Advances in medical or vocational therapy or technology are improvements in treatment
or rehabilitative methods that have increased the individual’s ability to do basic
In virtually every case meeting this exception, there will be medical improvement
(MI) related to the ability to work. Because we consider MI and MI related steps before
this exception, the exception is rarely developed and used. If this exception applies
based on advances in vocational therapy or technology, the vocational therapy exception
would also apply. The vocational therapy exception is in DI 28020.150. For more information regarding MI and relating MI to the ability to work, see DI 28010.001 Medical Improvement Related Issues and DI 28015.001 Context and Scope to Relate Medical Improvement (MI) to the Ability to Work.