Subchapter List for Continuing Disability Review Cases

DI 280: Continuing Disability Review Cases
 DI 28001: Introduction to the Continuing Disability Review (CDR) Process
DI 28001.000: Introduction to the Continuing Disability Review (CDR) Process - Table of Contents
DI 28001.001: What is a Continuing Disability Review (CDR)?
DI 28001.003: An Overview of Processing Continuing Disability Review (CDR) Mailer Forms SSA-455 and SSA-455-OCR-SM
DI 28001.005: Disability Determination Services (DDS) Responsibilities with Other Components during a Continuing Disability Review (CDR)
DI 28001.015: Events That May Initiate a Continuing Disability Review (CDR)
DI 28001.020: Frequency of Continuing Disability Reviews (CDRs)
DI 28001.040: Cases with Vocational Rehabilitation (VR) Involvement (301 Cases)
DI 28001.045: Rollback and Non-rollback Conversion Cases
DI 28001.055: Cases Involving Blindness, Title II
DI 28001.060: Cases Involving Individuals Convicted of a Felony (Prisoner Cases)
DI 28001.065: Reestablishing Title XVI Eligibility Following Suspension or Termination for Non-disability Reasons
DI 28001.070: Benefit Continuation - Policy
 DI 28003: Resumption of the CDR Process
DI 28003.000: Resumption of the CDR Process - Table of Contents
DI 28003.005: Disability Determination Services (DDS) Actions for Screening Continuing Disability Reviews (CDR) and Referrals
DI 28003.010: Deferrals of Continuing Disability Review (CDR) Process
DI 28003.035: Exhibit – Continuing Disability Review (CDR) Process
 DI 28005: The CDR Evaluation Process
DI 28005.000: The CDR Evaluation Process - Table of Contents
DI 28005.001: Legal Standard for Determining if Disability Continues
DI 28005.003: When to Complete an Age-18 Redetermination Instead of a Continuing Disability Review (CDR)
DI 28005.005: Overview of Development in the Continuing Disability Review (CDR) Sequential Evaluation Process
DI 28005.007: Substitution of Judgment (SOJ) During a Medical Continuing Disability Review (CDR)
DI 28005.009: Evidence and Basis for a Continuing Disability Review (CDR) Decision by a Disability Determination Services (DDS) Adjudicative Team
DI 28005.010: Summary Chart of The Continuing Disability Review (CDR) Sequential Evaluation Process for Title II and Adult Title XVI Individuals
DI 28005.015: Step-by-Step Discussion of the Title II and Adult Title XVI Continuing Disability Review (CDR) Sequential Evaluation Process
DI 28005.016: The Continuing Disability Review (CDR) Evaluation Process for Title XVI Adults Originally Allowed as Children Who Attained Age 18 before August 22, 1996
DI 28005.017: Preparation of Comparison Point Decision (CPD) Residual Functional Capacity (RFC) Assessments for Title XVI Adults Found Disabled before Age 18 Based on an Individualized Functional Assessment (IFA)
DI 28005.021: Title XVI: Determining Continuing Disability at Step 2 of the Medical Improvement Review Standard Sequential Evaluation Process for Children Under Age 18 - Functional Equivalence
DI 28005.025: Summary Chart of the Continuing Disability Review (CDR) Sequential Evaluation Process for Title XVI Child CDR Cases
DI 28005.030: Step-by-Step Discussion of the Title XVI Child Continuing Disability Review (CDR) Sequential Evaluation Process
DI 28005.031: Determining If a Representative Payee Sought Medically Necessary and Available Treatment for the Child When Conducting a Continuing Disability Review (CDR) for a Title XVI Disabled Child (DC)
