With the introduction of the CDR mailer process (DI 40502.000), medical CDR alerts no longer require screening. The PC reviews the completed mailer
and profile data sheet to decide when full medical CDRs are required. If a full medical
CDR is not necessary, the case is re-diaried. Based on PC input, the system produces
alerts only for those cases in which full medical CDRs are needed. References to FO screenout
and discontinuance have been deleted. However, there are still instances in which
an FO may defer, or DDS may discontinue a CDR.
The FO may defer a CDR if it would be inappropriate or very inconvenient due to beneficiary
hospitalization, travel, etc. With RO approval, the FO may also defer a case in life-threatening
situations (DI 13005.020). A case can be deferred for up to 6 months.
The DDS ordinarily completes all CDRs received from the FO, but may discontinue a
CDR if the case is particularly sensitive (e.g., AIDS or any other terminal impairment).
The component responsible for discontinuing the CDR must notify the beneficiary.