Updated Aug 01, 2022
In This Section |
This section contains the following topics:
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1. Overview of the DMF Match
Introduction |
This topic contains information on processing cases identified by the match, including
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Change Date |
July 15, 2021
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XIV.2.B.1.c. Automated Actions Based on Death Match |
For beneficiary death matches with the contentions SSA Death C&P Matched, SSA Death DOB Mismatch, and SSA Death Name Mismatch, the system will
For dependent death matches with the contentions, Dep Death C&P Matched, Dep Death DOB Mismatch, and Dep Name Mismatch, the system will
Exception: No additional automation outside of EP establishment occurs on death matches involving the SSA Death Both Mismatch or Dep Death Both Mismatch contentions. Claims processors must manually complete the applicable actions described in M21-1, Part XIV, 2.B.2.
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2. Processing Cases Identified by the DMF Match
Introduction |
This topic contains information on processing cases identified by match, including
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Change Date |
August 1, 2022
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XIV.2.B.2.a. Reviewing the Corporate Record on DMF Matches |
Review the corporate record to determine whether the award has been terminated or the spouse, child, or parent has been removed from the award and follow the table below.
Note: Do not delay the processing of DMF matches if the Veteran’s service is currently marked as unverified in VA systems.
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XIV.2.B.2.b. Determining if the Beneficiary or Dependent Is Alive During a Review of the DMF Match |
Check for evidence in the claims folder that the beneficiary or dependent is alive.
Consider the beneficiary or dependent alive if there was personal contact with VA since the date of death reported by the SSA. Examples include a physical examination or hospitalization at a VA medical facility.
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XIV.2.B.2.c. Review of CAPRI Records on DMF Matches |
If the Veteran was hospitalized at a VA medical facility, use the Compensation and Pension Record Interchange (CAPRI) to determine whether the Veteran has died.
Reference: For more information on CAPRI and beneficiaries institutionalized at VA expense, see M21-1, Part X, Subpart iii, 1.A.
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XIV.2.B.2.d. Conflicting Evidence of Record on DMF Match |
If the claims folder contains conflicting evidence regarding the beneficiary’s or dependent’s possible death, resolve this conflict. Advise the beneficiary to
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XIV.2.B.2.e. Telephoning the Beneficiary Regarding DMF Match |
As an alternative to sending a letter, call the beneficiary.
Before telephoning the beneficiary, review the claims folder for information that a family member would not ordinarily be familiar with, such as the Veteran’s serial number, campaign ribbons, medical conditions, and so on.
Once contact is made, ask the beneficiary about these things.
If the caller is satisfied that the payee or dependent is alive, no further action needs to be taken other than to make a report of telephone contact on VA Form 27-0820, Report of General Information, for the claims folder as outlined in 38 CFR 3.217. The report of contact must state the reasons why the caller believed the beneficiary or dependent is alive.
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If the claims folder does not contain any evidence that the beneficiary is alive, take action to
Note: If the person indicated in the DMF match is a dependent on the beneficiary’s award, review the record to ensure that notice of proposed adverse action was issued to the beneficiary prior to taking award action under 38 CFR 3.103(b)(2).
Reference: For more information on the elements in a notice of proposed adverse action, see M21-1, Part X, Subpart ii, 3.A.2.b.
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XIV.2.B.2.g. Field Examination Needed Based on DMF Match |
If the measures described in M21-1, Part XIV, 2.B.2.a–f, fail to establish the status of a payee or spouse, request a field examination.
Reference: For more information on field examinations, see M21-1, Part X, Subpart v, 1.E.
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XIV.2.B.2.h. DMF Match Identifies the Veteran’s Spouse |
If the person identified by the DMF match is the Veteran’s current spouse, but was not identified through the Dependent Death Match and therefore not automatically issued a due process letter, send a letter advising the Veteran that evidence has been received from SSA indicating that their spouse may be deceased.
Ask the Veteran to provide information regarding the death of the spouse, using either the death certificate, statement, or VA Form 21-686c, Application Request to Add and/or Remove Dependents, and furnish notice of proposed adverse action.
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XIV.2.B.2.i. Removing a Dependent Based on DMF Match |
If the Veteran or surviving beneficiary does not respond, remove the dependent and, if applicable, their income effective the first of the
Note: Additional adjustments, such as changes in medical expenses, that are not based on first party information, and that will result in reduction of benefits, should be addressed under a separate EP 600. Do not delay final action on the DMF match solely to wait for another EP to become actionable as instructed by M21-1, Part VI, Subpart iii, 2.A.1.
Reference: For more information on the effective date to remove a dependent and the exceptions to the end of month rule, see M21-1, Part VII, Subpart i, 1.C.
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XIV.2.B.2.j. Fraud Discovered Based on DMF Match |
If potential fraud is discovered, follow the provisions of M21-1, Part X, Subpart iv, 3.A.
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XIV.2.B.2.k. Claims Folder Required Based on DMF Match |
If a claims folder located at the Records Management Center is needed to conduct the review, recall the folder.
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XIV.2.B.2.l. Terminating Awards Based on DMF Matches |
A Veteran’s death must be processed via the FIRST NOTICE OF DEATH command in Share. Award adjustments necessitated by the death of any other payee should use EP 130 for award action.
Note: Follow the instructions in M21-1, Part II, Subpart i, 2.D.3 if
References: For more information on
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