All the rationale elements described in DI 26515.001 ff., DI
27020.001 ff., and DI 28090.001 ff. must be documented in all wholly unfavorable or partially favorable childhood
disability determinations. A full rationale is not required in fully favorable determinations.
(The simplified rationale procedures in DI 26516.001 ff., DI 28091.001 ff., and DI 27021.001 ff. do not apply in childhood cases that require a rationale.)
Most rationales are completed on an SSA-4268-U4/C4. However, if the SSA-538 (Childhood
Disability Evaluation Form - see DI 25230.001 ff.) includes all the required rationale elements, it is not necessary to complete an SSA-4268-U4/C4.
If the SSA-538 does not contain all the required rationale elements and an SSA-4268-U4/C4
must be completed, the findings in the SSA-538 may be incorporated by reference in