Claimant cannot be located at last known address or claimant's whereabouts unknown.
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“Claimant's whereabouts unknown.”
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Disability Determination Services (DDS) Quality Assurance (QA) reviewed SSA-831
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“DDS QA.” (Determined by current legacy system limitations)
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Recon reverses initial decision — denial to allowance /allowance to denial
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Recon Reversal.
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Recon affirmation — initial and recon denial
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“Recon Affirmation”
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Recon revises initial onset date
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“Recon Reversal — Earlier (or Later) Onset Established.”
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Recon affirmation — initial and recon allowance with no change in onset date
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Recon Affirmation — No Change in Onset.
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Pending recon shares a common issue with a new claim filed under a different title
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Recon Escalation — Combined Initial and Reconsideration Determination.
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Recon pending and related claim filed under same title (DIB/CDB, DIB/DWB, or CDB/DWB)
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Recon Escalation — Combined Initial and Reconsideration Determination.
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DDS has received a statement regarding capability — allowance only
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“Claimant capable (or incapable) per Dr. (name) report of (date).”
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Listing 12.05A met — allowance only
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“Claimant incapable — Listing 12.05A.”
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DDS has been unable to secure evidence of capability — recommendations based on evidence
in file — allowance only (DI 23001.000).
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“Capability unresolved — review of medical evidence (identify by source and date)
suggests claimant is capable/incapable.”
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DDS has been unable to secure evidence of capability — allowance only.
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“Capability Unresolved.”
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DDS recommends payment of benefits before completion of its onset development (DI 25501.000).
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“Return folder to DDS after award payment — possible earlier date of onset (insert
date) to be developed.”
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AOD is less than 5 full calendar months before the month of death and no earlier onset
is possible.
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“Death in waiting period -- no possibility of earlier onset”
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EOD different from AOD.
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“Change in Onset.”
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More than one optional diary reason applies
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“Diary reasons (show applicable reason codes)”
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Optional MIE Diary
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“Optional MIE Diary set because (reason why set).”
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Vocational Diary established
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“Vocational Diary Established”
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TWP Diary established
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“TW Diary (month/year)”
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Earnings discrepancy indicated by the presence of an unprocessed Form SSA-7000-U5,
SSA-7010-U5 or SSA-4500-U6 in file.
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“Earnings Discrepancy”
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At the time of determination claimant working and work in any month after the filing
date constitutes “services” for TWP purposes
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“TWP Case”
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An interim notice is prepared
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“SSA-L1157-U2 DI or SSA-L1157-U2 SI”
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Representative payee files for claimant after receipt of SSA-831-U3 in DDS, insufficient
space in Item 5 to show change
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“John Doe for Mary Doe”
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Recon reverses DAA decision
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“Recon Reversal of DAA”
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Recon reverses DAA material determination
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“Recon reversal-DAA not material DAA condition (X, Y, or Z)”
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Recon affirms DAA material determination
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“Recon affirmation-DAA material (A, D, or B)”
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Claimant dies prior to adjudication and a determination is necessary for Medicaid
purposes only
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Died (date of death) Determination for Medicaid Only
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If the FO annotates "child in care" a claimant is seeking initial or continuing entitlement
based on having a disabled child in care that is alleged to have both a physical and
mental impairment. Enter this remark if a documented mental impairment exists which
is not shown as the primary or secondary diagnosis.
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Type of mental impairment, type of report, e.g., "Intellectual Disability, Dr. Moore's
Report, July 22, 2006”
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Childhood case allowance – medical evidence indicates that maternal drug alcohol addiction
is an underlying cause of the impairment (i.e., child born addicted) and FO not previously
alerted by DDS, or situation not previously indicated
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“Possible rep. payee issues – impairment related to maternal drug or alcohol abuse
– see medical report from_____dated_____.”
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Childhood case allowance – medical evidence indicates the child’s mother or father
is an alcoholic or drug addict and FO not previously alerted by DDS, or situation
not previously indicated.
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“Possible rep. payee issue – mother/father suffers from drug/alcohol abuse – see medical
report from _____dated_____.”
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Childhood case allowance – medical evidence indicates that the child may suffer from
abuse and FO not previously alerted by DDS, or situation not previously indicated
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“Possible rep. payee issues – medical evidence indicates child abuse – see medical
report from _____dated_____.”
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Possible Fraud or Similar Fault (FSF) in a determination or decision, per DI23025.000.
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“FSF in the determination – see related documents in file."
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