BASIC (03-86)

DI 42001.005 Assignment of Responsibilities Chart

  Responsibility
Type of MaterialDEDEC (DRS) RECONE (ODO)

A. Evidence Only

    
1.Last Determination as Initial Decision (Allowance, Denial, Closed Period)  
 a. Screening of evidenceX 
 b. Disposition of repetitious and cumulative evidence--“NAN” actionX 
 c. Continuing disability review (Allowances)X 
 d. Instituting reopening action in DDS or ODO/DRS Case--Decision approved by ODO/DRS  
 1) No payment madeX 
 2) Payment madeX 
 e. Final review and revision of reopened DDS or ODO/DRS determination X
 f. New determination by DDS--no reopeningX 
2.Last Determination a Cessation or Continuance  
 a. Screening of evidenceX 
 b. Disposition of repetitious and cumulative evidence--“NAN” actionX 
 c. Continuing disability reviewX 
 d. Instituting reopening action in DDS or ODO/DRS Case--Decision approved by DE  
 1) No payment madeX 
 2) Payment madeX 
 e. Final review and revision of reopened DDS or ODO/DRS determination X
 f. New determination by DDS--no reopeningX 

B. New Application

3.Last Determination a RECONE, ALJ, AC or Court Decision Screening and disposition of evidence relating to prior decisions, including reopening and referrals to ALJ or AC X
1.Received Without Reconsideration, Hearing or AC Review Request--Determination Last Rendered by DE or RECON (No ALJ Decision)  
 Complete processing of application including reopening of prior initial or reconsideration determination and final review 1X 
2.Received Without Reconsideration, Hearing or AC Review Request--ALJ or AC Decision Last Rendered  
 a. Complete processing of application for new adjudicative period.X 
 b. Issue of reopening within 4 years of initial determination notice--referral to ALJ or AC X
 c. Issue of revision after 4-year period for reopening--adjudicating new application on the meritsX 
3.Received With Reconsideration, Hearing or AC Review Request  
 a. Disposition of request, including referrals to ALJ or AC X

C. Correspondence

 b. Complete processing of application with reconsideration action X
1.No request for Reconsideration, Hearing or AC Review controlled or non-controlled correspondence requests explanation of decision, report of actions taken or other informational requests  
 a. Last determination by DDS, ODO/DRS (Allowance, Denial, closed period)X 
 b. Last determination by DDS, ODO/DRS (Cessation, Continuance)X 
 c. Last determination by RECONE, ALJ, AC or Court X
*2.Request for Reconsideration  
 a. Acknowledgment and Development  
 1) Request Received by DEX 
 2) Request Received by RECONE X
 b. Final Review and Adjudication X
3.Request for Hearing or AC Review--Controlled and Non-Controlled Correspondence  
 Disposition of correspondence and request X

* If the DO has already conducted a reconsideration interview or if folder contains an SSA-561-U2, refer case directly to the RECONE/DEC. Do not acknowledge or develop.

1 File should be referred to a RECONE/DEC to determine if prior application date can be reopened.

Individual offices may issue local instructions regarding assignment of responsibilites which differ from this chart.

Regardless of type of material, any case with a CURRENT COURT ACTION PENDING must be referred immediately to Division of Appeals Processing (DAP) Attn: Recon Staff. In the PSC's these cases will be routed to the Disability Review Section (DRS) Attn: DEC. Material which raises a question about a completed court decision or the ensuing rights should be referred by the RECONE to the Office of Regulations, Attn: Litigation Staff, 3 B 6, Operations.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0442001005
DI 42001.005 - Assignment of Responsibilities Chart - 09/20/2012
Batch run: 09/20/2012
Rev:09/20/2012