After receiving sufficient medical and vocational evidence that indicates the claimant’s impairment(s) meets or equals criteria in the Listing of Impairments or that medical and vocational factors indicate a fully favorable determination, no further development is necessary.

In these cases, submit the evidence to a medical or psychological consultant (MC/PC) to determine the sufficiency of the evidence and to assess the severity of the impairment(s).

In concurrent cases, if there is not at least one fully or partially favorable claim in the case, remove the case from CAL and QDD processing, using as a removal reason, “All Claims in the case are denials”.

NOTE: MCs and PCs must give priority to QDD and CAL cases.

Remove the CAL and QDD indicator if any of the following apply:

When you obtain all necessary evidence and make a medical determination, complete the:

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  processing,

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  disposition, and

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  route the case (For routing instructions see DI 32005.025).

Ensure that the Certified Electronic Folder (CEF) Indicator is correct and that you forward any paper folders associated with the CEF to the next location.

NOTE: If the Office of Quality Review (OQR) selects this case for Federal quality review and the electronic file also has a paper folder, the DDS must mail the folder to the reviewing office.

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  DI 23022.055 Actions on Compassionate Allowances and Disability Determinations Fast-Track Cases

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  DI 26500.000 Initial Case Processing

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  DI 26510.000 Completion of Form SSA-831-C3/U3 – Title II, Title XVI, and Concurrent Claims