A. Evidence Only
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1. |
Last Determination as Initial Decision (Allowance, Denial, Closed Period) |
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a. Screening of evidence |
X |
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b. Disposition of repetitious and cumulative evidence--“NAN” action |
X |
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c. Continuing disability review (Allowances) |
X |
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d. Instituting reopening action in DDS or ODO/DRS Case--Decision approved by ODO/DRS |
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1) No payment made |
X |
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2) Payment made |
X |
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e. Final review and revision of reopened DDS or ODO/DRS determination |
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X |
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f. New determination by DDS--no reopening |
X |
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2. |
Last Determination a Cessation or Continuance |
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a. Screening of evidence |
X |
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b. Disposition of repetitious and cumulative evidence--“NAN” action |
X |
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c. Continuing disability review |
X |
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d. Instituting reopening action in DDS or ODO/DRS Case--Decision approved by DE |
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1) No payment made |
X |
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2) Payment made |
X |
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e. Final review and revision of reopened DDS or ODO/DRS determination |
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X |
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f. New determination by DDS--no reopening |
X |
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B. New Application
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3. |
Last Determination a RECONE, ALJ, AC or Court Decision Screening and disposition of
evidence relating to prior decisions, including reopening and referrals to ALJ or
AC
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X |
1. |
Received Without Reconsideration, Hearing or AC Review Request--Determination Last
Rendered by DE or RECON (No ALJ Decision)
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Complete processing of application including reopening of prior initial or reconsideration
determination and final review 1 |
X |
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2. |
Received Without Reconsideration, Hearing or AC Review Request--ALJ or AC Decision
Last Rendered
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a. Complete processing of application for new adjudicative period. |
X |
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b. Issue of reopening within 4 years of initial determination notice--referral to
ALJ or AC
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X |
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c. Issue of revision after 4-year period for reopening--adjudicating new application
on the merits
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X |
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3. |
Received With Reconsideration, Hearing or AC Review Request |
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a. Disposition of request, including referrals to ALJ or AC |
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X |
C. Correspondence
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b. Complete processing of application with reconsideration action |
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X |
1. |
No request for Reconsideration, Hearing or AC Review controlled or non-controlled
correspondence requests explanation of decision, report of actions taken or other
informational requests
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a. Last determination by DDS, ODO/DRS (Allowance, Denial, closed period) |
X |
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b. Last determination by DDS, ODO/DRS (Cessation, Continuance) |
X |
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c. Last determination by RECONE, ALJ, AC or Court |
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X |
*2. |
Request for Reconsideration |
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a. Acknowledgment and Development |
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1) Request Received by DE |
X |
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2) Request Received by RECONE |
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X |
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b. Final Review and Adjudication |
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X |
3. |
Request for Hearing or AC Review--Controlled and Non-Controlled Correspondence |
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Disposition of correspondence and request |
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X |