The Ohio Benefit Bank Access SSI/SSDI Guide

SSI/SSDI Specialist Guide
2016
Version 1.3
QUICK REFERENCE
Specialist Login
Website:
ssi.thebenefitbank.org
Training Login
Website: training-ssi.thebenefitbank.org
Login Name:
Login Name:
Password (hint):
Password:
ohiossi____
tbb12345
TBB Help Desk: 1-855-TBB-HELP or [email protected]
Support site: http://support.ohiobenefits.org/access-ssissdi.html
© 2016 Solutions for Progress, Inc.
Send feedback about this document and all other training-related feedback to us at
[email protected]
Pronouns he/she, him/her, and his/hers used in examples refer to all TBB specialists or
clients indiscriminately.
Updates:
June 2016
-
Added information on healthcare
August 2016
-
Changed order of steps 4 and 5
TABLE OF CONTENTS
QUICK REFERENCE
1
IMPORTANT WEBSITES .................................................................................................................. 1
IMPORTANT CONTACT INFORMATION .......................................................................................... 1
SSI/SSDI PROGRAM OVERVIEW
2
KEY FEATURES ............................................................................................................................... 2
SSI-SSDI TRAINING OBJECTIVES ................................................................................................... 3
SSI/SSDI ORGANIZATION AGREEMENT REMINDER .................................................................... 3
SUPPORTED PROGRAMS
4
SUPPLEMENTAL SECURITY INCOME (SSI).................................................................................... 4
SOCIAL SECURITY DISABILITY INSURANCE (SSDI) ....................................................................... 4
OHIO COMMON APPLICATION ....................................................................................................... 4
HOME ENERGY ASSISTANCE PROGRAM (HEAP).......................................................................... 4
HEALTHCARE COVERAGE APPLICATION ....................................................................................... 4
DISABILITIES AND MEDICAL CONDITIONS: PROGRAM SCREENING TOOL ................................. 4
OTHER PROGRAMS ........................................................................................................................ 5
HEALTH CARE OPTIONS ..................................................................................................... 6
ORGANIZATION MAP ...................................................................................................................... 7
INTRODUCTION TO SSI/SSDI
8
SSI ELIGIBILITY: INCOME AND RESOURCES................................................................................. 8
SSDI ELIGIBILITY: INSURED STATUS ............................................................................................. 9
“DISABILITY” UNDER SSA RULES .................................................................................................. 9
BENEFIT LEVELS ............................................................................................................................ 9
SSA AND DDS ................................................................................................................................. 9
USING THE TBB SSI/SSDI MODULE
11
BASIC NAVIGATION....................................................................................................................... 12
ACCESSING THE TBB SSI/SSDI WEBSITE.......................................................................12
ACCESSING THE SSI/SSDI TRAINING WEBSITE .............................................................13
SPECIALIST PORTAL .........................................................................................................13
CREATING A CLIENT .........................................................................................................14
CLIENT PORTAL ................................................................................................................15
ROADMAP .........................................................................................................................16
NAVIGATION BUTTONS .....................................................................................................17
DYNAMIC CONTENT .........................................................................................................18
REQUIRED/IMPORTANT QUESTIONS INDICATOR ..........................................................19
RETURN TO PAGE REMINDER .........................................................................................20
HELP CONTENT ................................................................................................................21
REVIEWING AND EDITING DATA ......................................................................................22
REVIEW AND EDIT MENU .................................................................................................22
CASE MANAGEMENT TOOLS
24
TASKS ........................................................................................................................................... 24
HOW TO MANUALLY CREATE A TASK ..............................................................................25
WHEN TO CHOOSE CLIENT SPECIFIC TASKS VS. SPECIALISTS TASKS ........................28
MEMOS ......................................................................................................................................... 31
CONTACTS .................................................................................................................................... 33
DOCUMENT MANAGEMENT ......................................................................................................... 35
DOCUMENT CHECKLISTS ................................................................................................35
UPLOADING DOCUMENTS ...............................................................................................36
THE HELP DESK
38
IMPORTANT WEBSITES
39
THE SUPPORT SITE ..........................................................................................................39
THE TRAINING SCENARIO
40
TRAINING ASSESSMENT
44
PART 2 TRAINING
46
DETAILED NAVIGATION OF TBB SSI/SSDI .................................................................................. 47
CLIENT BACKGROUND .....................................................................................................47
HOUSEHOLD INFORMATION ............................................................................................47
HEALTHY U AND OTHER PROGRAMS ..............................................................................47
CHILDREN/GRANDCHILDREN .........................................................................................47
MARRIAGE HISTORY.........................................................................................................47
IMMIGRATION STATUS .....................................................................................................47
ADDITIONAL CLIENT DETAILS ..........................................................................................47
EXPENSES ........................................................................................................................48
INCOME.............................................................................................................................48
ASSETS .............................................................................................................................49
ESTATES AND TRANSFERRED ASSETS ...........................................................................49
SUPPORT AND MAINTENANCE ........................................................................................49
EDUCATION .......................................................................................................................49
WORK HISTORY ................................................................................................................50
MILITARY HISTORY ...........................................................................................................50
WARRANTS AND POLICE CONTACT .................................................................................50
APPLICATION PREFERENCES & OTHER BENEFITS ........................................................50
NON-MEDICAL ELIGIBILITY ESTIMATE ............................................................................50
MEDICAL – GENERAL................................................................................................................... 51
BASIC MEDICAL BACKGROUND ......................................................................................51
MEDICAL HISTORY DETAILS ............................................................................................51
MEDICAL HISTORY DETAILS ........................................................................................................ 52
SUBSTANCE ABUSE .........................................................................................................52
MEDICAL – PHYSICAL .................................................................................................................. 53
PRESUMPTIVE DISABILITIES AND COMPASSIONATE ALLOWANCES ........................................ 54
CAPABILITIES AND AILMENTS .........................................................................................54
BODY SYSTEMS AFFECTED - PART I AND II ....................................................................54
MEDICAL - MENTAL ...................................................................................................................... 55
DAILY LIVING ACTIVITIES.............................................................................................................. 56
FORMS .......................................................................................................................................... 57
FORMS FOR SSA ..............................................................................................................57
EXPLAINING LIMITS ON ABILITY TO WORK ................................................................................. 58
PRIORITY FLAGS ...............................................................................................................58
REMARKS .........................................................................................................................58
TBB-GENERATED SSA FORMS.........................................................................................59
FORMS FOR DDS.......................................................................................................................... 60
MENTAL STATUS QUESTIONNAIRE .................................................................................60
SUPPORTED APPLICATIONS AND FORMS APPENDIX ................................................................ 61
FORMS FILLED OUT BY TBB ............................................................................................61
FORMS FILLED OUT MANUALLY ......................................................................................62
APPLICATION PROGRESS PAGE .................................................................................................. 63
APPLICATION PROGRESS PAGEMEDICAL RECORDS REQUEST LETTER GENERATOR ............ 63
LETTER GENERATOR SELECTOR .....................................................................................64
PRINT MEDICAL RECORDS REQUEST .............................................................................65
INCOMPLETE INFORMATION ...........................................................................................65
ACCESSING THE SSA WEBSITE ................................................................................................... 66
WWW.SSA.GOV/APPLYFORDISABILITY ...........................................................................66
TRACK MEDICAL RECORDS REQUESTS...................................................................................... 67
REQUESTS TO BE MADE ..................................................................................................69
REQUESTS OUTSTANDING...............................................................................................69
REQUESTS RECEIVED ......................................................................................................70
REQUESTS ARCHIVED ......................................................................................................70
REVERT STATUS ...............................................................................................................71
ROLES AND ACCESS TO TRACKING TOOL ......................................................................71
SUBMITTING DOCUMENTS ..............................................................................................72
DDS EVIDENCE REQUEST ............................................................................................................ 72
E-SUBMITTING ..................................................................................................................73
FAXING ..............................................................................................................................74
ELECTRONIC RECORDS EXPRESS (ERE) ACCOUNTS ................................................................. 74
SAFEGUARDING ELECTRONIC DOCUMENTS ..................................................................74
SEARCHING/CLOSING CASES ..................................................................................................... 75
EXISTING TBB CLIENT SEARCH .......................................................................................75
SEARCHING SSI/SSDI CLIENTS.......................................................................................75
CLOSING CASES ...............................................................................................................76
STEP-BY-STEP APPLICATION PROCESS ...................................................................................... 78
OVERVIEW.........................................................................................................................78
1. COMPLETE FORM SSA-1696 ......................................................................................79
2. COMPLETE CONSENT TO USE INFORMATION FORM ................................................79
3. COMPLETE FROM SSA - 827.......................................................................................79
4. OBTAIN A REENTRY NUMBER .....................................................................................79
5. CREATE CLIENT ............................................................................................................79
6. FIND THE CLIENT ID NUMBER, 55 DAYS OUT, AND ADD TWO MEMOS ...................80
7. SUBMIT APPLICATIONS FOR OTHER INCOME SUPPORT PROGRAMS ......................80
8. COMPLETE THE OHIO SSI/SSDI APPLICATION...........................................................80
9. PRINT APPLICATIONS, REVIEW INFORMATION, OBTAIN SIGNATURES.....................80
10. USE THE TEMPLATE SUBMISSION EMAIL (FROM THE SUPPORT SITE) TO SUBMIT
FOR DATA ENTRY .............................................................................................................81
12. MAINTAIN COMMUNICATION WITH SSA, DDS, AND YOUR CLIENT ........................81
Quick Reference
IMPORTANT WEBSITES
Counselor Support Website - http://support.ohiobenefits.org
Training Website - training-ssi.thebenefitbank.org
Social Security Administration - www.ssa.gov
Benefits Eligibility Screening Tool - http://ssabest.benefits.gov/
Disability Planner - https://www.ssa.gov/planners/disability/dqualify5.html
Disability Rights Ohio http://www.disabilityrightsohio.org/sites/default/themes/disabilityrightsohio/dro/index.html
Social Security Publications - https://www.ssa.gov/pubs/
Red Book - https://www.ssa.gov/redbook/
Blue Book - https://www.ssa.gov/disability/professionals/bluebook/
IMPORTANT CONTACT INFORMATION
The Benefit Bank® Help Desk
1.855.TBB.HELP (855.822.4357)
[email protected]
The Ohio Benefit Bank Staff
[email protected]
Ohio State Legal Services
1-866-529-6446
1
SSI/SSDI Program Overview
The Ohio Benefit Bank SSI/SSDI online service is designed to help people with disabilities
access the Supplemental Security Income (SSI) and Social Security Disability Insurance
(SSDI) benefits to which they are entitled. In addition, the service also supports applications
for SNAP, HEAP, and Ohio Works First (cash assistance). For a complete list, see the
Supported Programs page. The tool guides trained specialists in the development and
submission of applications and supports document management and case management
tools to make a complex process more manageable for specialists and improve success
rates for clients.
KEY Features
2

An eligibility estimator and application completion program

Tools for authorized representatives to upload, store, and submit supporting
evidence to agencies that determine eligibility

Specialists are permitted to work on client applications without the client being
present

Tools for tracking applications and records requests, including an application
progress page, task, and memo functions to help you organize work with each client
SSI-SSDI TRAINING OBJECTIVES
The primary goal of The Benefit Bank SSI and SSDI Training is to provide the information and
guidance you need to feel comfortable and competent in using The Benefit Bank to
maximize critical benefits for your clients. Upon completion of this training, participants
should be able to do the following:
1. Understand the roles and responsibilities of a TBB SSI-SSDI Specialist.
2. Complete benefit applications using the online service. Participants will learn to:

Navigate to and log into the TBB SSI/SSDI live and training websites.

