TN 8 (04-04)

DI 30005.225 Correcting Group II Onset Date Documentation Deficiencies

A. Policy - corrective action

1. Return before effectuation

The review component will return the deficient case to the adjudicating component for correction before effectuation of the determination when:

  • the group II onset date documentation deficiency can be corrected without delaying the first payment (i.e., a waiting period case); or

  • the case has another unrelated deficiency which requires corrective action by the adjudicating component; or

  • the claimant is currently receiving a non-disability Title II benefit.

  • the claimant dies before the review is completed.

See GN 04440.222 for an explanation of pre-effectuation corrective action.

2. Return after effectuation

If none of the conditions in DI 30005.225A.1. apply, and the review component can establish an onset date based on the evidence in file, i.e., an interim onset date (IOD), the case will be returned to the adjudicating component for correction of the group II onset date documentation deficiency after effectuation of the determination.

See GN 04440.223 GN 04440.225 for further explanation of post-effectuation corrective action.

B. Process - post-effectuation corrective action

When the group II onset date documentation deficiency can be corrected after effectuation of the determination, depending upon the type of claim involved and the IOD to be established, the review component will either:

  • sign the SSA-831-C3/U3 prepared by the adjudicating component; or

  • make a pen-and-ink correction to the adjudicating component's EOD on the SSA-831-C3/U3.

In addition, the review component will prepare any necessary forms or notices, e.g., a personalized notice, release the notice and send the SSA-1774-U5 to the adjudicating component.

If the claim is an initial claim, the review component will send the folder to the adjudicating component and fax the SSA-831-C3/U3 to the FO to effectuate payment. If the claim is a reconsideration claim, the review component will send the SSA-1774-U5 and supporting documentation to the adjudicating component and send the folder to the FO to effectuate payment.

See GN 04440.223 GN 04440.225 for a more detailed explanation of the review component action.

C. Procedure - DDS pre-effectuation corrective action

Upon receipt of the SSA-1774-U5:

  • Take the corrective action requested in the SSA-1774-U5.

  • Return the corrected case to the review component.

D. Procedure - DDS post-effectuation corrective action

1. SSA-1774-U5 and folder received in DDS

Upon receipt of the SSA-1774-U5 and folder:

  • Begin onset date development as soon as possible.

  • Prepare a revised SSA-831-C3/U3 and notice, including a personalized explanation when the EOD is adverse, if development results in a different onset date.

  • Do not date or release the notice, if a new notice is prepared.

  • Return the corrected case to the review component.

Refer to DI 27530.001 DI 27530.025 for instructions on completing the SSA-831-C3/U3 and notices in reopening cases.

2. SSA-1774-U5 without folder received in DDS

Upon receipt of the SSA-1774-U5 and supporting documentation:

  • Begin onset date development as soon as possible.

  • Locate and request the folder if it is not received from the FO within 30 days from the date of receipt of the SSA-1774-U5.

  • Prepare a revised SSA-831-C3/U3 and notice, if necessary, upon receipt of the folder.

  • Do not date or release the notice, if a new notice is prepared.

  • Return the corrected case and folder to the review component.

Refer to DI 27530.001 DI 27530.025 for instructions on completing the SSA-831-C3/U3 and notices in reopening cases.