TN 1 (09-10)

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

For electronic cases, follow the instructions in DI 81020.115.

NOTE: Reopenings of favorable reconsideration determinations based on medical factors are the jurisdiction of the disability hearing unit.

A. Fully or partially favorable revision

Source of Reopening Issue

Destination

Special SSA-408 Entries

   

Title II only:

  

Field Office (FO) or Disability Quality Branch (DQB) Via Form SSA-1774 (Request for Corrective Action)

FO, DQB,
or destination specified on SSA-1774 (Request for Corrective Action)

“Title II Favorable Reopening”

If an appointed representative is involved add:

“Prepare and release a copy of the award notice to the appointed representative.”

Current Application Pending

FO

Title II—Favorable Reopening. Associate Title II non-disability material and send to ODO.

Any Other

FO

Title II—Favorable Reopening

If an appointed representative is involved add:

“Prepare and release a copy of the award notice to the appointed representative.”

   

Title XVI Only :

  

Current Application Pending

FO

Title XVI Favorable Reopening—Prior Denial Reversed. Prepare T50 and new SSA-450S.

If an appointed representative is involved add:

“Prepare and release a copy of the award notice to the appointed representative.”

FO or DQB Via SSA-1774

FO, DQB,
or destination specified on SSA-1774

Title XVI Favorable Reopening. Decisional data not transmitted.

If an appointed representative is involved add:

“Prepare and release a copy of the award notice to the appointed representative.”

Other, No Current Application

FO

Title XVI Favorable Reopening—Prior Denial Reversed—Effectuate Payment

If an appointed representative is involved add:

“Prepare and release a copy of the award notice to the appointed representative.”

   

Concurrent Title II - Title XVI:

  

FO or DQB Via SSA-1774

FO, DQB,
or destination specified on SSA-1774

Concurrent Title II - Title XVI Favorable Reopening—Decisional Data Not Transmitted

If an appointed representative is involved add:

“Prepare and release a copy of the award notice to the appointed representative.”

Initial Case Pending

FO

“Concurrent Title II-Title XVI Favorable Reopening. Retain Title XVI SSA-831 and non-disability material. Associate Title II non-disability material and photocopy of Title XVI SSA-831 with folder and send to OCO.”

If an appointed representative is involved add:

“Prepare and release a copy of the award notice to the appointed representative.”

Any Other

FO

“Concurrent Title II-Title XVI Favorable Reopening—Prior Denial Reversed—Decisional Data Not Transmitted”

If an appointed representative is involved add:

“Prepare and release a copy of the award notice to the appointed representative.”

   

B. Adverse revision

Source of Reopening Issue

Destination

Special SSA-408 Entries

   

Title II Only :

  

FO or DQB Via SSA-1774-U4

FO, DQB,
or destination specified on SSA-1774

“Title II Adverse Revision—Benefits Continuing”

Any Other

FO

“Title II Adverse Revision—Benefits Continuing”

   

Title XVI Only:

  

FO or DQB Via SSA-1774-U4

FO, DQB,
or destination specified on SSA-1774

“Title XVI Adverse Revision—Benefits Continuing”

Any Other

FO

“Title XVI Adverse Revision—Benefits Continuing”

Concurrent Title II - Title XVI:

  

FO or DQB Via SSA-1774-U4

FO, DQB,
or destination specified on SSA-1774

“Title II-Title XVI Adverse Revision—Benefits Continuing”

Any Other

FO

“Title II-Title XVI Adverse Revision—Benefits Continuing”

C. No revised determination necessary

When review of a case indicates no reopening and revision action is warranted, then route the case to the referring office with the following:

“No change in determination dated            ; revised determination not necessary.” Insert latest date from items 38 or 33 of the SSA-831 considered for revision.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0432005095
DI 32005.095 - Disability Determination Services Reopenings and Revisions Case Routing -- Initial and Reconsideration - Paper Cases Only - 09/02/2010
Batch run: 09/02/2010
Rev:09/02/2010