POMS Reference

GN 03103: Hearings (Title II and Entitlement Under Title XVIII)

TN 21 (01-12)

A. Process for routing the decision

The ALJ sends a copy of the ALJ decision to the claimant, the claimant’s appointed representative, and field office (FO) and places a copy in the folder. The ALJ routes the case as follows:

  • If the ALJ affirms the reconsideration determination or dismisses the request for hearing, the ALJ routes the folder to Social Security Administration National Records Center (SSANRC).

  • If the ALJ decision reverses the reconsideration determination, (favorable to claimant), the ALJ sends the folder to the PC for effectuation. In a disability claim disallowed on non-disability factors, if the ALJ renders a favorable decision on the non-disability factors he or she returns the case to the State Disability Determination Service (DDS) for a determination on the disability factors.

  • For a partially affirmed and partially reversed reconsideration determination, the ALJ determines whether to send the folder to Office of Analytics, Review, and Oversight, Office of Appellate Operations (OAO) in Falls Church or to the PC, depending on the situation.

EXAMPLE: If there is a $1,000 overpayment and the ALJ waives recovery of $200 only, the ALJ sends the folder to OAO in Falls Church.