XIV.2.A.2.d. Corrective Award Action Necessary Based on SSA Matches | | An EP 150 PMC-Soc Sec Admn Match is established by the system when a case is identified that requires action based on an income match with SSA. Upon review of an income match, claims processors must pull detailed SSA payment data for the beneficiary and any applicable dependents through the SSA INQUIRY function in VBMS. The results of this inquiry are limited. If additional rates are needed to complete the review, use the SSA Retro Calculator to determine earlier rates. The calculator is located under the Business Management Section of Pension and Fiduciary’s Intranet page. Use the table below to determine the action(s) to take when the SSA income in the VA record is different than the verified Social Security rate by $1 or more.| If the verified Social Security rate is ... | Then ... | - higher than the rate(s) VA counted, and
- correcting the rate(s) will result in decreased VA benefits
| - calculate income for VA purposes (IVAP) based on the verified Social Security rate(s) effective the date of the income change, or the date the award began, whichever is later
- clear the EP 150
- establish EP 600 PMC-SSA Match, with special issue Upfront Verification, follow the due process procedures to include notice of proposed adverse action found in M21-1, Part X, Subpart ii, 3.A, and
- advise the payee of the monthly Social Security rate(s)
- that SSA has reported, and
- on which VA benefits have been paid.
| - higher than the rate VA is counting, and
- using the verified rate will not result in an overpayment or decreased VA benefits
| - use the verified rate to calculate IVAP
- use the EP 150 to update the award with the verified Social Security rate, and
- inform the beneficiary of the action taken.
| - lower than the rate VA is counting, and
- the claimant reported a Social Security rate that is a reason for the discrepancy
| - continue to use the rate reported by the beneficiary and the corresponding VA calculated cost-of-living adjustments (COLAs) where applicable to compute IVAP, and
- provide notice to the beneficiary with
- information about the Social Security rate used to calculate benefits
- information about the discrepancy with income reported by SSA, and
- the appropriate standard form for reporting an income change.
Reference: For information on standard forms for income changes, see M21-1, Part IX, Subpart i, 3.B.2. | - lower than the rate VA is counting, and
- a VA computed SS COLA is the only reason for the discrepancy
| - calculate IVAP based on the verified Social Security rate
- use the EP 150 to update the award with the verified Social Security rate
- if applicable, increase VA benefits, and
- provide notice to the beneficiary.
Note: If using the verified Social Security rate results in an increase in the pension rate, refer to M21-1, Part IX, Subpart iii, 1.H.1.b for time limits and effective date procedures to increase pension based on a change in income. | Note: Do not contact SSA for income information via fax, e-mail, telephone, etc., unless the claimant submits a written request that VA do so.References: For more information on |