The CDR process is to determine if an individual’s impairment(s) has improved since
the most recent favorable determination (or if an exception to MI applies). In Title
II and adult Title XVI cases, we will determine if the person can perform substantial
gainful activity (SGA). In Title XVI child cases, we will determine if the child's
impairment(s) currently causes marked and severe functional limitations. For the definition
of a “child”, see DI 25201.001D. During the review, we will make every reasonable effort to develop a complete 12-month
medical history, obtain current information about the disabled individual's physical
and mental impairment(s), and any work activity.
Different procedures apply in cases where MI is not expected (MINE); see “Medical
Improvement Not Expected (MINE) or Medical Improvement Not Expected – Equivalent (MINE-Equivalent)
Cases” in DI 28040.000.
We review information concerning the individual's prior impairment(s) to decide whether
the individual remains disabled under the MIRS, see DI 28005.000. If we find that an individual does not meet the disability criteria of the law,
we must suspend or terminate benefits and freeze periods. If we determine that an
individual is no longer disabled, we will send the individual a notice of the cessation
determination. We will give the individual an opportunity to appeal the cessation
and to request that benefits continue during the appeal process until the administrative
law judge or Disability Hearing Officer renders a decision. The procedures that relate
to continuing disability apply to both Title II and Title XVI, unless otherwise noted.