Disability work simplification initiatives were developed to improve productivity
and maintain high quality in the disability program. One initiative allows disability
examiners the option to prepare a supplemental determination rationale if there is
duplicate information documented elsewhere in the file.
Adjudicators may prepare a simple “supplemental” rationale for issues not documented
elsewhere in the file, instead of the “summary” rationales required in DI 28090.000.
NOTE: A summary rationale may still be prepared when required by Federal or State agency
management, e.g., for training or other purposes.
The chart in DI 28091.005 presents the issues in the current disability decision-making process that require
rationalization and where these issues are usually documented in the file. Specific
instructions outlining these situations are in DI 28091.010.
NOTE: Some sites use the Electronic Claims Analysis Tool (eCAT) for documenting electronic continuing disability review (CDR) case analysis. In eCAT,
users document each step of the CDR evaluation process. eCAT provides a complete claim
explanation in one document, the Disability Determination Explanation (DDE), which
is imaged to the electronic folder case documents (A. Payment Documents/Decisions
(Yellow Front)). Adjudicators should follow the eCAT User Guide and their site’s business process to document information not contained elsewhere
in the file or DDE. For additional guidance on eCDR rationales, see DI 81020.230