When the Social Security Administration (SSA) receives a medical diary alert:

1. a. 

   Locate and associate the folder(s);

2. b. 

   Review the case(s) to ensure that a CDR is appropriate; and

3. c. 

   Forward the case(s) to the field office (FO) for processing. For information on processing medical diary alerts, see DI 40505.001 through DI 40505.005.

Alert the FO if the file indicates the beneficiary demonstrates potential suicidal or homicidal behavior. Before processing cases involving suicide or homicide see DI 40505.001D.3.

Based on a review of the record for Section 1619 CDR cases, the FO determines if the beneficiary needs a CDR. For information on processing Section 1619 CDR cases, see DI 40540.001.

The Office of Earnings and International Operations (OEIO) process all foreign CDR cases.

Great Lakes Program Service Center (GLPSC) coordinates railroad CDRs with the Railroad Retirement Board, and makes the CDR determination(s) for career railroad and dependent annuitant cases. Also, see DI 44001.140 Continuing Disability Reviews for Railroad Cases.

To establish case diaries, use the guidelines in DI 26525.001 Scheduling Continuing Disability Reviews (CDRs) – General Policies.

Record the diaries on the SSA-832 (Cessation or Continuance of Disability or Blindness Determination and Transmittal – Title XVI) or SSA-833 (Cessation or Continuance of Disability or Blindness Determination and Transmittal – Title II). For further information, see DI 40505.300 Diary Coding of Continuance Determinations.

PCs perform PER on a percentage of Title II continuance cases in cases involving disability determination services (DDS) determinations. This can occur before or after the disability examiner (DE) takes action to make payment or notifies the beneficiary.

See also:

• •

  DI 40115.001 Processing Centers (PCs) Ability to Change Initial Disability Determination Services (DDS) Determinations

• •

  DI 40505.305 Pre-effectuation Review (PER) References

Whenever a CDR issue rises, initiate CDR processing, regardless of whether a diary matured. See, DI 40505.100 Medical Improvement Expected (MIE) Cases with Work Activity.

See DI 13001.010 Component Responsibilities for Continuing Disability Review (CDR) Cases.

For information regarding the DDS responsibilities with other components during a CDR, see DI 28001.005.