It will be necessary to contact the payee or others to determine whether the child
is receiving treatment only if there is no evidence in the file to this effect. The
file will often contain sufficient evidence to eliminate the need for such contacts.
Examples of sources of evidence that the treatment is being received include, but
are not limited to, reports from medical sources, reports from the payee or other
third parties, and photocopied prescription receipts. Of course, if you know that
treatment is unavailable (see paragraph 2.b.) or if the condition is not amenable
to treatment (see paragraph 2.e.), you would not need to develop this issue either.
For those cases in which the evidence shows that the child is and has been receiving
treatment prescribed by a TS for the disabling condition(s), consider the treatment
to be medically necessary and available. Provided the payee is and has been making
a good-faith effort to follow the requirements of the treatment, enter the following
remark in item 24 of the SSA-832-C2/U3:
“In treatment.” Also enter list code “281” in item 34.
Also enter this remark if the payee is and has been making a good-faith effort to
follow the requirements of treatment prescribed by a “medical source,” as defined
in DI 22505.001B.2. (See also the “NOTE” under DI 28005.031B.1.d.)