If the adjudicator determines the initial medical cessation determination was correct
during the appeal, the adjudicator will then:
-
•
Determine if the individual has again become disabled at any time through the date
of their determination or decision because of a worsening of an existing impairment
or the onset of a new impairment(s), if all other requirements for a period of disability,
including the duration and insured status requirements are met.
-
•
Evaluate severity and duration requirements for the new impairment(s) under the initial
disability sequential evaluation process discussed in DI 22001.001.
If the adjudicator determines that the medical cessation date in a Title II case (or
the Title II portion of a concurrent medical disability cessation case) was appropriate,
but evidence also shows that the beneficiary had again become disabled at any time
through the date of their determination or decision due to worsening of an existing
impairment or by the onset of a new impairment, the adjudicator will evaluate disability
through the date of the appeal determination or decision.
This eliminates the need for filing a new application for reentitlement in Title II
cases. In Title XVI cases, a new application is not required if a Title XVI recipient
again becomes disabled while an appeal is pending. See SSR
13-3p.