SSA · no agency ID · record R3101

Continuing Disability Review Model

Social Security Administration · Chief Information Officer, Analytics and Improvements

Overview

Development stage: DeployedSource: c) Deployed – The use case is being actively authorized or utilized to support the functions or mission of an agency.
High-impact designation: High-impactSource: a) High-impact
Impact justification: Not reported
Start date: 2023-09-30 (day precision)Source: 9/30/2023 0:00
Withheld from public reporting: NoSource: a) No

Mission

Topic area: Government Benefits Processing
Operational functions: No function tag matched Derived by keyword rules; see methodology

Problem the AI is intended to solve

This AI use case identifies disability cases with the greatest likelihood of medical improvement and flag them for a continuing disability review to improve the accuracy of program administration.

Expected benefits

Improving accurate claim processing: ensuring that only those who qualify for benefits remain on the rolls.

System outputs

The system outputs numerical scores for each case: the score represents the likelihood of medical improvement. The probabilities are binned according to low, medium, or high.

Technology

AI classification: Classical / predictive MLSource: Classical/Predictive Machine Learning: Models trained on data to make predictions or classifications based on identified patterns or relatio…
System name(s): CDR
Custom-developed code: Yes
Public source code: Not reported

Sourcing

How it was built: Developed in-houseSource: b) Developed in-house
Vendor (as reported): Not reported
Vendors (standardized): None on the standard list

A vendor is the supplier named by the agency. It does not identify the underlying model or AI technology.

Data and privacy

Involves PII: Yes
Privacy Impact Assessment: Not reported
Authorization to Operate: No
Demographic features: c) Age
Training and evaluation data: Model used data from disability program data sets including Master Beneficiary Record (MBR) and Supplemental Security Record (SSR). In addition for Title II (retirement, survivors, and disability benefits) models health data from Centers for Medicare and Medicaid Services (CMS) is utilized.
Federal Data Catalog: Not required

Governance

8 of 8 minimum-practice questions answered. A blank answer means the agency reported nothing; it does not mean the practice is absent.

Pre-deployment testingReported in placeSource: a) Yes

AI impact assessmentReported in placeSource: a) Yes

Independent reviewReported in placeSource: c) Yes – by the CAIO

Ongoing monitoringReported in placeSource: a) Yes, sufficient monitoring protocols have been established

Operator trainingReported in placeSource: a) Yes, sufficient and periodic training has been established

Fail-safeReported in placeSource: a) Yes

Appeal processReported in placeSource: a) Yes, an appropriate appeal process has been established

User and public consultationOther or ambiguous answerSource: d) Other

Potential impacts and how they were identified

Improving accuracy in Continuing Disability Review (CDR) processing and in the long run improving accurate SSA program administration ensuring only those who qualify for benefits remain on the rolls and are paid accurate amounts for benefits.