DI 28005.035: Drug Addiction or Alcoholism (DAA) in a Title II or Adult Title XVI Continuing Disability Review (CDR) - Overview of the CDR Sequential Evaluation Process for Considering DAA
DI 28005.040: Drug Addiction or Alcoholism (DAA) In a Title II or Adult Title XVI Continuing Disability Review (CDR) - Summary Chart for the CDR Sequential Evaluation Process When DAA is Present in a CDR
DI 28005.045: Drug Addiction or Alcoholism (DAA) in a Title II or Adult Title XVI Continuing Disability Review (CDR) - Step-by-Step Discussion of the 7-Step DAA Material CDR Evaluation Process
DI 28005.050: Drug Addiction or Alcoholism (DAA) In a Title XVI Child Continuing Disability Review (CDR) Case - Step-by-Step Discussion of the 7-Step DAA Material CDR Sequential Evaluation Process
DI 28005.090: Evaluating Continuing Disability Review (CDR) Cases Involving Blindness
DI 28005.205: Determining the Cessation Month in Continuing Disability Review (CDR) Cases
DI 28005.210: New Impairments or Subsequent Disability in Continuing Disability Review (CDR) Cases
 DI 28010: Medical Improvement and Related Medical Issues
DI 28010.000: Medical Improvement and Related Medical Issues - Table of Contents
DI 28010.001: Definition and Overview of Medical Improvement (MI)
DI 28010.015: Comparison of Symptoms, Signs, and Laboratory Findings When Evaluating Medical Improvement (MI)
DI 28010.020: Comparison Point Decision (CPD)
DI 28010.025: Examples of Cases With and Without Medical Improvement (MI)
DI 28010.029: Overview of How to Evaluate Listings with Time Periods for Which an Impairment is Considered Disabling at the Continuing Disability Review (CDR)
DI 28010.030: Evaluating Listings with a Specified Timeframe at the Continuing Disability Review (CDR)
DI 28010.035: Evaluating Listings with Minimum Time Periods at the Continuing Disability Review (CDR)
DI 28010.040: Evaluating Listings with Age-Based Periods of Disability at the Continuing Disability Review (CDR)
DI 28010.050: Adjudicator and Medical or Psychological Consultant (MC/PC) Roles in Considering Medical Improvement (MI)
DI 28010.055: Medical Improvement (MI) in the Continuing Disability Review (CDR) Evaluation Process When Drug Addiction or Alcoholism (DAA) Is Involved
DI 28010.115: Impairment Subject to Temporary Remission
DI 28010.120: Title XVI Child Cases - Functionally Equivalent Impairments Subject to Specified Reexamination
DI 28010.130: Role of Exercise Tolerance Tests (ETTs) in Medical Improvement Review Standard (MIRS) Comparisons
DI 28010.135: Medical Improvement Review Standard (MIRS) Issues in Adult and Child Cases Involving Mental Impairments
DI 28010.140: Psychiatric Review Technique (PRT) (SSA-2506-BK) in Continuing Disability Reviews (CDRs) for Adult Mental Disorders Listings
DI 28010.145: Mental Residual Functional Capacity Assessment Form (MRFC) (SSA-4734-F4-Sup) in Continuing Disability Reviews (CDRs)
DI 28010.150: Intelligence Quotient (IQ) Scores in Medical Improvement Review Standard (MIRS) Comparisons
 DI 28015: Relating Medical Improvement to the Ability to Work - Title II and Adult Title XVI Beneficiaries
DI 28015.000: Relating Medical Improvement to the Ability to Work - Title II and Adult Title XVI Beneficiaries - Table of Contents
DI 28015.001: Context and Scope — Relating MI to Ability to Work
DI 28015.003: Policy When Certain Cases Require a Disability Redetermination
DI 28015.005: Two Mechanisms to Relate Medical Improvement (MI) to the Ability to Work
DI 28015.050: Consideration of Prior Listing
DI 28015.055: What is a Listing?
