NADE Newsletter

The National Association of Disability Examiners (NADE), an organization of personnel who make the initial and reconsideration determinations on Social Security disability claims, has issued its Summer 2008 newsletter.

The following is a letter to the President of NADE reproduced in the newsletter that others may find of interest:

I thought that you and your colleagues might be interested in the following:
I looked at 100 consecutive claimant scores on the Test of Memory Malingering(TOMM) from psychological evaluations that I conducted between 8/07 to 6/08 and found that 36% provided a suboptimal performance. In other words, 36% of the claimants did not provide a valid level of effort during testing, for whatever reason. The age range was 8 to 66. This finding suggests to me the importance of including an effort level test, such as the TOMM, in most CE psychological test batteries.

Sincerely,
Jack Stephenson, Ph.D.
Torrance, CA 90505

Deadline Bill Proposed

From the March on Politics blog:

U.S Rep. Kathy Castor of Tampa has filed a bill aiming at a longstanding problem, the backlog of Social Security disability cases.

Castor’s bill is only the latest of many legislative attempts made over the years to solve the problem, but Congress has never figured out how.

The problem arises when individuals are turned down on claims for disability benefits under Social Security. Many appeal, and two-thirds of those who appeal eventually win their cases, Castor said. But the appeals process often takes years, during which the individuals don’t get the benefits.

From fiscal year 1997 through 2006, Castor noted in a news release, backlogged disability claims in the Social Security Administration’s processing system doubled, reaching about 576,000 cases.

Castor’s legislation would set deadlines for the Social Security administration to hold hearings on appeals.

“Some Tampa Bay families wait as long as four years for a hearing,” Castor said in a news release. “They can lose their homes and some end up living in homeless shelters. ... This is unacceptable.”

Last year, President Bush proposed more money for faster hearings, and Congress approved more than Bush requested. But partly because of concerns about widespread fraud, speeding up approval of claims enough to dispel the backlog has proved an insoluble problem.

$48 Million Extra Funding For SSA

From a Legislative Bulletin issued by the Social Security Administration (SSA) (emphasis added):

On July 9, 2008, the Senate passed H.R. 6331, the “Medicare Improvements for Patients and Providers Act of 2008,” by unanimous consent. Earlier in the day, a cloture vote passed by 69-30, which cleared the way for final approval. The bill is identical to the bill that passed the House on June 24, 2008. The President has indicated that he will veto the bill. However, the margin of the votes in the House and the Senate has been characterized as “veto proof.”

A general description of the bill may be found in Legislative Bulletin 110-29.

H.R. 6331 contains the following provisions of interest to SSA:

Eliminating Barriers to Medicare Savings Programs Enrollment

• Requires SSA to provide applicants for Medicare Part D Low-Income Subsidy (LIS) with information about Medicare Savings Programs (MSP) assistance, including information about how to contact the State health insurance assistance program (SHIP).

• Requires SSA (with the consent of those filing) to transmit LIS application data to the States. Once received, the LIS data would serve as a protective filing for MSP, with State agencies being required to complete appropriate MSP development and make eligibility determinations. The content, form, and manner in which information (on a uniform basis for all States) shall be transmitted would be determined by the Commissioner, in consultation with HHS and the States. Effective January 1, 2010.

• Requires SSA to provide MSP training to employees currently involved in LIS application-taking, so that those employees can promote beneficiary awareness of MSP, thereby increasing MSP participation.

• Provides start-up funding of $24.1 million to SSA for activities related to MSP outreach and transmittal of data to states. Funds would be appropriated as of October 1, 2008, and remain available until expended. Ongoing funding for MSP-related activities would be provided, beginning with fiscal year 2011, through a separate ongoing appropriation of $3 million annually to HHS. HHS would provide this funding to SSA via a reimbursable agreement, and the funds would only be available to HHS for this specific purpose.

• Provides funding of $24.8 million to SSA for LIS activities required due to changes in MSP and LIS programs. Funds would be appropriated as of October 1, 2008, and remain available until expended.

Exemption From Income and Resources for Determination of Eligibility for Low-Income Subsidy

• Eliminates counting in-kind support and maintenance as income and life insurance as a resource for LIS purposes. Effective for applications filed on or after January 1, 2010.

Judicial Review of Decisions of the Commissioner of Social Security Under the Low-Income Subsidy Program

• Codifies SSA's existing policy that denied LIS applicants can appeal to the civil courts, once the administrative appeals process is exhausted. Effective as if enacted with the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. ...

OTHER PROVISIONS OF INTEREST: ...

• Eliminates Part D late enrollment penalties for individuals who are eligible for LIS. Effective January 1, 2009.