Create client profiles.

Complete applications for SSI/SSDI and additional applications as needed.

Track progress of SSI and SSDI applications.

Manage client documents.

File applications electronically or print and mail applications where necessary.
3. Adhere to all protocols designed to protect client privacy.
SSI/SSDI ORGANIZATION AGREEMENT REMINDER
Before you are permitted access to TBB SSI/SSDI, your organization must agree to the terms
of the organization agreement. Below you will find a few important points included in the
SSI/SSDI agreement.
1. The site agrees that SSI/SSDI specialists will act as Authorized Representatives for
clients on their SSI/SSDI application. SSI/SSDI specialists will facilitate follow-up as
appropriate and agree to assist clients throughout the application process, including
case management as needed.
2. The site agrees that all activities to assist clients will be tracked in the on-line
application.
3. The site agrees that paper records with client information retained at the site must be
kept safe and secure.
4. The site agrees to adhere to the following protocols established to protect client
confidentiality: maintain a functioning shredder at the site’s primary location, or contract
with a shredding service; keep all permanent paper records such as copies of verifying
documents for identification, income, assets, and expenses in secure files; have
protocols in place for the deletion of a client’s scanned documents from their hardware.
Staff will be aware and protocols will be enforced.
3
Supported Programs
SUPPLEMENTAL SECURITY INCOME (SSI)
Supplemental Security Income (SSI), created by Title XVI of the Social Security Act, is a
federal benefit program for aged, blind, and disabled individuals who have limited income
and resources. Individuals applying for disability benefits who have never worked, or whose
work history has not earned them the credits needed to qualify for Social Security Disability
Insurance (SSDI), can apply for disability benefits under the SSI program. Some people are
eligible to receive SSI and SSDI at the same time.
SOCIAL SECURITY DISABILITY INSURANCE (SSDI)
SSDI, or Social Security Disability Insurance (otherwise known as SSD or Social Security
Disability), was created by Title II of the Social Security Act. SSDI provides disability benefits
to individuals who are unable to work and have earned enough work credits to qualify.
OHIO COMMON APPLICATION
Specialists have the option of e-submitting or paper filing the Ohio Application for Benefits
(Common Application), which includes the following programs:
 Food Assistance (formerly Food Stamps)
 Medicaid for the Aged, Blind, and Disabled
 Medicare Premium Assistance Program
 Bureau for Children with Medical Handicaps
 Child and Family Health Services
 Ohio Works First (Cash Assistance)
 Women, Infants, and Children (WIC)
HOME ENERGY ASSISTANCE PROGRAM (HEAP)
The Home Energy Assistance Program (HEAP) offers several varieties of assistance with
heating expenses, including a one-time payment on a household’s heating bill during the
program season, September through May.
HEALTHCARE COVERAGE APPLICATION
The Benefit Bank can be used to complete the paper version of the Healthcare Coverage
Application, which can be used to apply for the following:
 Medicaid for Children, Families, and Adults
 Marketplace Health Coverage and Advanced Premium Tax Credit (APTC)
DISABILITIES AND MEDICAL CONDITIONS: PROGRAM SCREENING TOOL
The Disabilities and Medical Conditions Program Screening tool is a short screening tool that
allows specialists to assess clients’ eligibility for the following programs:
 Healthy U
 Bureau for Children with Medical Handicaps
4








Vocational Rehabilitation Services
Veterans Vocational Rehabilitation and Employment
Medicaid Buy-In for Workers with Disabilities
Disability Financial Assistance
Veterans Pension and Disability Compensation
Aged, Blind, or Disabled Medicaid
Social Security Disability Income (SSDI)
Supplemental Security Income (SSI)
OTHER PROGRAMS
Other programs available within The Benefit Bank SSI/SSDI include:
 Ohio Child Care Benefits
 HEAP
 Healthy U and Other Programs
 Opportunities for Ohioans with Disabilities
 Disabilities and Medical Conditions: Program Screening
 OH Prescription Assistance (Golden Buckeye)
 Ohio USDA Child Nutrition Program
 Ohio Fatherhood Programs
 Ohio Child Support Referral
 National Voter Registration
Please note, at this time you cannot file taxes on ssi.thebenefitbank.org. You will need to
login as an OBB counselor at secure.thebenefitbank.org to use this free service, and create
a new client account.
5
Health Care Options
If your claimant is non-medically eligible for SSI, they are eligible for Medicaid. Please go to
benefits.ohio.gov to apply for Medicaid if your claimant does not have health insurance.
6
ORGANIZATION MAP
7
Introduction to SSI/SSDI
The Benefit Bank supports the two main federal programs that provide disability benefits:
Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI). SSI is a
means-tested program that provides benefits to individuals who meet specific financial
eligibility criteria. SSDI provides benefits to individuals who have paid into the system and to
certain disabled dependents of individuals who have paid into the system. Both programs
are administered by the Social Security Administration (SSA) and have similar application
and disability determination processes.
For both SSI and SSDI, Social Security uses both non-medical criteria and medical (disability)
criteria to determine whether an applicant qualifies. Non-medical criteria for SSI includes
having income and assets below certain limits; for SSDI the applicant must have earned
enough work credits to be considered "insured." The Benefit Bank assesses an individual’s
likelihood of meeting non-medical criteria for qualifying for SSI and SSDI.
SSI ELIGIBILITY: INCOME AND RESOURCES
In order to determine eligibility and benefit amount, SSA categorizes income as earned or
unearned. Unearned income is income from government benefits, pensions, and in-kind
support and maintenance (in-kind support and maintenance includes food and shelter that
is given to an individual). Earned income includes wages and net earnings from selfemployment.
Not all income is counted, and different exclusions apply to earned and unearned income.
Excluded unearned income includes SNAP payments, housing and energy assistance, state
and local needs-based assistance, in-kind support and maintenance from non-profit
organizations, student grants and scholarships, and income used to fulfill a plan for
achieving self-support (PASS). Earned income exclusions include the first $65 of earnings,
income used to fulfill a PASS, and one-half of all earnings over $65. An applicant’s
countable income is compared with the current benefit rate (plus any state supplementation
payment) in order to determine eligibility and benefit amount.
The countable resource limit for SSI eligibility is $2,000 for individuals and $3,000 for
couples. Some resources are not counted, however. Excluded resources include the
following:






8
An individual’s home and adjacent land
One car, if it is used for transportation by anyone in the household
Property essential for self-support
Household goods and personal effects
Burial funds of up to $1,500
Life insurance policies with a cumulative face value of $1,500 or less
SSDI ELIGIBILITY: INSURED STATUS
A person who has sufficient history of earnings in employment subject to Social Security
payroll taxes becomes “insured” and may qualify for SSDI. Generally, this usually means an
individual must have worked in covered employment about a quarter of their adult lives
before they became disabled and for at least five of the past 10 years immediately before
the onset of the disability.
“DISABILITY” UNDER SSA RULES
Social Security pays benefits to people who cannot work because they have a medical
condition that is expected to last at least one year or result in death (SSA Publication No. 0510029). To receive disability benefits under either program, individuals must also meet
strict medical requirements. For all adults applying for SSI and SSDI, disability is defined as
the inability to engage in Substantial Gainful Activity (SGA) by reason of medically
determinable physical or mental impairment(s) which can be expected to last for 12 months
or more (or result in death). In considering whether an individual has such a condition, SSA
will look for medical evidence such as signs, symptoms, and laboratory findings. Usually, the
applicant must be unable to do any kind of work that exists in the national economy, taking
into account age, education, and work experience.
BENEFIT LEVELS
Every SSI beneficiary is eligible for the same base amount (in 2016, $733 per month for
individuals and $1,100 for couples). Any income the applicant receives, minus certain
exclusions, can be subtracted from the base amount. Additionally, many states give their
residents an additional SSI payment known as the “state supplement.”
The amount of SSDI benefits an individual receives is based primarily on the person’s
average lifetime earnings. SSA uses a complex weighted formula to calculate benefits. When
a person receives government-regulated disability benefits, such as workers' comp benefits
or temporary state disability benefits, this can impact the amount of SSDI benefits. SSI and
VA benefits, on the other hand, will not reduce the monthly SSDI benefit. (In contrast,
benefits will reduce the monthly SSI benefit, or result in ineligibility for SSI.) Most SSDI
recipients receive between $300 and $2,200. The average SSDI payment in 2015 was
$1,148. Social Security beneficiaries may also receive “back pay” based on their application
date and the date the disability started.
SSA AND DDS
The Social Security Administration (SSA) is the first of two agencies to receive each SSI/SSDI
claim. SSA is responsible for determining non-medical eligibility. The non-medical eligibility
factors SSA considers are the following: income and assets (for SSI), work history (for SSDI),
current employment, and citizenship (for SSI).
After SSA has assessed non-medical eligibility, the case is forwarded to a Disability
Determination Service (DDS) office for a determination of whether or not the client is
disabled. Each OBB Access SSI/SSDI client is assigned an adjudicator shortly after they
have completed their first client appointment. This will become your primary contact person
9
within DDS. Adjudicators request and evaluate medical records from the claimant’s treating
sources.
You are encouraged to contact the assigned DDS adjudicator with any questions you may
have about a particular claim. The Ohio Association of Foodbanks has a relationship with
the DDS, and every application submitted using TBB goes to a special unit called
Homeless/Pre-Release/Special Projects Unit, commonly known as “the homeless unit.”
To find where the local SSA office is, use the SSA locator. You can google “SSA Locator” or
use this link: https://secure.ssa.gov/ICON/main.jsp which is also on the support site. You
use the client’s zip code when looking up the SSA office.
SSA Sequential Evaluation Process:
SSI and SSDI claims are both determined using a five-step sequential evaluation process to
evaluate whether someone meets the SSA definition of “disabled.” The sequential
evaluation process considers current work activity, severity of impairment, and vocational
factors. SSA answers step 1 and DDS decides steps 2 – 5.
10
Using the TBB SSI/SSDI Module
The Benefit Bank SSI/SSDI Online Service performs the following main functions:

Collects the information necessary to populate the forms used to apply for SSI and SSDI,
including the SSI application (SSA-8000), the SSDI application (SSA-16) and the Adult
Disability Report (SSA-3368).