DI 28015.060: Prior Listing Mechanism and Changes in Symptoms, Signs, or Laboratory Findings
DI 28015.200: Title II Beneficiary Now Over Age 18, but Comparison Point Decision (CPD) Used Part B Listing
DI 28015.300: General Approach to Residual Functional Capacity (RFC) Comparison in Continuing Disability Reviews (CDRs)
DI 28015.310: Consider Age and Time on the Rolls When Assessing Residual Functional Capacity (RFC) in Continuing Disability Reviews (CDRs)
DI 28015.315: Comparison Point Decision (CPD) Residual Functional Capacity (RFC)
DI 28015.320: Residual Functional Capacity (RFC) Comparison and Examples of Medical Improvement (MI) “Related” or “Not Related” to the Ability to Work
DI 28015.850: Types of Residual Functional Capacity (RFC) Assessment(s) Needed
DI 28015.855: Residual Functional Capacity (RFC) Form SSA-4734-BK Documentation in Continuing Disability Reviews (CDRs)
 DI 28020: Exceptions to Medical Improvement
DI 28020.000: Exceptions to Medical Improvement - Table of Contents
DI 28020.001: General - Groups I and II of Exceptions to Medical Improvement (MI)
DI 28020.050: Group I Exception - Substantial Gainful Activity (SGA)
DI 28020.100: Group I Exception - Advances in Medical or Vocational Therapy or Technology
DI 28020.150: Group I Exception - Vocational Therapy
DI 28020.250: Group I Exception - New or Improved Diagnostic or Evaluative Techniques
DI 28020.350: Group I Exception - Prior Error Overview
DI 28020.355: Group I Exception - Prior Error, Error on the Face of the Record
DI 28020.360: Group I Exception - Prior Error, Required and Material Evidence Was Missing
DI 28020.365: Group I Exception - Prior Error, New Evidence Related to the Prior Determination or Decision
DI 28020.375: Error, Reopening, and the Medical Improvement Review Standard (MIRS)
DI 28020.900: Group II Exceptions
 DI 28030: General Development of CDR Cases
DI 28030.000: General Development of CDR Cases - Table of Contents
DI 28030.001: Initial Receipt of the Case by the Disability Determination Services (DDS)
DI 28030.005: Identification of Concurrent Title II/Title XVI Cases
DI 28030.010: Use of the Supplemental Security Income Display (SSID) Query in Continuing Disability Review (CDR) Cases
DI DAL28030.010: DAL — DETERMINATION OF TITLE XVI INVOLVEMENT IN CDR's
DI 28030.015: Contact with the Individual
DI 28030.020: Development of Medical Evidence
DI 28030.025: Simultaneous Development in Work Activity Situations
DI 28030.026: Considering Activities Performed in Work During a Current Period of Entitlement or Eligibility Based on Disability as Evidence of the Ability to Function
DI 28030.030: Development of Vocational Evidence
DI 28030.031: Development of Functional Evidence in Title XVI Child Cases
DI 28030.035: Cessation Without Full Medical Development (Clear-Cut Cessations)
DI 28030.040: Disposition of Trailer Material
DI 28030.045: Medical Regimen
DI 28030.050: Review of Administrative Law Judge (ALJ) Hearing Record in Continuing Disability Reviews (CDRs)
 DI 28035: Processing of Lost Folders/Medical Evidence
DI 28035.000: Processing of Lost Folders/Medical Evidence - Table of Contents
DI 28035.001: Disability Determination Services (DDS) Initial Receipt and Development of Lost or Destroyed Folders/Medical Evidence for Continuing Disability Review (CDR) Cases
DI 28035.010: Disability Determination Services (DDS) Review of Current Evidence to Determine Continuing Disability
DI 28035.015: Disability Determination Services (DDS) Identification of the Comparison Point Decision (CPD) Date
