Block 004 – Payment Status

“C” Indicates recipient is eligible for SSI/SS Payment.

C01

Current Pay

“E” Indicates eligibility for federal and/or state benefit based on the eligibility computation but non-payment is based on the payment computation.

E01

Eligible for federal and/or state benefits based on the eligibility computation, but no payment is due based on the payment computation

“H” Indicates a case in hold status, final disposition pending.

H10

Living arrangement change is in progress

H20

Marital status change is in progress

H30

Resource change is in progress

H40

Student status change is in progress

H50

Head of household change is in progress

H60

Pending receipt of date of death

H70

Pending transmission of one-time payment data

H80

Early input

H90

Systems limitation involved. District office must manually compute and input payment amount

“M” Indicates case under manual control. Case is known as “Force Payment” although a payment may not be involved.

M01

Recipient may be in payment or non-payment status. See SSI Gross Payable Amount or State Supplement Gross Payable Amount for eligibility amount. These two will equal zeros if the recipient is in non-payment status

M02

Payment status posted to indicate that the record is under “force due” control

“N” Indicates applicant is NOT eligible for SSI/SS Payment or that a previously eligible recipient is no longer eligible.

N01

Recipient’s countable income exceeds Title XVI payment amount and his/her State’s payment standard

N02

Inmate of public institution

N03

Outside of the U.S.

N04

Non-excludable resources exceed Title XVI limitations

N05

Unable to determine if eligibility exists

N06

Failed to file for other benefits

N07

Recipient’s disability ceased (not disabled)

N08

Recipient’s blindness ceased (not blind)

N09

Refused vocational rehabilitation without good cause

N10

Refused treatment for drug addiction

N11

Refused treatment for alcoholism

N12

Voluntarily withdrew from program

N13

Not a citizen or an eligible alien

N14

Aged claim denied for age

N15

Blind claim denied (not blind)

N16

Disability claim denied (not disabled)

N17

Failure to pursue claim

N19

Voluntarily terminated participation in the SSI program

N20

Failed to furnish a required report or information

N22

Inmate of a penal institution

N23

Not a resident of the U.S.

N24

Convicted of a felony for fraudulently misrepresenting residence (only for effective dates prior to 12/99)

N24

Administrative sanctions penalty imposed due to providing false or misleading statements to obtain benefits. (Effective 12/99)

N25

Is a fugitive felon or parole/probation violator

N27

Disability terminated due to substantial gainful activity (SGA)

N30

Slight impairment – medical consideration alone, no visual impairment

N31

Capacity for SGA – customary past work, no visual impairment

N32

Capacity for SGA – other work, no visual impairment

N33

Engaging in SGA despite impairment, no visual impairment

N34

Child under 18 impairment(s) disabling for a period of less than 12 months. Age 18 and over impairment prevented SGA for a period of less than 12 months

N35

Impairment is severe at time of adjudication but not expected to last 12 months, no visual impairment

N36

Insufficient or no medical data furnished, no visual impairment

N37

Failure or refusal to submit to consultative examination, no visual impairment

N38

Does not want to continue development of the claim, no visual impairment

N39

Willfully fails to follow prescribed treatment, no visual impairment

N40

Impairment(s) does not meet or equal listing (disabled child under age eighteen only) no visual impairment

N41

Slight impairment, medical condition alone, visual impairment

N42

Capacity for SGA, customary past work, visual impairment

N43

Engaging in SGA despite impairment, visual impairment

N45

Impairment no longer severe at time of adjudication and did not last twelve months, visual impairment

N46

Impairment is severe at the time of adjudication but not expected to last twelve months, visual impairment

N47

Insufficient, or no, medical evidence furnished, visual impairment

N48

Failure, or refusal, to submit to consultative examination, visual impairment

N49

Applicant does not want to continue development of the claim, visual impairment

N50

Applicant willfully fails to follow prescribed treatment, visual impairment

N51

Impairment(s) does not meet or equal listing (disabled child under age eighteen only), visual impairment

N52

Deleted from the state rolls before 12/73 payment

N53

Deleted from the state rolls after 12/73 payment

N54

District SSA office unable to locate applicant

N98

Individual moved out of state

“P” Indicates suspension with the probability of reinstatement

P01

Suspension of disability pavements due to SGA, Probability of reinstatement

“S” Suspended – indicates recipient may still be eligible for SSI/SS but payment is being withheld

S01

Report of death by treasury, potential automated death case

S04

System is awaiting disability determination (system generated)

S05

SGA decision pending.

S06

Recipient address unknown.

S07

Returned check for other than death, address payee changes, or death of representative payee

S08

Representative payee development pending

S09

Miscellaneous suspense cod.

S10

Adjudicative suspense (systems generated)

S20

Potential rollback cases or disability made prior to July 1973 (inactive)

S21

The recipient is presumptively disabled or blind and has received three months payments

“T” Indicates SSI/SS Eligibility is terminated

T01

Death of the recipient.

T20

Received payment under two different numbers

T22

Received payment under two different accounts, termination resulted from electronic screening

T30

Manual termination (payment previously made). Change in record composition requires termination of existing record

T32

New payment status code posted by the SSA automated system when a record is approaching the maximum size

T33

New payment status code indicating a manual termination of a record

T31

System generated termination (payment previously made)

T50

Manual termination (no previous payment made)

T51

System generated termination (no previous payment made)

Block 005 – SSI Eligibility Date

Block 006 – Gross SSI Amount

Block 007 – Net SSI Amount

Block 008 – Net Unearned Income

Block 009 – Unearned Income Data

A

Social Security

B

Black lung

C

Veterans Adm. Compensation (Not based on need)

D

Railroad Retirement

E

Veterans Adm. Pension

F

Assistance based on need and not excluded

G

Lump sum social security

H

Income in-kind (support and maintenance)

I

Ineligible child allocation

J

Value of one-third reduction

K

Blind countable income

L

Military pension

M

Federal civil service pension

N

Support payments from absent parent

P

Employment related pension (state or local government retirement, private pension)

Q

Workmen’s compensation

R

Rents, interest, dividends, royalties

S

Other

T

Alaska longevity bonus

V

Net deemed income

X

Minimum income level amount

Y

Special needs reduction

Z

State countable income (Vermont only)

Block 010 – Date of Last Change

Block 044 – Direct Deposit Routing

Block 045 – Direct Deposit Depositor Account Block 005 – SSI Eligibility Date