SSA - POMS: DI 20101.045 - Jurisdiction User’s Guide

A. Initial cases

Type Claim	Situation	Jurisdiction	Reference
DIB, DWB, CDB	Claimant living	DDS in the State of actual residence	DI 20101.030
CDB, DWB	Filed after death	SSA	Title II Claim Filed After Death (Chart), DI 23510.025
DIB	Filed after death	DDS in the State of residence at death, or SSA, if filed more than three months after death	Title II Claim Filed After Death (Chart), DI 23510.025
DIB	Death within waiting period	SSA	Title II Claim Filed After Death (Chart), DI 23510.025
DIB, DWB, CDB (See Title XVI instructions below for concurrent claims)	Claimant dies after filing	DDS in the place of residence at time of receipt	Title II Claim Dies After Filing (Chart), DI 23510.020
CDB	AOD after age 22 or more than 7 years after CDB termination	SSA. See P.L. 108-203 for an exception due to SGA cessation- Then DDS has jurisdiction.	DI 20101.001B.3.
DIB, DWB	AOD after DLI/PP	SSA or DDS in the State of residence - see reference	DI 20101.001B.1.
DIB, DWB	EOD after DLI or PP (returned to DDS)	DDS in the State of residence	DI 20101.001A.3.
DIB	Application prior to date first insured	DDS in the State of residence	DI 20101.001A.1.
Title XVI (See Title XVI instructions below for concurrent claims)	Claimant dies after filing	SSA or DDS in the State of residence	Title XVI Claimant Dies After Filing (Chart), DI 23510.035
Title XVI	Non-disability alert	SSA	DI 20101.001D.1.
Title XVI	Receiving DIB, CDB or DWB	SSA	DI 20101.001C and Collateral Estoppel, DI 27515.000
Title II or XVI	Work issue cases - current onset and no possible closed period or TWP	SSA	Initial and Subsequent Work Issue Cases, DI 24001.005
Title II or XVI	Engaging in SGA - current onset and no possible closed period or TWP	SSA	Initial and Subsequent Work Issue Cases, DI 24001.005
Title II or XVI	Work activity is not SGA	DDS in the State of residence	Initial and Subsequent Work Issue Cases, DI 24001.005
Title II or XVI	FO reversal of technical/SGA Denial	DDS in the State of residence	DI 20101.010C.2.
Title II or XVI	SGA ceased	DDS in the State of residence	Initial and Subsequent Work Issue Cases, DI 24001.005
Title II	Engaging in SGA–possible closed period	DDS in the State of residence	Initial and Subsequent Work Issue Cases, DI 24001.005
Title II or XVI	Engaging in SGA–visual impairment alleged	DDS in the State of residence	Jurisdiction of Blindness Cases, DI 26001.010
DIB	Totalization	SSA	Disability Determination Services (DDS) Review and Development of Totalization Claims, DI 23550.001.
DIB, DWB, CDB	Foreign claim	SSA	DI 20101.030B
Title II or XVI	U.S. possession	SSA	DI 20101.030C
Title II or XVI	Northern Mariana Islands	Federal Disability Examiner	DI 20101.030D
Title II or XVI	Career railroad or railroad annuitants	GLPSC-DPB	DI 20101.040A

B. Subsequent claims

Type Claim	Situation	Jurisdiction	Reference
DIB, DWB or CDB	Receiving DIB, DWB, or CDB	SSA or DDS in the State of residence	DI 20101.001B.4.
SSI	Receiving DIB, DWB, CDB	SSA or DDS in the State of residence	DI 20101.001B DI 20101.001C and Collateral Estoppel DI 27515.000
DIB, DWB, CDB	Receiving SSI	SSA or DDS in the State of residence	DI 20101.001B.4. and Collateral Estoppel DI 27515.000
DIB, DWB	Prior denial after DLI/PP	SSA	DI 20101.001B.2.
CDB	AOD more than 7 years after CDB termination	SSA. See P.L. 108-203 for an exception due to SGA cessation- Then DDS has jurisdiction.	DI 20101.001B.3.
Title II or XVI	Hearing pending	SSA	DI 20101.025B
Title II or XVI	AC review pending	DDS in the State of residence	DI 20101.025C
Title II or XVI	Court action pending-common issue	SSA	DI 20101.025F
Title II or XVI	Court action pending on same type of claim – no common issue	DDS in the State of residence	DI 20101.025E.1.
Title II or XVI	Hearing pending on other type claim–common issue	ALJ	DI 20101.025
Title II or XVI	Hearing pending on other type claim–claimant or ALJ objects to joining claims or no common issue	DDS in the State of residence	DI 20101.025

