BASIC (01-12)

DI 27530.005 Processing Adverse Reopenings for Paper Cases

NOTE: For instructions on processing electronic reopenings see DI 81020.115.

The Disability Determination Services (DDS) may be required to initiate adverse reopening procedures to correct a prior determination. Prepare a new SSA-831 Disability Determination and Transmittal for each reopened claim.

A. Title II only

Prepare a revised SSA-831. Do not delete or remove the previous SSA-831.

  • Enter the following remark in item 34, “This revises the previous determination of (DD/MM/YYYY).”

  • Prepare and release a notice of revised determination in accordance with DI 27540.000 Reopening Notice Instructions.

  • Do not input the revised determination.

  • Route the folder to the field office (FO) with the remark, “Title II adverse revision – benefits continuing.”

B. Title XVI only

Prepare a revised SSA-831. Do not delete or remove the previous SSA-831.

  • Enter the following remark in item 34, “This revises the previous determination of (DD/MM/YYYY).”

  • Prepare and release a notice of the revised title XVI determination in accordance with the guidelines in DI 27540.000 Reopening Notice Instructions.

  • Route the folder to the FO with the remark, “Title XVI adverse revision – benefits continuing.”

C. Concurrent cases

The title XVI due process requirements apply to both claims in a concurrent case when making the same determination on reopening both claims. If a determination under only one title is reopened (e.g., if the claimant's date last insured affects the title II claim), the reopening action is subject to the procedures under that title.

  • For title II claims, follow the instructions in DI 27530.005A in this section.

  • For title XVI claims, follow the instructions in DI 27530.005B in this section.

  • Route the folder to the FO with the remark, “Title II and title XVI adverse revision – benefits continuing.”

D. Reference

  • DI 22520.001 Disposition of Trailer Material

  • DI 27525.000 Reopenings – Due Process – Table of Contents

  • DI 27530.015 Completion of Form SSA-831 in Title II Reopening Cases

  • DI 27530.025 Completion of Form SSA-831 in Title XVI Reopening Cases

  • DI 32005.095 Disability Determination Services Reopenings and Revisions Case Routing — Initial and Reconsideration – Paper Cases Only

  • DI 81020.130 Electronic Case Closure