ALJs will use the guidance in subsection VII, Q&A, when
readjudicating the claim.
Per 20
CFR 404.985(b)(2) and 416.1485(b)(2),
the readjudication decision is limited to consideration of the issues
covered by the Earley AR and is subject to administrative and judicial
review.
To determine whether application of the Earley AR would change
the final decision of the interim period case, the ALJ must consider
the findings contained in the final decision of the earlier claim as
evidence in light of all relevant facts and circumstances. In determining
the probative value of such a prior finding, the ALJ will consider the
factors described in subsection VII, Q&A 3.
If the prior decision on the subsequent claim remains
unchanged as a result of readjudication or does not result in an
outcome more favorable to the claimant, the ALJ will issue a No
Change in Outcome readjudication decision explaining why the Earley
AR would not change the prior decision or result in a more favorable
decision. The No Change in Outcome readjudication decision will notify
the claimant that the prior decision remains the final decision of
the agency. The notice of No Change in Outcome readjudication decision
will include the language for appeal rights. See SHOP
section 1.4 for the appropriate language to use in the readjudication
decision and notice of readjudication decision.
The ALJ will not take any action
that would result in a less favorable outcome than the interim period
decision.
If application of the Earley AR results in a more favorable
outcome, the ALJ will issue a favorable readjudication decision. If a
readjudication decision is fully favorable or is a partially favorable
decision where the established onset date is later than alleged (i.e.,
partially favorable later onset), the claimant's disability is considered
to continue through the present.
If the ALJ issues a favorable readjudication decision and a
subsequent application is pending at another component, or the component
has issued a less than fully favorable determination or decision on the
subsequent application, Hearings level staff must alert the subsequent
application component of the favorable readjudication decision (see also,
subsection VI).
If the claimant filed a subsequent
disability application after the interim claim that resulted in an
allowance, the readjudicating ALJ will not disturb the subsequent
allowance.