TN 2 (08-15)
DI 28090.050 Rationale Content - Whether Medical Improvement (MI) is Related to Ability to Work
A. MI found
When the findings demonstrate MI (a decrease in the medical severity of an impairment), the rationale will:
B. Impairment met or equaled at CPD
The rationale must indicate that if the CPD impairment(s) met or equaled a listed impairment but the impairment no longer meets or equals that same listing, MI is related to ability to work.
C. CPD was a medical-vocational decision
If the CPD was a medical-vocational decision, the rationale must include an explanation of the functional limitations (e.g., the ability to lift and carry, sit, stand, and walk) based on the medical findings and a statement of residual functional capacity (RFC). Compare this explanation with an assessment of the “MIRS RFC” (current functional capacity considering only the impairments that were present at the CPD). For more information on the “MIRS RFC”, see DI 28015.300.
D. Multiple impairments
When multiple impairments were present at the CPD, the rationale must show that the combined effect of all those impairments has been considered in the current determination and indicate whether there has been a change in such combined effect since the date of the CPD.
DI 24510.001 Residual Functional Capacity (RFC) Assessment – Introduction
DI 28015.001 Context and Scope — Relating MI to Ability to Work
DI 28015.850 Types of Residual Functional Capacity (RFC) Assessment(s) Needed
DI 28090.070 Rationale Content - Statement of Residual Functional Capacity (RFC)