SSA To Pay $12.4 Million For Early Intervention

     From a contracting notice recently posted by the Social Security Administration:

Contract Award Dollar Amount:

$12,378,342.00...

Contractor Awardee:

MATHEMATICA POLICY RESEARCH, INC.
1100 1ST STREET NE
12TH FLOOR
WASHINGTON

DC
200024221
USA 

Synopsis: ... 

Single Award Cost Plus Fixed Fee 5-year Contract for Retaining Employment & Talent After Injury/Illness Network (RETAIN) Evaluation - This is a joint project between SSA, the Department of Labor (DOL), and several states. The purpose of the contract is to evaluate the impact of the various interventions implemented under cooperative agreements between the states and the DOL.

     I hope this study shows that early intervention works but let me list just a few of the reasons I don't think it will work very well:

• Most people who become disabled are disabled by degenerative conditions, like diabetes or osteoarthritis. These conditions just get worse with time. Rehabilitating people with this sort of problem isn't realistic. As soon as you get them able to do a new job, their condition has worsened to the point they can't do it.
• Pain is a huge factor in producing disability.  No intervention can take away the pain. If pain prevents one type of work, it's almost certain to prevent other types of work.
• Mental illness is a major cause of disability. It’s not so amenable to intervention that  helps to preserve the ability to work.
• People with below average cognitive abilities are dramatically over-represented among the population of people who apply for Social Security disabilities. That's because their limited intellectual abilities limit them to simpler, more physically demanding work to begin with and make it almost impossible for them to switch to other less demanding work. 
• This whole concept is based upon a misunderstanding of who applies for Social Security disability benefits and why they apply. Those who support this think that most disability is due to trauma and that if you can just help people figure out what they can do despite their injuries and give them a mobility scooter or whatever that they can go back to work. The thing is that the 12 month duration of disability requirement in the definition of disability that is written into the Social Security Act means that folks who are disabled by trauma either go back to their old jobs or figure out something else they can do on their own or with the help of programs that already exist well before 12 months have passed. I don't know that there's anything new that can be offered to help people in this situation. If you wanted to do something useful, you could better fund state vocational rehabilitation agencies. Besides, it's such a small component of disability that it doesn't matter that much anyway.
• In any case, as far as I'm concerned, Mathematica is nothing more than a Beltway Bandit. They get lots and lots of government contracting money but nothing they do ever helps anyone.

Field Office Supervisor Steals Over $700,000 From Claimants

     A press release:

RALEIGH, N.C. – Robert J. Higdon, Jr., the United States Attorney for the Eastern District of North Carolina, announces that a Federal grand jury in Raleigh has returned a thirteen-count indictment charging STEPHANIE CHAVIS, age 42, of Saint Pauls, North Carolina, with ten counts of Wire Fraud, two counts of Aggravated Identity Theft, and one count of Theft of Government Property.

The indictment alleges that beginning in or about August 2010, and continuing until in or about April 2018, CHAVIS engaged in a scheme to defraud the Social Security Administration by using her supervisory position to divert more than $700,000 in funds meant for SSI beneficiaries into bank accounts controlled by CHAVIS.

The indictment further alleges that CHAVIS advanced this scheme by convincing unsuspecting employees to manually process unauthorized payments on SSI beneficiary accounts using the beneficiaries’ personal identifying information and CHAVIS’s bank account information.

If convicted of all counts, CHAVIS faces a maximum penalty of twenty-four years imprisonment. She also faces a minimum two-year consecutive term of imprisonment on each aggravated identity theft count.

The charges and allegations contained in the indictment are merely accusations. The defendant is presumed innocent unless and until proven guilty in a court of law.

The case is being investigated by the Social Security Administration’s Office of the Inspector General. Special Assistant United States Attorney Tamika Moses is prosecuting the case for the government.

     How did she get away with this for almost eight years? I thought there were internal controls in place that would catch something like this. Wouldn't the people whose money was stolen have noticed and said something? My guess is that whatever internal controls have been in place are about to get strengthened nationally.
     My firm deals extensively with that field office. I think it's about to get turned upside down. I hope they're able to handle their normal workload.
     I also hope that Social Security promptly pays the money that was owed to the claimants involved. That should be a priority.

Wouldn't That Right Now Be "Clearly Established" At Least In The 9th Circuit?

     From Whalen v. McMullen, CA9, decided October 30, 2018:

While investigating Kathleen Whalen for fraud related to her application for social security benefits, Washington State Patrol officer John McMullen gained both her cooperation and entrance into her home by requesting her assistance in a fictitious criminal investigation. During his investigation, McMullen secretly videotaped Whalen both outside and inside her home. No criminal charges were ever lodged against Whalen, but the Washington Disability Determination Services division (“DDS”) of the Washington Department of Social and Health Services (“DSHS”) used at her social security hearing the footage surreptitiously filmed inside her home.

