• Commissioner Astrue has told Shor that he is thinking of ending the Disability Review Board (DRB). She thinks that the name DRB may live on as the new name for the Appeals Council. [Do Appeals Council employees want to say they work at DRB -- pronounced "drab?" ODAR is bad enough. Do not burden Social Security employees with working for "drab!" There is no need to give former Commissioner Barnhart such a silly fig leaf.]
• Shor thinks that some or all of the limitations on submission of evidence contained in the DSI plan may be adopted nationwide. [Note to ALJs and others who think this is a wonderful idea. Adopting this solves nothing. It just allows a few "outlier" ALJs (as another speaker at the NOSSCR Conference called them) to engage in oppressive behavior. A longer notice of hearing would be far more effective. If you have not tried to get medical records out of doctors and hospitals, you do not get it. The problem is much more with medical providers than with attorneys.]
• Commissioner Astrue told Shor in a recent meeting that there were a lot of regulations in Social Security's pipeline which would be coming out soon. When she asked him if this included the proposed regulations that would increase each of the age categories in Social Security's regulations by two years [which does not sound like that big a deal but which would have a devastating effect upon Social Security claimants], he said simply "No." [But will he withdraw those proposed regulations? As long as that proposal is out there, it could be adopted with no advance warning.]
• Shor described her recent meeting with Astrue as mostly a monologue by Astrue. [If you have been reading this blog regularly, that should not come as much of a surprise.

An Interesting Little Tidbit

There was a session at the NOSSCR Conference on the new requirements for attorneys and non-attorney representatives who are eligible for withholding of fees to register with Social Security so that they will receive 1099s showing those fees. We were told that 7,349 attorneys and non-attorney representatives had signed up since the program started a few months ago. It is mandatory only for cases newly taken on since the beginning of the year. I had little idea of what the universe was of attorneys and others who represent Social Security claimants.

CDR Moratorium Lifted

David Traver at the CONNECT Board reports that the Emergency Message below went out recently. I have no idea why anyone at Social Security thought that this could or should be kept secret.

Identification Number EM-07028 SEN

Effective Date: 04/19/2007

Intended Audience: All RCs/CDPs/ARCs/ADs/FOs/TSCs/
OCO-CSTs/PSCs/ODO/OIO/DPBs/OSOS/ODD/OTS/OAS/OQAPA

Originating Office: DCO OPSOS

Title: Medical Continuing Disability Review (CDR) Moratorium Update

Type: EM - Emergency Messages

Program: Title II (RSI); Title XVI (SSI); Disability; All Programs
Link To Reference: DI 13005.001
DI 40502.001G.
EM-06071 SEN
EM-05075

SENSITIVE - NOT TO BE SHARED WITH THE PUBLIC
Retention Date: October 31, 2007

This Emergency Message (EM) obsoletes EM-06071 SEN and provides additional information about the CDR moratorium.

Effective immediately, the CDR moratorium is lifted. Regional guidance will be provided concerning the numbers and flow of cases to the DDSs according to each state's needs. For workload monitoring purposes, it is very important for field offices (FOs) to pay close attention to staying within the established quotas. Once this information has been provided from the RO, FOs may release and DDSs may process all types of CDRs, based on Regional targets. Effective immediately, FOs should discontinue using the CDR Moratorium Exception Flag.

FO Instructions
Offices should adhere to the following CDR priority processing order:

· Follow regional directives on targeting specific CDR types.
· Age 18 medical CDRs that were selected September 1, 2006 or earlier. (We are required by law to review these CDRs timely; therefore, it is very important for FOs to continue to process these CDRs.)

· All other CDRs on a normal first-in-first-out (i.e., greatest overall age) basis.

NOTE: FOs should continue to hold all Certified Electronic Folder (CEF) CDRs, including Age 18 redetermination (CEF) CDRs, as per the instructions in EM-05075 SEN .

PC Instructions
The PCs may now initiate the previously held (and newly determined) "DO CDR" cases. These cases should be initiated on the Disability Control File (DCF) and released to the FOs.

Direct all program-related and technical questions to your RO support staff or PC OA staff. RO support staff or PC OA staff may refer questions or problems to their Central Office contacts.