DI 81010.242 Unable-to-Locate (UTL) Paper Comparison Point Decision (CPD) Folder
In section A, the Background, we reworded some of the language to provide clarification. We added OHO and OAO as adjudicating components. We added language about the FO procedures in this section for locating the CPD paper folder for CDR cases before and after transfer. We added POMS reference DI 13015.092 to clarify that regardless of the outcome of the CDR determination, the CPD folder should always travel with the CDR until a final determination is made on the CDR and the appeals period has expired.
We added a NOTE and POMS reference for locating CPD paper folder for Age 18 redeterminations.
We removed "Claims Representative" and replaced it with "Claims Specialist" throughout the entire section.
In section B.1, we reworded some language to provide clarity.
In section B.1. NOTE, we spelled out Personal Communications for PCOM acronym. We captitalized Main Menu.
In section B.2, we added information about how to generate the Unable to Locate 5002 in the Automated Folder Location Website.
In section B.2, we reworded some of the language in the bulleted list to provide clarify. We removed the claim type acronyms, but kept Disability Insurance Benefits (DIB) as a claim type example.
In section B.2, we clarified that the FO should only upload the queries that were used to locate the CPD paper folder. We removed the table of queries since most of those queries do not provide folder location information.
In section B.2, we removed EDCS since documenting in this section is referring to uploading form 5002 into the electronic folder.
In section B.3, we reworded language to clarify that if the FO cannot locate the CPD paper folder, to advise the claimant that he or she may be contacted for additional information. We added OHO and OAO. We also provided some POMS references for lost or destroyed folders.
In section C, we spelled out electronic disability collect system (EDCS). We added where in DI 81010.230B.2 the FO could get information about annotating in EDCS that the CPD folder is lost.
In the NOTE of section C, we reworded language to specifically clarify that EDCS requires an entry in the CPD date field, and about the date possibly not being accurate.
In section D, we added OHO and OAO as destination offices.
In section D, bullet number 4, we clarified that eView will highlight the question about the paper folder.
In section D, bullet number 6, we added a POMS reference about DDS procedures for reconstructing a prior folder.
In section D, we also removed the latter part of the 7th bullet.
In section D, we removed the 8th bullet since the FO faxes paper form 454 into the electronic folder.
In section D, we removed the last bullet since everything for the CDR is in the electronic folder, and there is nothing to mail to the DDS.
In section E, we broke down this one section into four procedures.
Procedure number 1 is for when an initial CDR is still pending with the DDS, OHO, and OHO.
Procedure number 2 added missing steps to include the FO reactivating closed CDR case in EDCS/eView before mailing CPD folder. These procedures only apply to CDR cases closed out by the DDS since the FO can reactivate DDS determinations in EDCS/eView. We also removed decision and replaced it with determination. We added Processing Medical Reactivations POMS reference DI 81020.117, and verbiage instructing the FO reach out to the DDS, DPB, or FDU before medically reactivating a claim. I also added POMS references DI
28501.001 and DI 28080.001 about DDS policies for reopening and due process for CDRs.
Procedure number 3 is for when there is a CDR appeal pending with the DDS, OHO, or OAO.
Procedure number 4 is for when a CDR is closed out by a hearing office or Appeals Council. The FO cannot reactivate hearing or appeals council level cases in EDCS/eView, so added procedures for mailing CPD folder with routing slip and remarks that the HO or Appeals Council should review CPD paper folder and reactivate closed CDR case in eView for possible reopening. I also added language about the HO or Appeals Council referencing their reopening and due process policies.