Adjudicators must prepare a rationale (using SSA-4268, claims communication, or other approved method) for continuances and cessations
to reflect all applicable steps in the CDR evaluation process, present an explicit
explanation of the determination including the documentation used to support the decision,
and incorporate the medical improvement review standard (MIRS). The rationale should
contain the following elements:
A listing of the sources on which the comparison point decision (CPD) was based.
A listing of all new sources of medical evidence when contact was made with a medical
A brief statement indicating the established onset date, the basis for the most recent
prior favorable determination, and the reason the current medical review has been
A brief statement outlining the reasons the individual gave for believing he or she
is still disabled, as appropriate.
A statement of nonmedical issues (whether the individual is engaging in substantial
gainful activity, work activity, vocational rehabilitation involvement (301 cases),
The findings of fact showing the existence of the MINE or MINE-equivalent impairment
and showing how the current development verifies those findings. The findings of fact
summarized in this determination along with the current verification will serve as
the basis of comparison in any future CDR. Include a statement regarding medical improvement
and a statement that a continuance is appropriate.
NOTE: Summary rationales largely contain information documented elsewhere in the file.
If this is the situation, a simplified “supplemental” rationale may be used as described
28091.000 instead of the summary rationale.