TN 1 (09-10)

DI 32005.080 Disability Determination Services Reconsideration Title XVI-Only Reversal Routing – Paper Case Only

A. Appointed representative or representative payee

In all title XVI reconsideration reversals, where the claimant has an appointed representative or needs a representative payee, use the SSA-408 (Route Slip) to advise the Field Office (FO) to prepare and release a copy of the award notice to the representative. When the claimant has an appointed representative, instruct the FO to add the following to the original and all copies of the award notice: “A copy of this notice was sent to (name of appointed representative) on (date notice was released).”

B. Deferred development

If the initial SSA-831 (Disability Determination and Transmittal) is annotated “Deferred Development”, indicate “Deferred Case - Recon Reversal” on the SSA-408.

C. Chart of special situations, destinations and special SSA-408 entries

Special Situation

Destination

Special SSA-408 Entries

Fully or Partially Favorable—DDS Input NOT Made

FO

“Title XVI Allowance on Recon. FO must prepare allowance notice. Decisional data not transmitted.”

Claimant Deceased

FO

SSI Claimant Deceased—Claim allowed - Decisional data not transmitted. FO must prepare allowance notice.

Claimant Deceased—Surviving Eligible Spouse

FO

SSI Claimant Deceased—Claim allowed - Decisional data not transmitted. FO must prepare allowance notice. Please input for underpayment due spouse.

Claimant Deceased—Medicaid Eligibility

FO

SSI Claimant Deceased—Claim allowed - Decisional data not transmitted. FO must prepare allowance notice. Please notify Welfare of Medicaid eligibility.

System Limitation

FO

“System Limitation”. FO must prepare allowance notice.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0432005080
DI 32005.080 - Disability Determination Services Reconsideration Title XVI-Only Reversal Routing - Paper Case Only - 09/02/2010
Batch run: 09/02/2010
Rev:09/02/2010