Performs the calculations and conducts the analysis necessary to provide an
assessment of non-medical eligibility for SSI and SSDI.

Manages an electronic repository of all documents collected, created, and submitted for
each client.

Provides tools and guidance for formulating a comprehensive Medical Summary Report
for each client.

Allows Specialists to track their progress in developing each client’s case and reminds
them about important tasks and deadlines.
The SSI/SSDI Application Menu lists the sections specialists will encounter in completing the
application. Some core sections – Household Information, Expenses, Income and Asset
Information – are the same for all applications; if they were completed for another benefit
they do not have to be completed again. Other sections, including Support and
Maintenance, Work History, and all the Medical sections, are specific to the SSI and/or SSDI
application.
11
BASIC NAVIGATION
Accessing the TBB SSI/SSDI website
ssi.thebenefitbank.org
As an SSI/SSDI specialist you will use the TBB SSI/SSDI website (also called the live-site) to
fill out the SSI/SSDI application and other necessary forms. TBB also provides:

tools to upload, store, and submit supporting documents

tools to track applications and records requests

a memo function to allow you to record case notes
Note that this website URL is different than the web address you use to access the
counselor-assisted version of TBB. Currently, TBB SSI/SSDI exists separately from the
traditional version. This means that if you are already a TBB counselor, after your training,
you will be given a second login name for use on the TBB SSI/SSDI website.
THE BENEFIT BANK SSI/SSDI LOG-IN PAGE
Tip: Save this web address in Favorites or Bookmarks to quickly access this page
later.
Tip: Our online service may work with other browsers, but it is officially supported by
and looks best in Firefox.
12
Accessing the SSI/SSDI Training Website
The Benefit Bank training website acts as a mirror to the live site. You may practice using
TBB on this site any time without worrying about submitting fake client information.
Remember: Never assist real clients using the training website and do not enter training
clients into the live site. The training site is red, the live site is green.
1. Go to: training-ssi.thebenefitbank.org
2. Your training login name is ohiossi______
3. The password is always tbb12345
Specialist Portal
Upon logging in, you will view the Specialist Portal. From here you can create a new client
profile or manage existing clients.
Specialists’
name
appears here
Click here to
create a new
Client
account
Search by partial
or complete entries
Case status must be
recorded on the Application
Progress page to be included
in search results
SPECIALIST PORTAL
13
Creating a Client
The Client Creation Page captures basic information such as the client’s name, social
security number, and address.
CLIENT CREATION PAGE
14
Client Portal
Upon creating a client you will be brought to the client portal page. This page functions as a
homepage for the client. It provides links to applications, tasks, memos, and other
resources to assist you in securing benefits for your client.
Client’s name
appears
here…
…and
here
CLIENT PORTAL PAGE
15
Roadmap
As the specialist proceeds through the OH SSI/SSDI Application (and other OBB
applications), the “Application Menu” allows the specialist to keep track of completed
sections and prepare for upcoming questions.
The application menu groups related questions into sections such as Household
Information, Expenses, and Income. Three features help you to navigate this page:

Checkmarks indicate that a section is complete.

Arrows appear alongside the next required section of the application.

Inactive Links appear as gray text and indicate that a previous section must be
completed prior to accessing the link.
 means this
section is complete
 means this is the
next section to
complete
An inactive link
means that a
prerequisite section
must be completed
APPLICATION MENU
16
Navigation Buttons
The Previous and Save and Continue navigation buttons appear at the bottom of most
pages. The Previous button returns you to the previous page. The Save and Continue button
saves the information you’ve entered on the page and takes you to the next page. On longer
pages, you may also find a Save button between the other two. This will allow you to save
what you have entered thus far on a page, without going onto the next page.
NOTE: No information entered into TBB is saved until the specialist clicks on either Save or
Save and Continue.
Use these navigation buttons
to go from page to page in The
Benefit Bank.
NAVIGATION BUTTONS
When working on a long page, an auto reminder pop-up will appear after 20 minutes which
will force the specialist to Save the page. This ensures that no work is lost while inputting
data onto lengthy pages.
17
Dynamic Content
The online service makes liberal use of dynamic content. This technology allows relevant
follow-up questions to appear on the same page as the original question where applicable.
Click “Yes”
and on the
same page…
DYNAMIC CONTENT
…fields for entering
more information will
automatically appear
DYNAMIC CONTENT
18
Required/Important Questions Indicator
Red asterisks appear next to many questions throughout the program. In a few cases the
asterisks indicate that a response is required, for example the client’s last name must be
provided.
The majority of questions with asterisks are not required. They are important and should be
answered. However, if left unanswered, specialists will still be permitted to proceed to the
next page.
TBB is designed in this way to afford specialists the greatest flexibility in tailoring their
sessions to clients’ individual circumstances.
REQUIRED/IMPORTANT QUESTIONS INDICATOR
19
Return to Page Reminder
The Return to Page Reminder appears at the bottom of each page. When selected, it
records the page and highlights it in the Review and Edit Menu as a green text.
Click here to
review this
page later
RETURN TO PAGE REMINDER
20
Help Content
The Benefit Bank attempts to place help content throughout the online service where the
information is most relevant and beneficial to clients.

Glossary Terms appear as blue hyperlinks. Clicking on the term presents a
definition or clarifying text.

Clarifying Questions are also blue hyperlinks preceded by a question mark icon.
These questions, often called “help pops,” anticipate questions that may arise as
you navigate the system.

Specialist Tips are presented as regular text in a blue box. Appearing only in the
SSI/SSDI application, the tips address advocacy issues that are pertinent to the
application process.
GLOSSARY TERMS, CLARIFYING QUESTIONS & SPECIALIST TIPS
21
Reviewing and Editing Data
It may take more than one meeting to gather all necessary information needed to file an
application. To ensure that the application you ultimately submit is as accurate as possible,
you are encouraged to review all the information you entered prior to submission. In
reviewing the application, you may discover errors that need to be corrected or unanswered
questions to which you now have information. Even when a response is correct, you may
find that it could be expanded upon or better illustrated with a different example.
Two features have been developed to assist you in reviewing and editing data: the Review
and Edit Menu and Return to Page Reminder.
Review and Edit Menu
The Review and Edit Menu lists each section of the application. Text colors and symbols are
used to help you manage the application:

Blue text – Sections you have visited.

Green text – Sections you have visited and that you have marked for review at a
later time. In order to identify a particular page for review, you need to select the
Return to Page Reminder. This feature is a checkbox that appears at the bottom
of each page, along with the text: “Check here if you want to review this page
later.” When selected, Return to Page records the page and highlights it in the
Review and Edit Menu as a green text in the Review and Edit Menu.

Gray text - Sections you have not yet visited.
 Red asterisk (*) - Sections you have visited that contain required/important
questions without responses.
A drop-down menu allows you to isolate certain sections by toggling between views. You can
choose to display all sections, just sections with red asterisks, or just sections with green
text.
22
Blue text
indicates pages
you’ve visited
with all
required/
important
questions
complete
Green text
indicates pages
you visited and
requested to
view later
Toggle between
views of the
application using
this drop-down
menu
Gray text indicates
pages you have not yet
visited
Red asterisks indicate
pages you’ve visited
with unanswered
required/
important questions
REVIEW AND EDIT MENU
23
Case Management Tools
One of the principal challenges to those charged with facilitating the SSI/SSDI application
process is organization. We have developed many tools to assist you in managing your
caseload.
TASKS
Tasks help Specialists stay abreast of their workload. They provide a space to view and
record aspects of a client’s case that require action. Tasks are composed of seven core
components. Some components are not viewable until after a task is created. Moreover,
additional fields will be presented depending on what type of task it is.
There are three types of tasks within TBB
 Client Tasks
 Specialist Tasks
 Automated Tasks
Tasks can be used to record many actions. Here are a few examples:
1. Due Date – Date by which the task should be completed.
2. Task – Description of item to be completed.
3. Client – Name of client (if any) associated with the task.
4. Created - Name of individual who created the task and creation date.
5. Assigned To – Name of individual who will complete the task. Specialists may assign
certain tasks to a supervisor or co-worker in the case of an emergency, vacation, etc.
6. Action/Status – Specialists have the option of marking a task as complete or voided.
The column header for active tasks is “Action.” The column header for archived tasks
is “Status”. There is no option to delete tasks.
7. Note – Space to record additional information regarding a task.
24
How to Manually Create a Task
To create a task, find the tab towards the top of EITHER the Specialist Portal page or the
Client Portal page.
Create a task from the
Specialist Portal Page
CREATE TASK
Create a task from the
Client Portal Page
CREATE TASK
25
How to Manually Create a Task (cont’d)
After clicking on “Create a Task,” a pop-out window will appear where the Specialist can
input the information.
Due Date
The Due Date is automatically populated with today’s date. This can be adjusted here by
using the drop down boxes or clicking on the Calendar Icon.
NOTE: The Due Date cannot be changed once the task has been created.
Task
Enter the information to describe the Task here. Be as specific as possible. Remember that
other people (Specialists, Supervisors) could possibly also view these tasks.
Assign the Task
The Specialist normally assigns the task to herself; however, she can assign the task to
anyone within her specified client sharing group (usually defined by a site or an
organization).
Choose a Client
Specialists can choose a Client to associate with the Task. This is OPTIONAL.
If a Client is chosen, the task, when active, will appear on both the Client Portal page AND
the Specialist Portal Page.
If no Client is chosen, the task will ONLY appear on the Specialist Portal Page.
Select a Client to link
to the task. NOTE:
This is optional. In
order to make this a
“Client Task”, a Client
must be chosen from
the drop down.
Click here to
create a task…
CLIENT TASK PAGE
26
Automated Tasks
Automated tasks are automatically generated by the online service. They are linked to the
information that Specialists record on the Application Progress Page. As completed tasks
are noted on this master outline, a task indicating the next step requiring the Specialist’s
action is automatically added to both the Client’s and the Specialist’s task lists.
Updating and
saving a task
here…
… generates a
task here
AUTOMATED TASKS
27
When to Choose Client Specific Tasks vs. Specialists Tasks
Whenever a Client Task is selected, it will also become a Specialist Task. However, a task
that is not associated with a particular client will only be a Specialist Task.
Examples of Client Tasks
Client tasks can either be created by Specialists or automated. They allow you to keep track
of the need to do such things as:

Call DDS examiner

Request client’s medical records

Email client’s former employer

Send client a birthday card
CLIENT TASKS
28
Examples of Specialist Tasks
Specialist tasks can also be created by specialists or automated. They differ from client
tasks in that they are not necessarily associated with a client. Here is where you would keep
track of tasks important to your work, but not tied to any particular client such as:

