If an individual, who was originally found disabled under a State plan, continues
to be disabled based on the current Federal CDR evaluation process, the adjudicator
will follow the usual rationale procedures. If the individual is found “not disabled”
after the CDR evaluation process, the adjudicator will evaluate the individual under
the appropriate State plan, using the medical improvement review standard. The adjudicator
must provide a discussion supporting this conclusion as part of the rationale.
NOTE: In concurrent Title II/Title XVI cases that need a decision under the State plan
for the Title XVI case, in eCAT prepare two Forms SSA-4268 (Explanation of Determination). The Title XVI rationale can incorporate the Title
II rationale before including the evaluation of the case under the appropriate State
plan. For cases in DCPS, follow current instructions. For more information on conversion
cases, see DI 28075.010.