DI 28035.020: Disability Determination Services (DDS) Reconstruction of Prior Folder
DI 28035.025: Disability Determination Services (DDS) Reconstruction of Prior Folder Not Possible
DI 28035.030: Comparison Point Decision (CPD) Folder Received in the Disability Determination Services (DDS) After the Review Process Begins
 DI 28040: Medical Improvement Not Expected (MINE) or Medical Improvement Not Expected - Equivalent (MINE - Equivalent) Cases
DI 28040.000: Medical Improvement Not Expected (MINE) or Medical Improvement Not Expected - Equivalent (MINE - Equivalent) Cases - Table of Contents
DI 28040.001: Background of Medical Improvement Not Expected (MINE) or MINE-Equivalent Cases
DI 28040.005: Referral of Medical Improvement Not Expected (MINE) or MINE-Equivalent Cases from the Field Office (FO) to the Disability Determination Services (DDS)
DI 28040.100: Disability Determination Services (DDS) Review of Medical Improvement Not Expected (MINE) or MINE-Equivalent Cases
DI 28040.105: Initial Notification of the Continuing Disability Review (CDR) in Medical Improvement Not Expected (MINE) or MINE-Equivalent Cases
DI 28040.110: Attempts to Contact are Unsuccessful or Unproductive in Medical Improvement Not Expected (MINE) or MINE-Equivalent Cases
DI 28040.115: Verification of Continued Impairment Severity -- General
DI 28040.120: Contact with Medical Source(s) in Medical Improvement Not Expected (MINE) or MINE-Equivalent Cases
DI 28040.125: Determining the Need for a Medical Source or Third-Party Contact in Medical Improvement Not Expected (MINE) or MINE-Equivalent Cases
DI 28040.130: Development Guidelines for Medical Improvement Not Expected (MINE) or MINE-Equivalent Impairments
DI 28040.210: Evaluation and Determination When Reviewing Medical Evidence in Medical Improvement Not Expected (MINE) or MINE-Equivalent Cases
DI 28040.215: Full Continuing Disability Review (CDR) Required in Medical Improvement Not Expected (MINE) or MINE-Equivalent Cases
DI 28040.220: Completion of the SSA-832 or SSA-833 (Cessation or Continuance of Disability or Blindness Determination and Transmittal) in Medical Improvement Not Expected (MINE) or MINE-Equivalent Cases
DI 28040.225: Rationale Preparation of the Continuing Disability Review (CDR) Determination in Medical Improvement Not Expected (MINE) or MINE-Equivalent Cases
DI 28040.230: Determination Notice Preparation Chart in Medical Improvement Not Expected (MINE) or MINE-Equivalent Cases
DI 28040.300: Exhibits of Continuing Disability Review (CDR) Notices in Medical Improvement Not Expected (MINE) or MINE-Equivalent Cases
 DI 28050: Work Activity Cases Trial Work Period
DI 28050.000: Work Activity Cases Trial Work Period - Table of Contents
DI 28050.001: The Trial Work Period
DI 28050.005: TWP Process
DI 28050.010: DDS Role in Work Activity Cases
 DI 28055: Extended Period of Eligibility (EPE) Cases
DI 28055.000: Extended Period of Eligibility (EPE) Cases - Table of Contents
DI 28055.001: Extended Period of Eligibility (EPE) and Related Medicare Provisions - General
DI 28055.005: How the EPE Works
DI 28055.010: Effect of EPE on Period of Disability
DI 28055.015: Disabling Impairment Requirement and When to Address the Issue
DI 28055.020: Identifying EPE Cases Which Require A DDS Determination
DI 28055.025: DDS Evaluation and Processing of EPE Cases
DI 28055.030: Preparation of Form SSA-833-U3 Impairment Severity Determination
DI 28055.035: Due Process and Notice Requirements for DDS Impairment Severity Cases
DI 28055.040: Special Instructions for Medicare Only Cases
DI 28055.045: Model Language: Impairment Severity Continuance Notice - Exhibit
