Identification Number:
QR 04440 TN 9
Intended Audience:OQR
Originating Office:OARO Office of Quality Review
Title:Federal Quality Review of Disability Det
Type:POMS Full Transmittals
Program:All Programs
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM

Part QR – Quality Review

Chapter 044 – Quality Appraisal

Subchapter 40 – Federal Quality Review of Disability Det

Transmittal No. 9, 07/23/2025

Originating Component

OQR

Effective Date

Upon Receipt

Background

Quality Review is moving materials from Part GN Chapter 044 to the appropriate Part QR new Chapter 044. This new section is part of a conversion series of Quality Review GN sections to the new QR Chapter 044.

Summary of Changes

QR 04440.230 Introduction to Technical Corrective Actions (TCAs)

We copied GN 04440.230 to establish QR 04440.230.

QR 04440.230 Introduction to Technical Corrective Actions (TCAs)

A. TCAs

A TCA is an instance of noncompliance with statutory, regulatory, or administrative requirements. There is no expectation for TCAs to affect the disability determination or the period of disability, but non-compliant policy case actions must be corrected. TCAs are:

  • Identified during the review process, but not covered by the formal group I or group II deficiency definitions; or

  • Identified in a non-sample case, regardless of whether the group I or group II deficiency definitions cover the incorrect action.

B. Substantive TCAs

A substantive TCA alters some element related to the conclusion in the case. Substantive TCAs include the regulation basis code TCA and incorrect actions in a non-sample case where the group I or group II deficiency definitions cover the incorrect action.

See GN 04440.231 for definitions, handling, and correction of substantive TCAs.

C. Non-substantive TCAs

A non-substantive TCA does not have an impact on the conclusion of the determination.

Types of non-substantive TCAs include, but are not limited to:

  • 12-month medical evidence of record (MER)

  • Diary entry

  • Medical or vocational documentation

  • Notice

  • Determination form

  • Medical assessment form

  • Un-imaged disability determination explanation (DDE)

  • Mental impairment case

  • Unsigned consultative exam (CE)

  • Capability development

See GN 04440.232 for definitions, handling, and correction of non-substantive TCAs.

Regardless of whether the TCA is substantive or non-substantive, both types MUST be corrected.



QR 04440 TN 9 - Federal Quality Review of Disability Det - 7/23/2025