TN 8 (06-04)

GN 04440.223 Correcting Group II Onset Date Documentation Deficiencies Post-Effectuation - Title II Only Initial Cases

A. Policy-corrective action

If the review component can establish an interim onset date (IOD) so that a claimant can begin receiving payments, and none of the conditions listed in GN 04440.222A. exist, return the case to the adjudicating component for corrective action after effectuation of the determination. The review component will send the folder and deficiency return to the adjudicating component and fax or mail the SSA-831-C3/U3 to the field office (FO). See DI 11010.120 for a further explanation of when a partial award can be made.

EXCEPTION: Exceptions to this routing policy are cases involving unresolved capability issues or cases in which the beneficiary has a DAA condition and is incapable of managing his/her benefits. In these cases, the claims folder must go to the FO. Follow GN 04440.224B for these cases.

NOTE: Refer to GN 04440.228 for processing cases with a work activity documentation deficiency that could affect the onset date.

B. Procedure-review component

Take the following action:

1. SSA-831-C3/U3 Action

  • Establish an IOD and correct the onset date on the SSA-831-C3/U3 if the IOD is different from the adjudicating component’s established onset date (EOD). Refer to GN 04440.217.

  • Annotate block 34 of the SSA-831-C3/U3:

    Possible earlier onset date being developed. DQB will send the corrected onset date, if appropriate, after development is completed.

  • Approve the SSA-831-C3/U3.

  • Place a copy of the annotated SSA-831-C3/U3 in the claims folder.

2. Deficiency return

  • Prepare an SSA-1774-U5 to the adjudicating component, and:

    • Request development of a possible earlier onset date.

    • Instruct the adjudicating component to return the corrected case to the review component.

  • Release copies of the SSA-1774-U5 in accordance with GN 04440.501.

  • Code the appropriate group II onset date documentation deficiency.

  • Control the return.

3. Additional actions

  • If the IOD is later than the claimant's alleged onset date (AOD), prepare a personalized explanation per DI 26530.015.

  • Prepare and/or release the notice(Form SSA-L1157-U2-DI and/or Form SSA-L1157-U2-SI). See DI 26535.006 and DI 26535.016.

  • Attach the special payment flag (see exhibit in GN 04440.940) to the annotated SSA-831-C3/U3 and fax or mail the SSA-831-C3/U3 to the appropriate FO. (The FO will effectuate payment.)

  • Document the file with the fax or mail action taken.

  • Send the claims folder with the covering SSA-1774-U5 to the adjudicating component for development of a possible earlier onset.

REMINDER: Upon completion of all corrective action and return of the corrected case, enter the results data into the OQR legacy system .


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0204440223
GN 04440.223 - Correcting Group II Onset Date Documentation Deficiencies Post-Effectuation - Title II Only Initial Cases - 01/09/2014
Batch run: 01/09/2014
Rev:01/09/2014