Forms Catalog Document - SSA639 :-: SSA :-: Site Review Questionnaire for Fee-for-Service Payees

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Site Review Questionnaire for Fee-for-Service Payees

SSA conducts triennial site reviews for fee-for-service payees and all volume payees (i.e., organizations serving 100 or more beneficiaries and individuals serving 20 or more beneficiaries). The reviews include a face-to-face meeting with the payee (and appropriate staff), examination/verification of a sample of beneficiary records and supporting documentation, and usually include beneficiary (if competent adult) or custodian (if different from payee) interviews.

Form #: SSA 639
Agency: Social Security Administration

	TYPE	PAGES	SIZE (KB)	CAPABILITY	WHAT'S NEEDED
	Form Only	3		[1] Paper Only	Other Client Software

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