Send the case to the FO for a full CDR if:
The individual, payee, or representative reports medical improvement that raises a
continuing disability (CD) issue.
Conflicts exist between statements made by the individual, payee, or representative
and the evidence in file regarding the CPD, and such conflicts raise a CD issue.
The individual’s medical source or other third party contact indicates work activity
since the CPD.
Based on disability determination services (DDS) review, a cessation appears appropriate.
The evidence does not clearly show existence of MINE or MINE-equivalent impairment
(including lost folders).
Reported medical improvement does not automatically raise a CD issue. If it is clear
that an individual’s impairment(s) still meets or equals the severity of a listing
(e.g. a double amputee), then any reported medical improvement could not reasonably
be expected to result in a cessation.
Where a listing is met or equaled, only the nonmedical exceptions such as fraud or
similar fault, failure to cooperate or return to work would be expected to result
in a cessation.
EXAMPLE: The evidence of record in the CPD shows the individual has ischemic heart disease
which met Listing 4.04Al. Contact with the individual shows no work, but he indicates
he has had heart surgery and reports some improvement in his condition. Contact with
the medical source addresses the surgery and the issue of medical improvement. Because
the medical source indicates that the surgery has significantly improved the individual’s
condition, a medical cessation is possible. Send the case to the FO for a personal
contact and a full CDR.