GN 04440: Federal Quality Review of Disability Determinations
TN 8 (06-04)
A. Introduction
A group I medical documentation deficiency involving onset exists if the correct date (i.e., either the DLI, prescribed period for a disabled widow/er claimant or age 22 for a childhood disability claimant) is clearly documented, and the medical evidence in file does not support the onset date established by the adjudicating component; i.e., the correct onset date could be after the DLI, prescribed period or age 22.
B. Policy — Corrective Action
Send group I medical documentation deficiencies involving onset to the adjudicating component for corrective action.
C. Procedure — Review Component
For group I medical documentation deficiencies involving onset, take the following action:
Prepare an SSA-1774-U5 and send the case to the adjudicating component.
-
Ask the adjudicating component to:
Develop the medical documentation.
Return the case to the review component.
Send a copy of the SSA-1774-U5 to the regional CD or follow established regional procedures if CD does not wish to receive copies of all deficiency returns.
Notify the FO either by sending a copy of the SSA-1774-U5 or by other means such as a telephone call if an early alert was sent per GN 04440.201E.3. See also DI 11010.340.
Code the group I deficiency and enter the review findings into DICARS.
Ensure results data input when the case is returned.