“Good Cause” for reopening a prior determination or prior decision exists when:

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  new and material evidence is furnished;

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  the evidence that was considered in making the determination or decision clearly shows on its face that an error was made; or

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  there was a clerical error in the computation or re-computation.

“Good Cause” for reopening does not exist because of a change of an administrative ruling or legal precedent (change of position).

See Also

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  Change of Ruling or Legal Precedent (Change of Position) (DI 27505.020)

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  Reopenings - Change in Ruling or Legal Interpretation - Change of Position (GN 04001.100)

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  Revising SSI Determinations – Policy – Change of Position (SI 04070.040C.)

An error on the face of the evidence exists where the evidence that was considered in making the determination or decision clearly shows on its face that an error was made. That is, based on all of the evidence in the file and any evidence of record located in any SSA or DDS office at the time that the determination or decision was made, it is clear that the determination or decision was incorrect.

See Also

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  Reopenings - Error on the Face of the Evidence (GN 04010.020A.) for additional information on reopening on this basis under title II.

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  Title XVI Administrative Finality – General Reopening Policies – Error on the Face of the Evidence (SI 04070.010F.5.c.) for additional information on reopening on this basis under title XVI.

EXAMPLE: Error on the face of the evidence could exist where a medical report in file materially affecting the end result of the prior determination was overlooked; or there was an obvious and material misinterpretation of laboratory tests, x-rays or other medical reports; or a report which was considered in deciding the claimant's case belonged to another person; or policy was clearly misapplied, such as using the wrong medical-vocational rule.

This refers to any clerical error (on the part of either SSA or DDS) that resulted in an incorrect payment, including clerical errors in a determination or decision which led to an incorrect payment.

For further discussion of reopening on this basis under title II and title XVI, respectively, see Reopenings - Clerical Error (GN 04010.010), and Title XVI Administrative Finality – General Reopening Policies--Clerical Error (SI 04070.010F.5.b.).