• Clarifies that, in the event of a recipient's death, the State is not allowed to attempt recovery (through the recipient's estate) of costs associated with providing MSP assistance. Effective January 1, 2010.

Backlog Just Gets Worse

Since February 2008, the National Organization of Social Security Claimants Representatives (NOSSCR) has been publishing statistics it obtains from Social Security on the backlog of claims awaiting hearings before Administrative Law Judges (ALJs). This started about the time that Democrats became the majority party in Congress, as well as about the time that Michael Astrue became Commissioner of Social Security. You can make your own guess on the explanation for the timing.

I thought it would be interesting to extract the numbers to show what has been happening to the ALJ hearing backlog over this time period. Here are the national numbers, shown by the number of days of backlog existing at any given time:

• January 25, 2007 -- 508 days
• May 25, 2007 -- 523 days
• July 28, 2007 -- 528 days
• August 31, 2007 -- 523 days
• November 30, 2007 -- 500 days
• February 29, 2008 -- 511 days
• May 30, 2008 -- 523 days

The net result is that we are half a month further behind than we were a year and a half ago. Neither Michael Astrue becoming Commissioner of Social Security nor Democrats becoming the majority party in Congress has helped, other than, perhaps, keeping the backlog from growing more than it has.

Washington Post On Garnishment Of Social Security Benefits

From the Washington Post:

... [I]n some cases, the actions of the financial institutions in carrying out court [garnishment] orders are of questionable legality, according to a new report by the Social Security Administration's Office of the Inspector General.

The inspector general found that some financial institutions are apparently violating federal law by garnishing accounts that receive electronic deposits of old age, survivors and disability insurance, and/or supplemental security income payments. These funds are supposed to be protected from creditors except under certain conditions. ...

During a 12-month period beginning September 2006, the 12 largest banks took $1 million from accounts that held only government benefits. An additional $29 million was taken from accounts that held government benefits money mixed with cash from other sources, according to the report. The inspector general also found in some cases that banks were charging legal processing fees, overdraft charges or insufficient-funds charges as the result of a garnishment.

Although the sample size in this investigation was relatively small, the inspector general's report concluded that if all financial institutions followed the pattern of those investigated, as much as $177.7 million in garnishments could be attributable to beneficiaries receiving direct deposit of Social Security benefits.

And here is a link to the Inspector General report.

Social Security Selects Prime Contractor For Distance Learning

From a press release issued by Hughes Network Systems, LLC:

Hughes Network Systems, LLC (HUGHES), the global leader in broadband satellite network solutions and services, today announced it has been selected as prime contractor by the Social Security Administration (SSA) to provide operational support services for its distance learning network and has received an initial task order for $4M.

Under the agreement, issued through the U.S. General Services Administration's (GSA) SATCOM-II contract vehicle, SSA has outsourced the operation and support of its Interactive Video Tele-training (IVT) Network to Hughes. ...

Powerful TV Story On Backlogs

WGRZ-TV in Buffalo is running a lengthy story (more than six minutes) on Social Security's terrible backlogs in adjudicating disability claims. The story includes interviews with Congressman Brian Higgins and Senator Chuck Schumer.

I know that the description of the problems suffered by the claimant who is used as an example may give you pause, but that is merely a television reporter's understanding of a claimant's understanding of her medical problems. It should not be surprising if there is a lot misunderstood along the way. There are plenty of people who give similarly incoherent accounts of their medical conditions who are genuinely in terrible shape. I talk with them every day and try to help them better understand what their doctors have said and what they are experiencing so they can testify in a coherent fashion.

If you have wondered why there have been so many backlog stories coming from the Buffalo area, watch. The reason is one person, Linda Fullerton. It makes you wonder what would happen if there were a hundred or a thousand people out there like Ms. Fullerton pressing Congress and the media.

By the way, the reporter's desire to blame President Bush and former President Clinton may not be completely off the mark, but, by far, the bigger problem was Republican control of Congress between 1994 and 2006. This is not Republican bashing. This is plain fact.

Updated Fee Payment Stats

The Social Security Administration has posted updated statistics on payment of fees to attorneys and others for representing Social Security claimants. This is a good analogue to show the ups and downs in payments of back benefits to newly entitled claimants. The numbers are below:

Fee Payments
Month/Year	Volume	Amount
Jan-08	20,559	$75,368,163.45
Feb-08	26,570	$95,228,284.32
Mar-08	23,088	$83,166,027.02
Apr-08	27,296	$98,616,579.78
May-08	29,305	$104,283,373.35
June-08	25,243	$89,786,459.83