In unusual close-call situations, an MC/PC may wish to use the PRTF as an aid in making
the MI decision. When using the PRTF to aid in assessing MI, use two forms:
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•
one for the CPD (may be in file from the CPD), and
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•
one showing current status of (only) the mental impairment(s) present at the time
of the CPD (may be in file from the meets/equals step).
While the PRTF may be used as an aid, the MI decision must be based on actual changes
(or absence of change) in symptoms, signs, or laboratory findings.