Submit timesheet

Discuss monthly activity report with supervisor

Prepare outreach materials for health fair

Review TBB training update
If a client is not selected at the point that a specialist task is created, the task will only be
viewable in the specialist’s task list. If, however, a client is selected, the task will function
like a client task and be viewable in both the specialist and client task lists.
Past due
tasks are
listed in bold
text
Future tasks
are listed in
regular text
SPECIALIST TASKS
29
Client Task Lists
On the client portal page you will be presented with a list of active client tasks. To see a list
of both active and archived client tasks you can either click “View all Tasks,” a link located
below the client task list, or “Show Tasks,” located on the toolbar.
The complete client task list will show you all the tasks that you have for the client including
any notes that have been added. The list is arranged in chronological order, beginning with
the oldest task.
You will only be able to view tasks that are associated with the client in question. Tasks for
other TBB clients and specialist tasks not associated with any client will not be viewable.
Specialist Task Lists
Specialist task lists are similar to client task lists. Active task lists are posted on the
specialist portal page, and clicking on “View All Tasks” below this list or “My Tasks” on the
specialist portal will take you to a list of both active and archived specialist tasks.
All tasks that are currently or were previously assigned to you are listed here. You will not be
able to see tasks assigned to other specialists, even if they concern your clients.
Combining Tasks and Return to Page Reminder
Sometimes, in managing your client’s case, it will not be enough to simply know what pages
you elected to review again. In such cases you will need to assign a task to jog your memory
about specific items on which you need to follow up, for example:




Inserting the date a medical test was administered
Rephrasing a response
Adding an example to illustrate a point made in your response
Following-up with a family member regarding information a client provided
The best way to use these features together is:
1.
2.
3.
4.
5.
6.
7.
8.
30
Select “Create Task” from the toolbar. A task creation box will pop up.
Select a due date.
Copy and paste the text of the page’s title and subtitle into the Task field.
Insert text describing the task you need to complete into the Task field.
Select an assignee.
Select a client.
Click “Create Task”
Click the Return to Page Reminder.
MEMOS
Items that do not require action, but are nonetheless noteworthy, are recorded as memos.
The module has two categories of memos: client memos and specialist memos.
Client Memos
As you build your caseload, you will make direct observations of clients, analyze information
you’ve received, and discuss aspects of a case with third parties. Client memos offer you
the space to record such events:

Client missed doctor’s appointment

Client’s friend died

Client was banned from a shelter for misconduct
Memos are easily created from the Client Portal page.
Click here to create a client memo
or add the memo into the text box
below and click “Create Memo”
Item.”
CLIENT MEMOS
31
Specialist Memos
Specialist memos, by contrast, are not related to any particular client. Here you would enter
general notes pertinent to your work, for example:

Instructions for using the scanner provided by your organization’s IT department

Password hint for ERE account
Create a Specialist Memo by clicking on the “Create Memo” tab from the Specialist Portal
Page.
Review Memos by click on the “My Memos” Tab.
SPECIALIST MEMOS
Under the My Memos Tab, Memos can be viewed and can also be added.
NOTE: Memos cannot be edited or deleted.
SPECIALIST MEMOS
32
CONTACTS
TBB allows you to store two kinds of contacts: Client contacts and Specialist contacts. There
are two important differences between these contacts. The first concerns access. You must
enter a client’s case in order to see their contacts.
Client Contacts
Selecting “Contacts” from the toolbar on the Client Portal page will bring you to a list of the
client’s contacts
Click here to edit or
delete contacts
Click here to
add a new
contact
CLIENT CONTACTS
To view the Specialist contacts, you must be logged into TBB as a Specialist, but not yet
within a client’s case. Access your Specialist contact list by selecting “My Contacts” from the
toolbar on the specialist portal.
The second important difference between the two categories of contacts concerns contact
type. When adding a client contact you are presented with options such as family, friend,
and social worker. Specialist contacts carry designations like SSA employee or medical
records staff. In the event that none of the categories fit, both contacts give you the option
of “other.”
33
Contact type for
client contacts
differ from
specialists'
CLIENT CONTACT CREATION PAGE
Contact type for
specialist
contacts differ
from clients'
SPECIALIST CONTACT CREATION PAGE
34
DOCUMENT MANAGEMENT
Document Checklists
In order for an application for Medicaid, SSI, or SSDI to be considered complete, it must be
accompanied by documents verifying key information affecting the client’s eligibility for
assistance such as citizenship, income, and expenses.
Though there is considerable overlap in the proof required for each program, specialists
must refer to the separate checklists for Medicaid and SSI/SSDI in order to ensure that they
provide the appropriate documentation for each program.
Both checklists can be accessed from either the Application Progress Page, the Document
Management Page, or the support site.
Keep track of
documents
gathered by
checking boxes
DOCUMENT CHECKLIST
35
Document Management Page
The Document Management Page provides a platform for specialists to organize, store, and
submit client documents to DDS.
DOCUMENT MANAGEMENT PAGE
Uploading Documents
The document upload tool allows you to add forms, letters, reports, and other documents
critical to the application process to the client’s file. Follow these steps to upload a
document:
1. Select the client you are working with to get into the client portal
2. Select “Document Management”
3. Select “Upload a Document” from the document management page
4. Enter a name for the document
5. Select a document type from the drop-down menu
6. Find the document on the computer using the browse menu
7. Enter notes into the note field if desired
8. Click “Upload”
36
The types of documents that are accepted are limited to documents that are 50MB or less
and of the following file types. Attempts to upload larger, or other types, of documents will
result in an error message.







doc (MS Word)
wpd (Word Perfect)
zip (ZIP files)
jpg (JPEG – image file)
bmp (bitmap – image file)
txt (plain text)
xls (MS Excel)







pdf (PDF)
tif (image file)
tiff (image file)
docx (Office Open XML Document)
mdi (Microsoft Document Imaging)
rtf (Rich Text Format)
xlsx (Office Open XML Workbook)
Complete this
information,
then…
…click here
to upload
the
document
DOCUMENT UPLOAD PAGE
Uploaded documents
appear on the Document
Management page
UPLOADED DOCUMENT ON DOCUMENT MANAGEMENT PAGE
37
The Help Desk
The Benefit Bank provides a Help Desk that responds to phone and email inquiries from
counselors. The Help Desk is here to support you as you assist your clients.
Contact the Help Desk when:

You forget your login name

The online service is not responsive or not behaving as expected

You need help with technical troubleshooting

You get an error message
Before contacting the Help Desk, read the help pops and search the online service for
answers. TBB contains links to information that will answer many common questions.
[email protected]
Response within 2 business days
Main number: (855) TBB-HELP
(855) 822 4357
9 AM – 5 PM EST, Monday–Friday
Hours during tax season are:
9 AM – 8 PM EST, Monday–Friday
9 AM – 5 PM EST, Saturday
38
Important Websites
The Support Site
The Ohio Association of Foodbanks provides a Support Site for specialists. It can be found by
going to support.ohiobenefits.org. If you click “Access SSI/SSDI” or click here, you will see
the screen below. The Support Site:

Provides documents needed to submit SSI/SSDI applications

Houses the training to become a specialist

Holds print outs for you and your client

Contains the training to become a site
Social Security
www.ssa.gov/applyfordisability
SSI/SSDI Live Site
ssi.thebenefitbank.org
39
The Training Scenario
Create a New Client
1. The client heard about The Benefit Bank through church.
2. Mrs. Lynne S. Nelson was born 2/2/1963.
3. Her social security number is 123-54-6789
4. English is the preferred language for reading/writing.
5. English is the preferred language for talking/listening.
6. Lynne’s present living situation is in a household.
7. Lynne’s location is in a house.
8. Lynne’s address is 110 East Main Street, Columbus, Ohio, 43215.
9. Lynne’s county is Franklin.
10. Lynne’s phone number is 555 555 5555.
11. Lynne’s email address is [email protected]
12. Click create client
Apply for the Ohio Common Application for Benefits (Food Stamps)
Household Information
1. Lynne confirms her information.
2. There are no other people living with Lynne.
3. Lynne’s birthday is February 2, 1963.
4. Lynne is single.
5. Lynne is a female.
6. Lynne S. Nelson is a U.S. Citizen.
7. Lynne confirms her Social Security Number
8. Yes, Lynne Nelson is considered disabled.
9. No, Lynne Nelson is not considered blind.
10. Lynne Nelson is not a current member of the military and is not a veteran.
11. Lynne Nelson is not a surviving spouse and is not a dependent child of a veteran.
12. English is Lynne’s preferred language for reading and writing.
13. Lynne confirms her contact information
14. Lynne does not have a separate mailing address.
15. Lynne confirms her phone number and email address.
16. Lynne confirms the Household Information Summary
Healthy U and Other Programs
1. Lynne is not receiving food assistance.
2. Lynne is not receiving cash assistance.
3. Lynne is not receiving Medicaid.
4. Nobody in Lynne’s house is a veteran.
5. Lynne does not have a long-term medical condition such as arthritis, diabetes, high
blood pressure, or heart disease.
6. Lynne is not a caregiver.
40
7. There is no other adult in Lynne’s household that is a caregiver.
8. Lynne is not interested in receiving information on how to prepare herself in the
event of disaster or emergency.
Voter Registration
1. No, Lynne would not like to apply to register to vote here today.
Expenses
1. Lynne’s household did incur qualified medical expenses.
2. Lynne Nelson is the person in the household who required the medical help that led
to this expense.
3. The type of medical expense is an office visit/copay.
4. The last payment was for $50.00
5. Lynne makes this payment three times per year.
6. Lynne’s household did not incur child and dependent care expenses.
7. Lynne’s household did not incur child support and alimony expenses.
8. Lynne’s household did not incur blind/disabled work-related expenses.
9. Lynne’s household did incur shelter expenses.
10. Lynne pays $600 monthly for rent.
11. Utilities are included in rent.
12. Lynne is not the parent or child of the landlord.
13. The average monthly rent is $600
14. Lynne Nelson will spend $12.50 per month for office visit’s bill/copayment
Income
1. Lynne has work-related income.
2. Lynne S. Nelson receives this income.
3. The type of income Lynne has is wages, salary, bonuses, commissions.
4. ABC Company pays this income.
5. The first of this month, is the last time this money was paid.
6. The gross amount was $200.00
7. Lynne worked today to earn these wages
8. Lynne Nelson expects to receive this income in the next 14 months.
9. Next month on the 1st is the next date this money will be paid.
10. This money is paid monthly.
11. Lynne has no government income.
12. Lynne has no other income.
13. It is calculated that Lynne Nelson will receive $200 this month from ABC Company.
Asset Information
1. Lynne gives the SSA permission to obtain any financial records from any financial
institution.
2. Lynne has $35 in her savings account at Ohio Credit Union.
41
3. Ohio Credit Union is located at 5 Broad Street, Columbus, OH 43215
4. Her account number is 00-01-02
5. The account was opened in 1992.
6. There has not been a change in value since the beginning of the month.
7. No one in Lynne’s household has property assets.
8. Lynne has a vehicle.
9. Lynne has a car valued at $1,700
10. Lynne’s car is a 2011 Chevy Cruz.
11. Lynne owes 470 on this car.
12. Lynne does not check a box.
13. The vehicle is used to obtain medical treatment
14. The vehicle is used for employment
15. The vehicle is not equipped for use by a handicapped individual.
16. The vehicle is necessary for going places far away (distance)
17. This vehicle does have mechanical problems. It sometimes doesn’t start.
18. Lynne acquired the car in 2012
19. There has been a decrease in this asset since the beginning of the month because of
depreciation.
20. No one in Lynne’s household has insurance assets.
21. Lynne is not buying any life insurance policies.
22. No one in Lynne’s household is covered by Medicare or Medicaid.
Ohio Application for Benefits
1. Lynne Nelson did receive $200 from ABC Company in the last 30 days.
2. Lynne confirms her address.
3. Lynne does not check the box next to any household members who are currently
receiving any public assistance in another state.
4. Lynne does not check the box next to any household members who received Ohio
Works First in the last four months.
5. Lynne does not check the box next to any of the household members who can no
longer take part in Ohio Works First because of a third work failure.
6. Lynne is not entitled to Medicare Part A
7. Lynne is not receiving SSI
8. Lynne to no receiving Social Security Benefits
9. Lynne is not receiving Railroad Retirement Disability benefits
10. She is not receiving general Assistance, Disability-related Medicaid, Disability
benefits from the Veterans Affairs, nor receiving Disability related government
benefits.
11. Lynne Nelson is a resident of Ohio.
12. Lynne Nelson does not check the box for visual and/or hearing impairments.
13. Lynne Nelson does not check the box for pregnancy.
14. Lynne Nelson is not homeless.
42
15. After Lynne pays for housing costs (rent or mortgage), child or dependent care costs,
child support payments, and taxes, Lynne has spent all her monthly income.
16. There are no migrant or seasonal farm workers in Lynne’s household.
17. Lynne reads the Expedited Food Assistance Instructions and wants to apply
electronically (ESUB needs to be on)
18. Lynne does not check the box to indicate she is a student.
19. No one in Lynne’s household is barred from getting Food Assistance because he/she
lied to get Food Assistance or a similar food benefit program in another state.
20. No one in Lynne’s household is fleeing to avoid prosecution, police custody, or jail
after being convicted of a felony.
21. No one in Lynne’s household is violating a condition of probation or parole.
22. No one in Lynne’s household is ineligible to participate in Ohio Works First because
he/she intentionally violated Ohio Works First rules.
23. No one in Lynne’s household ever lied about or misrepresented where they lived in
order to receive cash assistance (Ohio Works First or another state's cash assistance
program) in two or more states at once.
24. Lynne does not check the box for paying heating or air conditioning.
25. Lynne did not receive help from HEAP either this year or last year.
26. No one in Lynne’s household is on strike.
27. Yes Lynne wants to apply for food assistance.
28. No, Lynne does not want to apply for Ohio Works First.
29. Lynne does not want to apply for help with Medicare expenses.
30. Yes Lynne does want to apply for Aged, Blind, or Disabled Medicaid.
31. Lynne does not want to apply for Refugee Medical Assistance / Refugee Cash
Assistance.
32. Lynne does not want to apply for the Nutritional Program for Women, Infants, and
Children (WIC).
33. Lynne does not want to apply for Child and Family Health Services (CFHS).
34. Lynne does not want to apply for Bureau for Children with Medical Handicaps (BCMH)
35. Lynne S. Nelson is the household member that is applying for Food Assistance.
36. Lynne S. Nelson is the household member that is applying for Medical assistance.
37. Lynne Nelson does not want to name an authorized representative on the application
for Food Assistance nor Medical assistance.
38. Morning is the best time for a county representative to contact Lynne.
39. Lynne does not need in-home care
40. Lynne did not check any of the boxes for a foreign language or sign language
interpreter.
41. She is not serving a sentence in a penal institution.
42. Lynne Nelson is white and Asian-American
43. Lynne is not Hispanic/Latino.
44. English is the language that Lynne is most comfortable speaking as well as writing
and reading.
43
45. No one pays medical support.
46. She has never received assistance before
47. She did not leave her job within the last 60 days.
48. She lost her job the first of last month because she was in pain.
Write down how much Lynne’s Food Assistance could be a month $______________
(Will be asked on final quiz)
49. You open the required documents to click save and continue
View all of the forms. There is no need to print them.
1. Lynne wants to e-submit the documents.
2. Lynne does not have a passport.
3. Click save and continue until you have submitted the application
Training Assessment
1. Demonstrate that you can use the Memo Tool
a. Create a Memo stating what the Food stamp application dollar amount could
be for Lynne. You might have written down the amount above after question
48.
2. Demonstrate that you can use the Tasks Tool
a. Create a task for yourself to remind Lynne to bring in her bank statement. See
page 24 for additional help.
3. Demonstrate that you can use the Document Management Tool and have a scanner.
See page 35 for additional help.
a. Upload any document into the system.
b. Select “Identification documentation”
c. Name the file “LOOK HERE, JESSICA” and upload
d. On the “Client Document Management System” screen, print this page by
pressing (Ctrl + p)
e. Scan the document that you printed, and include it in the e-mail in step 4
below.
4. E-mail [email protected]
a. Include your test login user name
b. Include the scanned document from step 3.
5. Click here to fill out the Training Assessment
44
Number 4 should be included in the scanned document that you e-mail to
[email protected]
1
2
4
3
45
Part 2 Training
46
DETAILED NAVIGATION OF TBB SSI/SSDI
Client Background
In this section, you will be asked to give as much information as possible about the client.
Information about their household, work history, education, income, and expenses will help
determine the client’s eligibility for benefits. There are several documents that are very
useful in completing this section. Please note that the documents are not required, as some
clients may not have them in their possession. However, it is recommended that you prepare
your client before the first meeting so that they arrive ready with as much documentation as
possible. At the end of each sub-section, you will find a list of acceptable documents that
can be used to fill out that portion of the application. Some documents will be useful in more
than one area, so make sure to use all of the resources available to you.
Household Information
Household Information is the starting point for all programs in The Benefit Bank. In this
section, the Specialist enters information about the client and each member of the client’s
household, such as SSN, date of birth, and marital and citizenship status. It also requests
the client’s birthplace, current living situation, and disability status.
Healthy U and Other Programs
This short section gathers information about the client’s enrollment in other benefit
programs, such as SNAP and Medicaid; assesses potential eligibility for others services and
supports; and provides information and referrals for certain specialized programs.
Children/Grandchildren
The Children/Grandchildren section captures details about the client’s children and
grandchildren. If the applicant has children or grandchildren, even if they are not living with
the applicant, this information is needed for SSI and SSDI application forms.
Marriage History
Applicants who have been married will be asked to enter details about their marriages in the
Marriage History section.
Immigration Status
Clients who are not U.S. citizens will be asked to complete a set of questions about their
immigration status. Certain non-citizens, including individuals who entered the U.S. on or
before Aug. 22, 1996, may be eligible for SSI. A person’s work history determines his or her
eligibility for SSDI, so non-citizens with a sufficient work record may be eligible for SSDI.
Additional Client Details
This section is meant to gather information that is of particular use to the SSA, and not
previously gathered in the household module. This includes information about a client’s
special language and contact preferences that may assist dialogue between the SSA and
the claimant.
47
Expenses
The Expenses section requests information about the applicant’s financial obligations.
Applicants are asked about expenses in the following categories:





