A regulation basis code TCA, also known as a decision basis code TCA, occurs when the adjudicating component completes the regulation basis code incorrectly on either the:

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  SSA-831-C3/U3 (Disability Determination and Transmittal---Item 22, Regulation Basis Code),

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  SSA-832-C3/U3 (Cessation or Continuance of Disability or Blindness Determination and Transmittal-Title XVI---Item 11 or 12, “Reason For Continuance” or “Reason For Cessation), or

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  SSA-833-C3/U3 (Cessation or Continuance of Disability or Blindness Determination and Transmittal-Title II---Item 11 or 12, “Reason For Continuance” or “Reason For Cessation".

A group I or group II deficiencies in a non-sample case (e.g., the non-sample claim in a concurrent title II/title XVI claim selected for the quality assurance sample) are considered TCAs regardless of whether the group I or group II definitions covers the incorrect action.

See GN 04440.202, GN 04440.203, and GN 04440.204 for definitions of group I and group II deficiencies.

The review component must:

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  notify the adjudicating component of the needed correction via Request for Case Action (SSA-847-U3) or Request for Corrective Action (SSA-1774-U5) and

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  return the case to the adjudicating component for correction.

The review component must:

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  assume jurisdiction and prepare an amended determination,

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  prepare a new notice and rationale, (if necessary),

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  enter the statement “SSA jurisdiction exercised. This amends the unapproved adjudicating component determination of MM/DD/YY”, in item 34 of the SSA-831 for initial or reconsideration claims,

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  enter the statement “SSA jurisdiction exercised. This amends the unapproved adjudicating component determination of MM/DD/YY", on the SSA-832 or SSA-833 for CDR claims, and

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  prepare a Request for Case Action (SSA-847-U3) or Request for Corrective Action (SSA-1774-U5), explaining the reason for the regulation basis code change.

EXCEPTION: If the incorrect regulation basis code is due to an obvious typographical or data error, the review component may correct the regulation basis code entry on the determination form without assuming jurisdiction.

If the incorrect action occurs in a non-sample claim and the group I or group II deficiency or TCA definitions cover the incorrect action, the review component follows the corrective action procedures indicated for that deficiency or TCA.

NOTE: Create a Request for Case Action (SSA-847-U3) when citing TCAs per GN 04440.505, or an SSA-1774-U5 per GN 04440.501.

For information regarding group I and group II deficiencies, see GN 04440.202, GN 04440.203, and GN 04440.204. For additional information regarding TCAs, see GN 04440.230, GN 04440.231, and GN 04440.232.