TN 1 (12-17)

DI 28501.030 Routing Reopened Continuing Disability Review (CDR) Cases

A. Guidelines for routing a reopening of a prior CDR determination

Use the following routing guidelines when the prior CDR determination is reopened and revised under the rules of administrative finality.

B. Certified electronic folder (CEF)

Route cases based on decision (DEC) codes as follows, unless selected for review by the Office of Quality Review (OQR):

Situation

Destination

Case Note

DEC = CO

Title II – No action necessary

Processing Center (PC) 1 through 8

 

Title XVI – No action necessary

L0(zero)E

 

Concurrent – No action necessary

PC 1 through 8

 

Title II, Title XVI, Concurrent – Action necessary

Field Office (FO)

Describe the necessary action

DEC = CE

Title II, Title XVI, Concurrent

FO

 

NOTE: To determine the appropriate destination for PC 1 through 8, see DI 32010.001B.

NOTE: If unsure of the necessary action for the CDR case, route the case to the FO so they can determine the best course of action and proper routing procedure.

C. Modular Disability Folder (MDF)

Situation

Destination

SSA-408 (Route Slip) Entry

Favorable Reopening

Returnable Error

Office of the Originating Error Return

Indicate type of case

Title II Only – Additional Evidence

PC 1 through 6 (Disability Procession Branch (DPB)), or PC 7-8

“Title II CDR Favorable Reopening, Attn: Disability Examiner/Disability Processing Specialist”

Title XVI Only –Additional Evidence

FO

“Title XVI CDR Favorable Reopening. Effectuation of Payment Required.”

Concurrent (two folders)

FO

“Concurrent Title II/XVI CDR Favorable Reopening. Payment effectuation for Title XVI is Required. Upon FO completion of Title XVI payment effectuation, route folder to PC 1 through 6 (DPB) or PC 7 through 8.”

Add, “Attn: Disability Examiner/Disability Processing Specialist”

Concurrent (one folder)

FO

“Concurrent Title II/XVI CDR Favorable Reopening. Payment effectuation for Title XVI is required. Upon completion, route folder to PC 1 through 6 (DPB) or PC 7 through 8.”

Add, “Attn: Disability Examiner/Disability Processing Specialist”

Less than Fully Favorable Reopening

Returnable Error

Office of the Originating Error Return

Indicate type of case

Title II, Title XVI, or Concurrent