Unreimbursed Medical Expenses
o Unreimbursed medical expenses include any hospital bills, prescription bills,
office visit bills and copayments, lab fees, and other related expenses that are
recurring, currently being paid, or that have been paid off within the last three
months.
Child and Dependent Care Expenses
Child Support/Alimony Expenses
Blind/Disabled Work-Related Expenses
Shelter Expenses
o Shelter expenses include rent or mortgage payments, homeowners insurance,
phone bills, and utility bills
Clients who have any of these obligations will be asked for the specific type of expense
and other details in subsequent questions.
Income
One of the key factors in assessing an individual’s eligibility for public benefits is the
person’s income. When the SSA determines eligibility, some income may be partially or
completely excluded in reaching the final benefit calculation. Still, clients are required to
disclose all funds received by both themselves and members of their household at the time
of application. To make sure that you are entering all pertinent information, it is
recommended that you not just ask clients about the broad categories, but solicit a
response for each subcategory.
There are several categories of income:
 Work-Related Income
o Work wages, salary, tips, worker’s compensation, unemployment
compensation, military pay, union pay, and federal work-study are all
considered work-related income. If the client was self-employed, they will be
required to report their profits and losses.
 Government Income
o Social Security Retirement Benefits, Social Security Survivors Benefits,
Veterans Benefits, Cash Assistance, Food Assistance, and Energy Assistance
are all considered government income.
 Other Income
o Child Support, Grants, Scholarships, Fellowships, and Life Insurance
payments are just a few of the many things that can be considered other
income.
Even though some income will be excluded from consideration in determining eligibility,
applicants are required to disclose all their income and, in some circumstances, the income
48
of people living with them. When a person who is eligible for SSI benefits lives with a spouse
who is not eligible for SSI benefits, the SSA counts some of the spouse's income in
determining the SSI benefit.
Assets
To be eligible for SSI, an individual may not have more than $2,000 in resources (the limit is
$3,000 for a couple receiving SSI). The client is required to report any assets in their
possession.
Assets are broken up into the following categories:
 Liquid Assets
o Cash, savings and checking accounts, certificates of deposit, trusts, bonds,
stocks, retirement accounts, and mortgage notes are all considered liquid
assets.
 Property Assets
o Real estate, business assets, pre-paid burial spaces and funeral expenses,
mobile homes, and other property are considered property assets.
 Vehicle Assets
o Vehicles are cars, trucks, ATVs/quads, motorcycles, boats, mopeds, RVs, and
campers.
 Insurance Assets
o Health, car, life, homeowner’s, renter’s, flood and disaster insurance policies,
HMO’s, and Medicare Supplement plans are counted as insurance assets.
 NOTE: Information about Medicaid and Medicare coverage is gathered
in a separate question in the Assets section and should not be entered
as insurance assets.
Estates and Transferred Assets
This section gathers details about certain kinds of assets. When a client has sold,
transferred, or given away a resource, SSA will consider whether the asset was transferred
for less than fair market value. Transferring ownership of a resource for less than fair
market value can result in a period of ineligibility for SSI. In addition, unprobated estates
and life insurance policies may be treated as assets in certain situations.
Support and Maintenance
This section is designed to populate a series of questions on the SSI application regarding
the applicant’s in-kind income (e.g. gifts of meals or housing; non-cash wages).
Education
Here the client will state their educational history, including the date (to their best
approximation) at which they completed their highest level of education. Participation in
special education classes and work support programs are also addressed.
49
Work History
The client will have to signify the date they were no longer able to perform Substantial
Gainful Activity, the date they last worked, and their employment history for the last 15
years. Substantial gainful activity means the performance of significant physical or mental
activities in work for pay or profit, whether or not profit is realized. This sub-section will ask
some additional questions about the client’s work history and that of a spouse or former
spouse (if applicable). This helps to determine if any additional benefits are available.
Military History
If the client has a military history, then they will be asked about the years they served, their
rank, and how they were discharged. If a client’s spouse or former spouse has a military
history, only the years served will be required. Combined with the client’s education and
work history, this information constitutes a critical element of the disability determination
process. It helps to establish the type of work that an individual is qualified to do and
provides a basis for evaluating how an individual’s impairments limit their ability to work.
Warrants and Police Contact
An individual’s contact with the justice system may impact their eligibility for benefits. This
section captures information about the criminal justice system involvement, including the
nature of the offense(s), warrant information, and probation/parole violations.
Application Preferences & Other Benefits
This sub-section asks some additional questions about the client. For example, if the client
received public benefits in the past.
Non-Medical Eligibility Estimate
After a client completes the above items in the Background section, TBB will display text
explaining whether the client is likely to qualify for SSI and SSDI based solely on non-medical
factors (e.g. for SSI, primarily income and resources; for SSDI, primarily work history). TBB
could estimate that your client may be eligible for one, both, or neither of the programs.
50
MEDICAL – GENERAL
This introductory section asks for some basic information regarding a client’s medical
history. A more extensive medical history will be examined in other sections.
Basic Medical Background
In the Basic Medical Background sub-section, the client will describe his/her own disability.
List any of the illnesses, injuries, or conditions that limit the client’s ability to work. You
should record what the client says here, regardless of whether it sounds realistic or
accurate. If the client uses any assistive devices make sure to take note of that in this
section. The client will also be asked about their physical traits, including weight and height.
Medical History Details
This sub-section allows the client to provide contact details for medical professionals and
others familiar with their case. This is important because these contacts may be able to
provide some additional information to support the client’s claim for benefits. Detailed
information about doctor’s appointments, hospitalizations, emergency room visits, and
medications can also be submitted here. It is very important to “save” when prompted, as
much information is gathered on this page! As addresses for providers are researched on
the Internet, it is easy to exit the application erroneously and lose data entered.
51
MEDICAL HISTORY DETAILS
Substance Abuse
If a client indicates that they currently or previously used drugs or alcohol, they will be
presented with a subsection entitled Substance Use. Most questions are open-ended,
attempting to gather not just the hard data, but the intangibles surrounding the abuse.
Here, clients reflect on their feelings about usage, its impact on their lives, and previous
attempts to quit.
These details will allow the specialist to gather relevant medical records, if requested to do
so by DDS, to compose a comprehensive narrative history. This section should be updated
as often as necessary throughout the information-gathering process.
52
MEDICAL – PHYSICAL
This section collects information regarding specific medical conditions and their attendant
symptoms. It opens with two categories of conditions, Presumptive Disabilities and
Compassionate Allowances, which, if experienced by the client, may lead to expedited
processing of their application for SSI and/or SSDI.
It moves on to ask about other physical ailments. Again, questions are asked about
particular diagnoses along with details like date of onset and whether or not medical
evidence exists to support the claim. In order to capture conditions that are as yet
undiagnosed, there are also questions concerning non-specific symptoms, for example, “Are
you able to climb a few steps without a rail?”
While several medical conditions listed in this and other portions of TBB are generally
recognizable, such as stroke and diabetes, many conditions are not. For unfamiliar
conditions, specialists should consult the client’s medical records (if presented by client) to
see whether he/she has a particular diagnosis. Additionally, basic definitions of the
illnesses mentioned can be obtained by referencing the SSA’s Disability Evaluation Under
Social Security (Blue Book). http://www.ssa.gov/disability/professionals/bluebook/
Body Systems are
listed in bold black
text
Symptoms and SECTION
MEDICAL-PHYSICAL
follow-up questions
are listed in regular
black text
Illnesses are listed in
regular green text
53
The Medical - Physical section presents many common illnesses, injuries, and conditions
that are often considered disabling by the Social Security Administration. While the online
system has many options, please note that your client’s illness, injury, or condition may not
be listed. In this case, you should make sure to write that illness, injury, or condition in the
Basic Medical Background sub-section of the Medical-General section.
PRESUMPTIVE DISABILITIES AND COMPASSIONATE ALLOWANCES
It will be extremely helpful for you to have your client’s medical records available for
reference when you are filling out this sub-section. If your client experiences pain or
symptoms that have not been diagnosed by a doctor, you should record these symptoms in
application answers as appropriate and in the Remarks section. If any of the conditions
listed under Presumptive Disabilities and Compassionate Allowances are experienced by the
client, this may lead to expedited processing of their application for SSI and/or SSDI. To
search the page to see if any of your client’s ailments are listed, hit Control + F on the
keyboard and a new search bar will appear. Most browsers will highlight the word on the
screen and take you to its location. It may be helpful for you to consult the SSA’s Blue Book,
which provides a more comprehensive list of disabilities with additional details.
Go to www. ssa.gov and search for Blue Book.
Capabilities and Ailments
This sub-section will ask some additional questions about the client’s physical health, as
shown in the photo on the next page.
Body Systems Affected - Part I and II
In these two sub-sections, the client will identify the bodily systems affected by their
condition. These systems are:










Cardiovascular System
Digestive System
Genitourinary System
Hematological System
Skin System
Musculoskeletal System
Endocrine System
Respiratory System
Nervous System
Immune System
The client will also be able to indicate if they suffer from any impairment that affects
multiple body systems. In both sections the clients are asked to elaborate as much as
possible in order to get a better understanding of their conditions and to help determine
their eligibility for benefits. As with the Presumptive Disabilities and Compassionate
Allowances sub-section, you may find it helpful to use the Ctrl+F feature on your keyboard to
help you locate a client’s illness, injury, or condition.
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MEDICAL - MENTAL
This section is designed to help you explore in detail issues related to the client’s
psychological functioning. If you are a qualified professional (e.g. licensed MD, DO, PhD, or
psychologist), this data will populate on a Mental Status Questionnaire that will be
considered medical evidence by the adjudicator.
If you are not an acceptable medical source, you have the option to use this section to help
you assess whether your client may have a mental health or cognitive impairment that
should be developed as part of the claim.
It is acceptable to skip this section if you are not a qualified medical source. However, if you
believe your client may have a mental health impairment, even if the client’s disability is
primarily a physical impairment, it is important to explore and include in the application
information about any possible mental health impairments that could impact the client’s
ability to work, whether the client has already received treatment for these issues or not.
There are several places in the service where information about a client’s potential mental
health impairment could be mentioned, including the Basic Medical Background and
Medical History Details sections, and/or this information could be included as comments in
the remarks sections of the forms, which is entered in the Forms for SSA section.
The Medical-Mental section explores the client’s emotional and behavioral state. In order to
gather the necessary information, the online service shifts audiences and poses questions
directly to the specialist. There are nine sub-sections to the Medical - Mental section:









Affect and Mood - (Evaluation & Post-evaluation)
Anxiety - (Evaluation & Post-evaluation)
Mental Content - (Evaluation & Post-evaluation)
Bodily Concerns - (Evaluation & Post-evaluation)
Sensorium and Cognitive Functioning - (Evaluation & Post-evaluation)
Appearance and Behavior - (Post-evaluation Only)
Flow of Conversation and Thought - (Post-evaluation Only)
Work-Related Functioning and Multiaxial Classification - (Post-evaluation Only;
Classification can only be completed by mental health professionals)
Rating Observations - (Post-evaluation Only)
Notice that the questions in this section are divided into two categories: Evaluation and
Post-Evaluation.
Evaluation questions are those for which direct feedback from the client is required, such as
those that ask about the client’s ability to perform specific tasks.
Post-Evaluation questions do not require the client’s presence. They are primarily
observational, soliciting the specialist’s assessment of such characteristics as the client’s
appearance, cognitive functioning, and interpersonal skills. You may want to skip the postevaluation questions and return to them later, after the client interview has concluded. It is
very important to be as descriptive as possible when giving examples of a client’s symptoms
or conditions and when entering information regarding severity and duration.
55
The DDS will be seeking information on how serious a client’s condition is and how it affects
his/ her functioning. Avoid giving short answers, such as “very severe” or “not a problem.” If
you are not qualified or comfortable answering these questions, make a note in the
Remarks section.
NOTE: Answer all post-evaluation questions in the third person. For example, “The client (or
he/she) has an unfounded fear of spiders, heights, and the government.”
DAILY LIVING ACTIVITIES
Note: Be detailed and thorough in this section. DDS uses this information to determine the
extent of functional limitations related to disabling conditions.
This section focuses on the client’s day-to-day experiences. Answers provided here help to
paint a picture of the impact an individual’s disability has on routine activities. The
questions asked within Daily Living Activities section are broken down into the following
categories:
Routine and Care (Evaluation & Post-evaluation)
 How does the client spend their days and evenings?
 Do they take care of any other people?
 Do they have any pets or other animals?
Sleep
 Where does the client sleep at night?
 Do the illnesses, injuries, or conditions affect their sleep?
Personal Care
 Do they need any special reminders to take care of personal needs/grooming?
 Do they need help with or reminders about taking medicine?
Meals / Eating
 Does the client eat regularly?
 Do they need help getting meals?
Chores and Shopping
 Does the client drive or use public transportation?
 Can they handle their own money and accounts?
Hobbies and Social Interactions
 Can the client watch TV, read a book, or sit through a movie?
 Do they spend time with other people (in person, on the phone, on the computer,
etc.)?
Activities Affected
 How mobile is the client?
 Can they concentrate on completing a task?
 Can they follow instructions?
56
FORMS
Forms for SSA
Explaining Limits on Ability to Work
The first page of this section focuses on the question, “What are the illnesses, injuries, or
conditions that limit your ability to work?” It is a critical question in the SSI/SSDI application
process.
To help the specialist in formulating a response to this question, TBB provides a “ClientSupplied Answer” and a “TBB-Supplied Answer.” The Client-Supplied Answer is a direct
quote from the client. TBB-Supplied Answer is a distillation of data relevant to the question
collected by TBB. Using both of the answers specialists can craft a response that clearly
communicates their understanding of the client’s case.
Client-supplied
answer appears
here
TBB-supplied
answer appears
here
57
EXPLAINING LIMITS ON ABILITY TO WORK
Priority flags
The SSA provides for special or priority handling for SSI and SSDI applications in certain
situations. Specialists are asked here to identify any priority flags that apply to their client;
the priority will be noted in the remarks section of the applications.
FORMS FOR SSA
Remarks
The following forms include Remarks sections, allowing specialists to include pertinent
information regarding a client’s case not otherwise captured on the application:





Application for Supplemental Security Income (SSA-8000)
Application for Disability Insurance Benefits (SSA-16)
Disability Report – Adult (SSA-3368)
Work History Report (SSA-3369)
Function Report – Adult (SSA-3373)
Prior to viewing the completed TBB-generated SSA forms, the online service will present the
SSA Forms Remarks Page. As you add information, make sure that your remarks are
entered on the appropriate form.
58
TBB-Generated SSA Forms
Once you have viewed the remarks page you will be presented with the completed forms
that must be submitted to SSA.
The following is a list of all the SSA forms that TBB may generate for your client.