C. Reconsideration cases

Type Claim	Situation	Jurisdiction	Reference
Title II or XVI	Reconsideration requested	DDS in state of residence	DI 20101.010A
Title II or XVI	Claimant leaves state of initial decision	DDS in state of residence	DI 20101.010A
Title II or XVI	Claimant leaves state before determination completed	Transfer to state of current residence	DI 20101.010B.1.
Title II or XVI	Claimant refuses to provide reconsideration evidence	DDS in the state of current residence	DI 20101.010B.2.
Title II or XVI	Two different DDS prepared different decisions	DDS in state of current residence	DI 20101.010B.3.
Title II or XVI	FO reconsideration reversal of prior SGA denial	DDS in the state of residence	DI 20101.010B.4.
Title II	Foreign claim	SSA (OIO)	DI 20101.030A
Title II or XVI	U.S. possessions	SSA	DI 20101.030B
Title II or XVI	Career railroad or railroad survivor annuitants	GLPSC-DPB	DI 20101.040A
Title II	End Stage Renal Disease (ESRD)	SSA	Processing Reconsideration, Hearings, and Appeals Medicare ESRD Cases MQGE Cases, DI 45005.001
Title II or XVI	Changed Identity	SSA	DI 20101.040B
Title II	Emergency Clause	SSA	DI 20101.040C
Title II or XVI	Informal remand of hearing	DDS which made the unfavorable decision, or SSA (OIO) if it was a foreign claim. (Transfer should be considered on a case-by-case basis with service to the claimant as the top priority).	Appeals Council (AC) Requests for Development, DI 29501.050A

D. Reopening cases

Type Claim	Situation	Jurisdiction	Reference
Title II or XVI	Reopening issue raised during development of a current claim	DDS handling current claim	DI 20101.005
Title II or XVI	Reopening issue raised by new and material evidence without new application	DDS in State of residence	DI 20101.005
Title II or XVI	Two different DDS prepared conflicting decisions	DDS in State of residence	DI 20101.010B.3.
DIB or DWB	EOD after DLI/PP (returned to DDS)	DDS in the State of residence	DI 20101.001A.3.

E. Continuing Disability Review cases

Type Claim	Situation	Jurisdiction	Reference
Title II or XVI	CDR	DDS in the State of actual residence	DI 20101.015
Title II or XVI	Claimant moves	Transfer to State of residence	DI 20101.015
Title II	Foreign claims	SSA	DI 20101.030B
Title II	Residence in U.S. possessions	SSA (OIO)	DI 20101.030C
Title II	Career railroad or railroad annuitant case	SSA	DI 20101.040A
Title II	End Stage Renal Disease (ESRD)	SSA	Processing Medicare End-Stage Renal Disease Reconsideration Cases, DI 45005.001 and End Stage Renal Disease (ESRD) Medicare Cases, Including MQGE Cases DI 45001.000 through DI 45010.000
Title II or XVI	Changed Identity	SSA	DI 20101.040B
Title II	Emergency Clause	SSA	DI 20101.040C
Title II or Title II part of a concurrent case	SGA case	SSA	Initial and Subsequent Work Issue Cases, SSA-821-BK (Work Activity Report – Employee), & SSA-820-F4 (Work Activity Report – Self Employed Person). DI 24001.005, DI 10510.025, DI 10505.035, and OS 15025.001
Title XVI or Title XVI part of a concurrent case	1619 status	DDS in the State of residence	Section 1619 Medical CDRs DI 40540.000

NOTE: Claims for Medicare based on ESRD are SSA jurisdiction. The processing center segment of the POMS, DI 45001.000 through DI 45010.000 provides additional information. Section 1619 CDRs are SSA jurisdiction. (See Section 1619 Medical CDRs, DI 40540.001).

