Unlike the QDD process, the DDS, OQR, and OHO can add cases to CAL processing.
If a case has not already been identified as a QDD case, an electronic alert will
be sent to the FO when CAL is added to (or removed from) a case.
If the FO receives an EDCS Action Item that a case has been added to CAL processing:,
they take the following action:
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For Initial Claims, the FO updates the MCS DW01 or CCE Development Worksheet page with CAL as an issue
using a tickle of 20 days. For appeals, a 20 day tickle is not needed.
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Initiate full non-medical development.
Conversely, if the FO receives an EDCS Action Item that a case has been removed from
CAL processing; update the MCS DW01 or CCE Development Worksheet page CAL issue receipt
line with the date the Action Item was received and add the remark “removed from CAL”
If the FO receives a report of what appears to be a previously unreported CAL condition
(from the claimant or representative) while the claim is at the DDS, the FO should:
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Send an Update After Transfer (UAT) message via EDCS to the DDS concerning the allegation
of a possible CAL condition.
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If the condition alleged by the claimant also qualifies as a TERI case, add an electronic
TERI flag.
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Consider PD/PB payments for Title XVI cases.
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•
Update the MCS DW01 or CCE Development Worksheet page with CAL as an issue and set
a tickle for 20 days for initial claims.
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•
Initiate full non-medical development.