20 C.F.R. § 405.830   How and when we determine whether the processing standard is met.


Title 20 - Employees' Benefits


Title 20: Employees' Benefits
PART 405—ADMINISTRATIVE REVIEW PROCESS FOR ADJUDICATING INITIAL DISABILITY CLAIMS
Subpart I—Quick Disability Determination Unit and Other State Agency Responsibilities

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§ 405.830   How and when we determine whether the processing standard is met.

(a) How we determine processing time. For all quick disability determinations, we calculate the number of days, including Saturdays, Sundays, and holidays, from the day the claim is received by the State agency until the day the State agency releases the claim to us or until the day the State agency places the claim into its regular disability claims adjudication process.

(b) Frequency of review. We will monitor the processing time for quick disability determinations on a quarterly basis separately from the other State disability determinations. We will determine whether or not the processing standard has been met at the end of each quarter.

(c) Provision of performance support for the processing standard. (1) Optional support. We may offer, or a State agency may request, performance support at any time that the regular monitoring and review process reveals that support could enhance performance. The State agency does not have to be below the processing standard described §405.825. Support will be offered, or granted upon request, based on available resources.

(2) Mandatory support. We will provide a State agency with mandatory performance support if regular monitoring and review reveal that the processing standard described in §405.825 is not met for one calendar quarter.

(3) Support we may provide. In determining what support we may provide, we will apply §§404.1662 and 416.1062 of this chapter.

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