F. Claimant moves

Type Claim	Situation	Jurisdiction	Reference
Title II , XVI and Concurrent	Moves to foreign country (temporary-less than 6 months)	DDS	DI 20101.035C.5
Title II	Moves to foreign country (permanent-6 months or more)	OCO/OIO	DI 20101.035C.2
Title II	Moves from foreign country	DDS in the State of actual residence	DI 20101.035C.7
Title II or XVI	Moves to another State	Transfer to the DDS in the State of residence	DI 20101.035A and DI 20101.035B.1
Title II or XVI	Moves to or from Puerto Rico, Guam, American Samoa, Virgin Islands	DDS in the state of residence, or FO - see reference	DI 20101.035B
Title II or XVI	DQB return and claimant moves (any level claim)	DDS which received return	DI 20101.035C.9 DI 20101.010B.5 and DI 20101.015A
Title II or XVI	Reconsideration - claimant moves to another State	DDS in the State of current residence	DI 20101.010A and DI 20101.010B.1
Title II or XVI	Reconsideration - claimant moves to or from Puerto Rico, Guam, or American Samoa	DDS - see reference	DI 20101.035C.10
Title II or XVI	CDR – claimant moves	Transfer to the DDS in the state of residence	DI 20101.015A

G. Work issues

Type Claim	Situation	Jurisdiction	Reference
Title II or XVI	Work issue cases	SSA	Initial and Subsequent Work Issue Cases DI 24001.005
Title II or XVI	Engaging in SGA	SSA	Initial and Subsequent Work Issue Cases DI 24001.005
Title II or XVI	Work activity is not SGA	DDS in the State of residence	Initial and Subsequent Work Issue Cases DI 24001.005
Title II or XVI	Engaging in SGA - current onset and no possible closed period	SSA	Initial and Subsequent Work Issue Cases DI 24001.005
Title II or XVI	SGA ceased after AOD	DDS in the State of residence	Initial and Subsequent Work Issue Cases DI 24001.005
Title II	Engaging in SGA, possible closed period or TWP	DDS in the State of residence	Initial and Subsequent Work Issue Cases DI 24001.005
Title II or XVI	Engaging in SGA, visual impairment alleged	DDS in the State of residence	Jurisdiction of Blindness DI 26001.010.
Title II or XVI	FO reconsideration reversal of prior SGA denial	DDS in the State of residence	DI 20101.010B.4
Title XVI or Title XVI part of concurrent	Section 1619 case (previously work issue)	DDS in the State of residence	Section 1619 Medical CDRs, DI 40540.000

H. Special Cases

Type Claim	Situation	Jurisdiction	Reference
Title II	End Stage Renal Disease (ESRD)	SSA	Initial End-Stage Renal Disease Medicare Cases, DI 11052.001 and Processing ESRD Claims, DI 45001.005.
Title II	Career railroad or railroad annuitant	SSA	DI 20101.040A
DMC	Disabled minor child (DMC) age 15 1/2 - 18 to entitle parent	DDS in the state of residence	Disability Determination Necessary for a Child Age 15 1/2 to Age 18 to Entitle Parent DI 11020.060C and Disabled Minor Child (DMC), DI 23505.001
MQGE	Medicare for Qualified Government Employment (MQGE)	DDS in the state of residence	MQGE - Background, DI 23540.001 Routing, DI 23540.015
Title II	Changed identity	SSA	DI 20101.040B
Title II	Emergency clause	SSA	DI 20101.040C

Social Security

Program Operations Manual System (POMS)

DI 20101.045 Jurisdiction User’s Guide