If an individual, who was originally found disabled under a State plan, continues
to be disabled based on the current Federal CDR evaluation process, follow the usual
rationale procedures. If the individual is found “not disabled” after the CDR evaluation
process, the individual will be evaluated under the appropriate State plan, using
the medical improvement review standard. Provide a summary 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, 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 more information on conversion cases, see DI 28075.010.