When collateral estoppel does not apply, the DDS must complete development and make
a new determination. For more information on when collateral estoppel does not apply,
see DI 27515.001E.
When evidence in the new claim indicates MI or a potential specific exception to MI,
a CDR is required regardless of when the periodic review is scheduled. When a required
age 18 disability redetermination has not yet been performed, conduct an age 18 redetermination
instead of a CDR.
An age 18 redetermination is not appropriate if the individual has otherwise had a
favorable determination under the adult initial claims standard after attainment of
age 18. For additional guidelines on identifying and reviewing a case for an age 18
redetermination, see DI 23570.010A.2.
When a CDR or age 18 redetermination issue is raised, the DDS must resolve the issue
prior to making a determination on the new claim. The DDS will send an assistance
request (AR) for the FO to initiate the CDR or age 18 redetermination and the FO to
notify the beneficiary of the review on the existing entitlement. The DDS must adjudicate
the new claim and the applicable CDR or age 18 redetermination on the existing entitlement
at the same time to ensure that, in the event of a cessation, both claims will move
through the appeals process together. Follow regional guidance for AR follow up timeframes.
In this situation, the Multiple Pending Cases (MPC) will consist of two different
classification folders (initial and CDR). For instructions on MPC folders and processing
an initial claim with a CDR, see DI 81010.030D.
When the prior favorable determination or decision is not in the certified electronic
folder (CEF), the DDS will request the prior paper folder for the CDR when it was
not requested by the FO.