Whalen brought suit against McMullen under 42 U.S.C.§ 1983, alleging that McMullen’s entry into her home without a warrant and under false pretenses violated her Fourth Amendment right to be free from unreasonable searches and seizures. She appeals a grant of summary judgment in favor of McMullen based on qualified immunity. W e conclude that McMullen violated Whalen’s Fourth and Fourteenth Amendment rights, but we agree with the district court that McMullen has qualified immunity from suit because the right was not clearly established. We affirm.

     I have seen this exact same tactic used in North Carolina. I think it's the way they're generally doing these investigations. I'm pretty sure they won't keep using this tactic in the 9th Circuit area. What about the rest of the country? I don't know that I'd want to do it if I were working for them or with them.

Happy Halloween!

Conn's Files Transferred To Receiver

     From WYMT:

In April we were told about thousands of medical files belonging to the former clients of Eric C. Conn found inside his Floyd County law complex in Stanville.

In August U.S. Marshals seized the law complex, locking the doors and boarding up the windows, until a receiver of the files could be appointed. That receiver, appointed two weeks ago, will have the task of reviewing all the files and making sure they get into their owners' hands.

"I have had some difficult discussions with the receiver," said Prestonsburg Attorney Ned Pillersdorf who represents many former Conn clients. "And in my view, he does not understand the urgency of getting these people their files in my opinion yesterday."

Nearly 2,000 former clients of Erc C. Conn have been going through redetermination hearings trying to get back their Social Security benefits. However, many of them are appearing for those hearings without the medical files necessary to prove their disability. 

According to Pillersdorf, the clients will not start seeing their files until December, and that could be too late.

"By that time hundreds of hearings will have gone on. And in my view, no question that truly disabled people will lose their benefits because they did not have access to their files which contains important information."

Pillersdorf says many of those former clients do not realize just how important those files really are.

"There is a misunderstanding of what these hearings are about. They are not about whether these people are disabled today. The hearings are about whether they were disabled in 2007 and 2008, explained Pillersdorf. "Those client files, that the clients still don't have access to, were generated in 07 and 08 and would be very relevant." ...

     Many of these claimants say that they obtained their own medical records and gave them to Conn's office. However, he never submitted anything other than reports from physicians and psychologists on his payroll. Anything a claimant gave his office is probably still in his old files. Obtaining these records from the medical sources ten years later can be difficult or impossible. Claimants can't even remember which doctors they saw back then. Some of the medical practices where they were seen have closed. A few medical practices which are still open have discarded older medical records.
     What is particularly bothersome is that Administrative Law Judges hearing these cases are all refusing to wait until Conn's files become available to the claimants. We have seen no instructions that they should not wait but none is willing to wait. How did they all decide to do the same thing if they weren't told that is what they are supposed to do? If they were told off the record to act in this way, isn't that an inappropriate ex parte communication?

Social Security To Propose Mandatory Video Hearings

     The Office of Management and Budget (OMB) has approved publication of proposed new Social Security regulations on Setting the Manner for the Appearance of Parties and Witnesses at a Hearing. Here is Social Security's summary of the proposal before it was submitted:

We propose to revise and unify some of the rules that govern how, where, and when individuals appear for hearings before an administrative law judge at the hearings level and before a disability hearing officer at the reconsideration level of our administrative review process. At both levels, when we schedule a hearing, we propose that we will determine the manner in which the parties to the hearing will appear: by VTC [Video Teleconference], in person, or, under limited circumstances, by telephone. We would not permit individuals to opt out of appearing by VTC. We also propose that we would determine the manner in which witnesses to a hearing will appear.

     Remember, this is a proposal. It has to be published in the Federal Register for public comment. The agency must consider the comments before submitting a final proposal to OMB for approval. This process can take well over a year. Congressional opposition could derail the proposal.

Off Topic: I'm Not Sure About All Of This

     The Coalition for Citizens with Disabilities (CCD) is an umbrella group for organizations supporting the rights of the disabled in the United States. This is from a recent position paper they've put out on service animals:

... Public transportation, as well as Amtrak, must allow any service animal trained to work or perform tasks with the exception of primates and exotic snakes. Any limitations must preserve access for all species and sizes of dogs, cats, rabbits, miniature horses, capuchin monkeys, and other species that can be trained to behave appropriately and be safely brought on public transit and rail. ...

Why Do Technical Denials Keep Increasing?

     The Social Security Administration has just published its Annual Statistical Report on the Social Security Disability Insurance Program, 2017.  Yes, they were unable to get the 2017 annual report until now.

     Here's one table from the report:

     Note that the technical denials keep increasing. Why?