A formal review of an administratively final determination or decision to admit new
and material evidence; or, where error is involved, a reevaluation of the evidence
used in a prior determination or decision.
NOTE: The term “determination” refers to adjudications at the initial and reconsideration
levels, and “decision” refers to adjudications at the Administrative Law Judge (ALJ),
Appeals Council (AC), and Court levels.
Any change in the end result or basis of a final determination or decision.
A determination or decision (initial or revised) is final as of the date of the notice
it is timely appealed (or a civil suit is filed); or
it is appealed late but good cause for late filing of an appeal or civil suit is found;
the AC takes jurisdiction on its own motion within 60 days of the date of the ALJ
the AC denies a request for review (does not issue a decision), in which case the
ALJ decision is the final decision as of the date of the notice that the AC denied
it is reopened and revised.
NOTE: The Form SSA-L1157-U2- DI Medical Requirements Met / Non Medical Requirements To
Be Determined, is an interim notice and is not a final notice.
Appeal Filing Issues (DI 27010.001)
Conditions for Reopening a Final Determination or Decision (DI 27505.001)
Cases Where MIRS Applies (DI 28005.001D.1.)
Collateral Estoppel – General (DI 27515.001)
Refilings for the Same Period (Res Judicata Cases) (DI 27516.001)
Period Covered by a Final Determination or Decision: “Period Adjudicated” (DI 27510.001)
Reopening in Continuing Disability Cases (DI 28501.015)
Good Cause for Reopening (DI 27505.010)