Application for Disability Insurance Benefits (SSA-16)
Application for Supplemental Security Income (SSA-8000)
Disability Report – Adult (SSA-3368)
Function Report – Adult (SSA-3373)
Medical report on Adult with Allegation of HIV Infection (SSA-4814)
Statement of Claimant or Other Person (SSA-795)
Work History Report (SSA-3369)
One copy of the SSA-16 and/or SSA-8000, SSA-3368 and SSA-3369 will be generated for
each client. Depending on the circumstances of your client’s case, SSA-3373, SSA-4814 and
SSA-795 may also be generated.
Blank SSA Forms
Some SSA forms are not generated by TBB and have to be completed by hand. These are:
 Appointment of Representative (SSA-1696)
 Consent for Access to SSI/SSDI Data
 Authorization to Disclose Information to the SSA (SSA-827)
 Consent for Release of Information (SSA-3288)
 Request for Reconsideration (SSA-561)
With the exception of the SSA-561, these forms should be completed for each client.
There are other types of blank forms that you may want to prepare for your client. For
information about these forms and instructions, see the Blank Forms section in the
Document Management chapter.
59
FORMS FOR DDS
Mental Status Questionnaire
The SSI/SSDI module will only generate the MSQ if you provide
information that you are a qualified mental health professional.
This form should only be submitted if the counselor is a qualified psychiatrist, psychologist,
or other qualified mental health professional, and the information included in this
questionnaire is not available elsewhere. Typically, this type of mental status information is
part of a treating clinician's medical record for an individual with a mental disorder, which
also includes other important data such as psychiatric evaluations, psychological testing,
psychological history reports, diagnosis, and treatment recommendations. If the client has a
mental disorder, all available mental health treatment records should be submitted to the
SSA.
60
SUPPORTED APPLICATIONS AND FORMS APPENDIX
Forms filled out by TBB
Form
Number
Form Title
Purpose
SSA8000
Application for
Supplemental Security
Income (SSI)
Initial application to apply for Supplemental
Security (SSI) benefits.
SSA-16
Application for Disability
Insurance Benefits
Initial application to apply for Social Security
Disability (SSDI) Benefits.
SSA3368
Disability Report - Adult
Gathers information about employment and
medical history.
SSA3369
Work History Report
Gathers details about jobs held over the last 15
years.
SSA3373
Function Report - Adult
Collects information about how impairments
have impacted daily activities.
SSA-795
Statement of Claimant or
Other Person
Populates with overflow text from other forms,
including SSA-16, SSA-8000, SSA-3368, SSA3369, and SSA-3374.
N/A
Daily Activities
Questionnaire
Provides additional information about how
impairments have impacted the client.
N/A
Mental Status
Questionnaire
Used to capture current mental health status of
client.
N/A
Medical Summary Report
Guide
Used to capture important client data not
covered on standard SSA forms.
61
Forms filled out manually
SSA1696
Appointment of Representative
Allows you to act as your client’s
representative in application process.
SSA827
Authorization to Disclose
Information to SSA
Allows you to share client’s private
information with SSA.
SSA3288
Consent for Release of
Information
Allows SSA to share your client’s records with
you.
SSA561
Request for Reconsideration
Used to appeal an adverse initial SSI or SSDI
decision.
SSA3441
Disability Report Appeal
Submitted with the Request for
Consideration when the appeal is on the
issue of disability.
SSA546
Workers’ Compensation/Public
Disability Benefit Questionnaire
Gathers information about client’s receipt of
Worker’s Compensation and other benefits
that might impact SSA benefits.
SSA4814
Medical Report on Adult with
Allegation of HIV Infection
Completed by a medical source when the
client is alleging HIV.
62
APPLICATION PROGRESS PAGE
The Application Progress Page is an interactive outline of the steps involved in seeking SSI
and SSDI benefits. Applying for these programs is a complex process, requiring the action of
several parties. This tool allows you and your System Administrator to keep track of where
you are. Used consistently, the page ensures that you are managing each case in an orderly
and timely fashion.
Some of the information you enter on this page also populates administrative reports, which
collect data about the progress and outcomes of SSI and SSDI applications. It is imperative
that the Application Progress Page is updated with each step of the filing process for each
claimant.
A red box outlines the current task. As each task is completed, Specialists will log that
information and click “Save.” Once the information is saved, the red box moves to the next
step in the process. Often, a completed step will generate a task to remind Specialists of
the next action they must take.
The red box
indicates the
current task to be
completed
Mark step as
complete by
clicking Save
APPLICATION PROGRESS PAGE
63
MEDICAL RECORDS REQUEST LETTER GENERATOR
The letter generator will only be used if SSA or DDS request assistance from the Specialist to
obtain medical documentation. The letter generator merges relevant client information
which you have entered in the TBB SSI/SSDI application modules with a letter template.
You are able to specify the type of letter you want to send, the source of records, and the
treating source and treatment date(s) for the record request.
The letter generator is available through the client portal page. First, click on the SSI/SSDI
Application. Scroll to the bottom of the Client Application Roadmap. The last section is the
Letter Generator.
Letter Generator Selector
Once you have clicked on the Letter Generator in your roadmap, you are taken to the
Introduction. Click Save and Continue to go to the Letter Generator Selector. Then, select
Medical Records Request.
From this screen, you have the option to choose the Source of Medical Records (either
Provider or Non-Provider), select the Provider Name and Treatment Date, and add
Comments.
64
A Medical Provider is anyone who is licensed to treat illnesses that are within the scope of
their license, i.e.: doctor, psychiatrist, medical specialist. A Non-Medical Provider is a
professional organization or person that is aware of a client’s medical situation and can
provide information based on current or past experiences with the client, i.e.: social service
agency, insurance company that has paid disability benefits, attorney, prison.
Print Medical Records Request
If you have entered all the information needed for a record request letter, the Print Letter
page will appear on the next page. You will now have a link to your completed letter and the
letter will also appear in your Track Medical Records Request Tool.
This letter will include content from the Client Background, Household Information, and the
Medical - General, Medical History Details.
To utilize the content of the generated letter, print the letter on your organization’s
letterhead and mail it to the designated person.
NOTE: If you choose to copy and paste the text from the generated pdf document into a word
processing document, you will likely lose the document’s formatting. Also, any changes you
make to the word processing document after you copy and paste will not be reflected in the
permanent record.
Incomplete Information
If you have not entered all the client information needed to complete a letter into the
SSI/SSDI Application, the Print Letter page explains that a completed letter cannot be
generated and lists the reason(s) why.
You will be able to click on the link to view the incomplete letter. However, you cannot print
and mail the letter until you correct the items that prevent letter generation.
To make the corrections, return to the roadmap and add the information to the appropriate
fields in the various sections of TBB SSI/SSDI Online Service. Do not copy the letter to a
word processor and make changes to it there. Remember, any changes you make to the
document outside of TBB SSI/SSDI will not be a part of the permanent record.
65
ACCESSING THE SSA WEBSITE
www.ssa.gov/applyfordisability
As a specialist you will be responsible for obtaining the Reentry number for your clients from
the SSA website. This notifies the SSA office of the intent to file. Clients and specialists have
60 days from the date these numbers are generated to file a full application with the SSA.
66
TRACK MEDICAL RECORDS REQUESTS
This tool provides a place for a Specialist to track the status of a medical request they have
made for a client’s case.
The Track Medical Record Requests Tool will contain medical record information that the
Specialist enters into the Household Information and Medical History Details sections. Once
a Specialist enters data in response to these questions and then proceeds to generate a
Medical Records Request Letter, the content of that request is transferred to the Medical
Record tracking tool. This tool is linked with the Letter Generator and medical content
cannot be tracked using this feature unless a letter has already been generated.
The Track Medical Record Requests Tool may be accessed from two locations. From the
Specialist Portal, the Track Medical Record Requests Tool is available from the Specialist
Portal Toolbar by clicking My Record Tracker. This allows the Specialist to enter information
about and view the status of record requests for all his/her clients.
Medical Record
Requests
Tracking Tool
67
Specialists may also access the Track Medical Record Requests tool from the Client Portal
Toolbar. This allows Specialists to enter information about their record requests for that
client only and view the status of records requests for that particular client.
Medical Record
Requests
Tracking Tool
The Track Medical Record Requests Tool is set up as a series of tables. When certain status
conditions are met, the client’s entry will move from one table to another. These tables
provide a space to view and record aspects of a client’s case that require action. Some
status components are not viewable until after a status field has been updated. Moreover,
additional fields will be presented depending on what request table the Specialist is working
within.
The four tables within the Track Medical Record Requests Tool are:
 Requests To Be Made
 Requests Outstanding
 Requests Received
 Requests Archived
68
Requests To Be Made
The first table in the Track Medical Record Requests Tool is Requests To Be Made. Once a
letter is generated, key information found within that letter is imported into this table. The
Specialist may add notes, select the Status of their letter request, and click Update to store
this information.
There are four options from this table that a Specialist may choose from when updating the
status of their letter request:

Need to Send – Request will stay in Requests To Be Made

Case Closed Before Completion – Request will move to Requests Archived

Request Cancelled – Request will move to Requests Archived

Sent Outstanding – Request will move to Requests Outstanding
Requests Outstanding
If a Specialist sends their letter and updates the status to Sent Outstanding in the Requests
To Be Made table, their medical record request is then transferred to the second table,
Requests Outstanding. This table allows a Specialist to further update the status of a
Medical Record Request. The Request will then transfer to Requests Received or Requests
Archived depending on the Status option selected.
69
Requests Received
The next table, Requests Received, allows a Specialist to update the status of a record
request once they have heard back from the Provider. Most of the Status options in this
table will transfer the request to Requests Archived.
If a Specialist selects Faxed to DDS or Mailed to DDS as a Status option, the Request will
stay in Requests Received and will only transfer to Requests Archived once the Status
option DDS Confirmed has been selected.
Requests Archived
Once a Request is moved to Requests Archived, a Specialist will be able to see a history of
medical record requests made for a particular client. If a Specialist selected the status of
Case Closed Before Completion or Wrong or Incomplete Records from the previous table,
Requests Received, the Specialist will be able to further update the medical record request
from the Requests Archived table to reflect the records having been Received or Resent.
70
Revert Status
If a Specialist selects an incorrect Status when updating a Medical Records Request, they
are able to use the Revert Status button to send their Request back to the previous table.
A Specialist may also collapse each table to more easily view subsequent tables without
scrolling down.
Roles and Access to Tracking Tool
When accessing the Tracking Tool from the Specialist Portal:
Specialists will have read and write access to record requests for all their clients. Write
access is for status changes only.
71
Submitting Documents
Once the SSA establishes non-medical eligibility for SSI and SSDI, and the client’s case
qualifies under the non-medical eligibility criteria, SSA will refer the case to the Disability
Determination Services (DDS). In some instances DDS is able to make a disability
determination based on the initial information filed with the SSA. However, additional
evidence is often required to substantiate the client’s impairment claims.
In such cases DDS adjudicators will forward a request for medical or functional evidence to
TBB. At this point TBB will add both a client and specialist task for the client. The evidence
request will also appear via the “E-Submit Document(s)” link on the document management
page.
Click here to
view
evidence
request
E-SUBMIT DOCUMENTS PAGE
DDS EVIDENCE REQUEST
72
Once you’ve gathered the necessary evidence, you have two options for forwarding this
information to the DDS – e-submitting or faxing. Regardless of the method chosen, DDS will
notify TBB of receipt of the records and a task will be added to both the client’s and the
specialist’s task lists. Here are the steps for each option:
E-Submitting
a. Upload the document to be submitted in accordance with the procedure outlined
above.
b. Select “E-Submit Document(s)” from the document management page.
c. Complete the electronic submission form. Enter ERE (Electronic Records Express)
username, ERE password and information, site code, Request ID, comments, etc.
into the appropriate fields. Most of this information is found on the evidence
request, below the barcode.
d. Click “Send.”
Enter this
information …
…here
Enter
comments, if
desired
DDS EVIDENCE REQUEST
73
Faxing
a.
Print out the evidence request.
b.
Organize evidence, using the evidence request as the cover sheet.
c.
Fax to DDS.
ELECTRONIC RECORDS EXPRESS (ERE) ACCOUNTS
An Electronic Records Express (ERE) account is necessary in order to submit documents to
DDS. An ERE account has been set up for all specialists. Here are some important facts
about the account:

The ERE account has a unique username and password. This differs from the
username and password used to log into The Benefit Bank.

Every 90 days you will be prompted to change your ERE password.
Change your password and track submission of electronic documents by going to
https://secure.ssa.gov/acu/iresear/login?URL=/apps9/ERE/home.do
Safeguarding Electronic Documents
Most scanners save copies of scanned documents on the hard drive of the computer to
which they are attached. TBB has extensive security measures in place to preserve the
privacy of documents once uploaded to TBB. However, specialists, and the organizations
they represent, are charged with safeguarding copies of documents stored on their
computers.
Specifically, each organization hosting TBB is required to develop protocols for securing or
disposing of scanned documents. Please review your organization’s policy. Your familiarity
with and adherence to these guidelines are essential in ensuring that your clients’
information is protected.
74
SEARCHING/CLOSING CASES
Existing TBB Client Search
It is possible that some of the clients you will encounter have previously used TBB to apply
for other benefits, such as Medicaid, Supplemental Nutrition Assistance Program (Food
Stamps), and TANF (Cash Assistance). You can learn about any such activity by conducting
a search prior to creating a client account. If the information you enter matches any of the
clients on file, you will be able to view a summary of the client’s activity.
Searching SSI/SSDI Clients
You can conduct a search for existing SSI/SSDI clients based on name, last name, Social
Security Number, date of birth, application status, or a combination of these criteria.
While you can find a case by entering a complete name or SSN, TBB also allows you to
search based on partial entries. For example, you could find “Lionel” by entering “lio” or “l”
into the first name field.
Search by complete
or partial entries
To view a complete list
of your clients, leave all
search fields blank and
click Search
Case status must be
recorded on the
Application Progress
Page to be included
in search results
SEARCHING CASES
TBB uses the information recorded on the Application Progress Page to process searches
based on application status. A search for applications pending SSA approval, for example,
will only include applications that have first been appropriately noted on the Application
Progress Page.
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After you’ve searched for the client, you will see the following screen. The “ID” column is the
client ID required for submitting applications.
Closing Cases
When a final decision regarding your client’s case has been made and you’ve completed
your work with them, you must close their case. You do this from the client portal page.
Here you will see a radio button. The status is not changed until you confirm the choice by
clicking on “Save Case Status.” You can always re-open a case after it has been closed.
Click here to
change the Case
Status
CLOSING CASES
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STEP-BY-STEP APPLICATION PROCESS
Overview
Note: Do not try to do this in a single appointment. Most applications require between two and
four appointments, depending on individual circumstances.
1. Complete Important Forms
2. Establish a Protective Filing Date
Obtain a
reentry
number from
the SSA
website
Create a new
client in TBB
3. Complete Applications
4. Submit Application and Follow-up
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Record the
Client ID, 55
days out,
and reentry
number in
memos
1. Complete form SSA-1696
A. Go to the counselor support website - support.ohiobenefits.org.
B. Click Access SSI/SSDI.
C. Click the Documents tab.
D. Download form SSA-1696.
E. Complete the form with you client. Print, sign, and date the form in all the spaces
marked for Claimant and Representative.
F. Put one copy in your submission folder and file the other 3 copies in your client’s
records.
2. Complete Consent to Use Information Form
A.
B.
C.
D.
E.
Go to the counselor support website - support.ohiobenefits.org.
Click Access SSI/SSDI.
Click the Documents tab.
Download Consent to Use Information form.
Complete on the computer allowing the system to copy down the information to
duplicated questions, print (one copy has 2 forms), sign, and date the form.
F. Scan and upload into your client’s document management system
G. Put “specialist copy” in your submission folder and file the “claimant copy” in your
client’s records.
3. Complete from SSA - 827
A.
B.
C.
D.
E.
F.
Go to the counselor support website - support.ohiobenefits.org.
Click Access SSI/SSDI.
Click the Documents tab.
Download form SSA-827.
Complete, print two copies, sign, and date the form.
Put one copy in your submission folder and file the other copy in your client’s records.
4. Create Client
A.
B.
C.
D.
E.
F.
Log into TBB SSI/SSDI - ssi.thebenefitbank.org.
Click Create New Client.
Complete applicable fields.
Click Create Client.
Go to TBB SSI/SSDI - ssi.thebenefitbank.org.
Open the Client Portal Page for the client you are serving.
5. Obtain a Reentry Number
A. Use the link under “Additional Resources” on the support site or go to the United
States Social Security Administration website www.ssa.gov/applyfordisability.
B. Click Apply for Disability at the bottom of the page.
C. Click Start a New Application.
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D. Choose, “I am helping someone who is not with me.”
E. Continue filling applicable fields until a Reentry Number is generated.
a. This should only be about 5 “continues” into the process.
F. Print this page
G. Copy it and create a memo in the client’s portal
6. Find the client ID number, 55 Days out, and Add Two Memos
A. From the Specialist Portal search for the client using the Find a Client tool – Highlight
the client ID and click Ctrl + C to copy the number.
B. Click the client name to open client account.
C. In Add Memo box, click Ctrl + V to paste client ID.
D. Click Create Memo Item.
E. Type the Reentry Number into the Add Memo box.
F. Click Create Memo Item.
G. Google 55 days away from the day you received the reentry number. This is the last
date to email the completed application for data entry.
7. Submit Applications for Other Income Support Programs
A. Go to TBB SSI/SSDI - ssi.thebenefitbank.org.
B. Open the Client Portal Page for the client you are serving.
C. Click Ohio Common Application for Benefits or Ohio HEAP Application to apply for
these programs.
D. If completing the Ohio Common Application for Benefits turn electronic submission
ON by switching the ESUB button to YES.
8. Complete the Ohio SSI/SSDI Application
IMPORTANT: This section may take several appointments to complete, so plan accordingly.
A. From the client portal page of TBB SSI/SSDI - ssi.thebenefitbank.org - click Ohio
SSI/SSDI Application.
B. Complete the following sections: Client Background, Medical-General, MedicalPhysical, Medical-Mental, and Daily Living Activities.
9. Print Applications, Review Information, Obtain Signatures
A. In the Forms for SSA section of the application, carefully read and follow on screen
instructions to enter impairments that limit your client’s ability to work and final
remarks.
B. Press Save & Continue.
C. Enter final remarks when applicable.
D. Press Save & Continue.
E. Open and review each application.
F. Print two copies of the SSA-16 and SSA-8000.
G. Print one copy of the other TBB generated forms including SSA-3369, 3368, 3373,
and any other forms.
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H. Client signs and dates one copy of the SSA-16 and SSA-8000.
I. Specialist puts signed SSA-16 and SSA-8000 in the submission file and all unsigned
forms are filed in the client’s records.
10. Use the template submission email (from the support site) to submit for
data entry
A. Use the template to send an email to [email protected] and
[email protected] – Go to the OBB Access SSI/SSDI support site,
http://ssi.ohiobenefits.org.
B. Click documents.
C. Click template submission email.
D. Complete each field.
E. You will receive a data entry receipt when your client’s application has been
completed (generally within one business day), but you may proceed immediately to
step 11.
11. Submit Applications and Forms to local SSA field office
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
Go to the counselor support website - support.ohiobenefits.org.
Click Access SSI/SSDI.
Click Documents.
Download Application Cover Sheet.
Retrieve forms SSA-1696 and SSA-827 from the hard-copy client file (completed
earlier in the process).
Retrieve signed SSA-16 and SSA-8000.
Check the box next to each form number on the Application Cover Sheet as the
packet is assembled.
In the Submission Date box put today’s date.
Type the Reentry Number in the box provided (stored as a memo on the Client Portal
Page, see step 5).
Complete the form with your client’s name and your contact information.
After you receive confirmation from step 10, mail or hand-deliver the completed
application packet to the appropriate local SSA field office
12. Maintain communication with SSA, DDS, and your client
Your responsibilities as Authorized Representative may include:
 Helping your client stay informed throughout the process
 Gathering medical evidence
 Gathering supporting evidence from non-medical sources
 Submitting verifications to SSA
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


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Submitting verifications to DDS
Helping clients keep scheduled appointments
Providing other assistance as necessary