DI 28055.050: Model Language: Impairment Severity Cessation Notice - Exhibit
DI 28055.055: Model Language: Auxiliary (EPE) Cessation Notice - Exhibit
DI 28055.060: Notice of Discontinued Continuing Disability Review (CDR) - Exhibit
 DI 28057: Expedited Reinstatement
DI 28057.000: Expedited Reinstatement - Table of Contents
DI 28057.001: Expedited Reinstatement (EXR) Overview
DI 28057.010: Expedited Reinstatement (EXR) Case Receipt
DI 28057.015: Expedited Reinstatement (EXR) Medical Determination Criteria
DI 28057.020: Effectuating Expedited Reinstatement (EXR) Determinations
DI 28057.030: Expedited Reinstatement (EXR) Appeals
DI 28057.045: Expedited Reinstatement and Initial Claim Filed for the Same Benefit
DI 28057.100: Exhibits
 DI 28060: Case Involving VR Participation
DI 28060.000: Case Involving VR Participation - Table of Contents
DI 28060.001: General - VR or Similar Program Participation
 DI 28065: Cases Involving Individuals Convicted of a Felony
DI 28065.000: Cases Involving Individuals Convicted of a Felony - Table of Contents
DI 28065.001: CDR Considerations for Individuals Convicted of a Felony
DI 28065.005: Identifying Prisoner/Felon Cases
DI 28065.010: Evaluation of Prisoner/Felon CDR Cases
DI 28065.015: Disability Determinations - Individual Convicted But Not Confined
DI 28065.020: Disability Determinations - Individual Convicted and Confined for a Felony Committed After October 19, 1980
DI 28065.025: Disability Determinations - Freeze Provisions
DI 28065.030: Disability Determinations - Insufficient Evidence
DI 28065.035: Additional Requirements for Completing Form SSA-833-U5 in Felony/Prisoner Cases
DI 28065.040: Rationale Requirements
DI 28065.045: Due Process Requirements
DI 28065.050: Notice Preparation Instructions
 DI 28075: Special CDR Issues
DI 28075.005: Failure to Cooperate (FTC) and Whereabouts Unknown (WU) During a Medical Continuing Disability Review (CDR)
DI 28075.010: Non-rollback Conversion Cases
DI 28075.015: Rollback Conversion Cases
DI 28075.020: Reestablishing Title XVI Eligibility Following Suspension or Termination for Nondisability Reasons
DI 28075.025: Processing Medicare for Qualified Government Employment (MQGE) Cases
DI 28075.030: Capability Issue Raised During a CDR
DI 28075.300: Disability Determination Services (DDS) Procedure to Vacate a Continuing Disability Review (CDR) Medical Cessation Determination
DI 28075.310: Language for Notice of Title II Vacated Medical Cessation Determination - Exhibit
DI 28075.315: Language for Notice of Title XVI Vacated Medical Cessation Determination - Exhibit.
DI 28075.600: Overview of the 1619 Continuing Disability Review (CDR) Process
DI 28075.610: Disability Determination Services (DDS) Development and Evaluation in 1619 Cases
DI 28075.620: 1619 Determinations - Preparation of the Forms SSA-832 and SSA-833
DI 28075.625: 1619 Determination Notice Preparation
DI 28075.630: 1619 Cessation Notices (Title XVI)
DI 28075.635: Premium Medicare for the Working Disabled
 DI 28080: Due Process
DI 28080.000: Due Process - Table of Contents
DI 28080.001: Due Process for Continuing Disability Review (CDR) Cases
DI 28080.005: Due Process Pre-determination Notification for Title II Continuing Disability Review (CDR) Cases
DI 28080.010: Prepare a Title II Continuing Disability Review (CDR) Pre-determination Notice
DI 28080.015: Example of Notice for a Title II Continuing Disability Review (CDR) Pre-determination
DI 28080.020: Provide a Predetermination Notice to Auxiliaries for Title II and Concurrent Title II/Title XVI Continuing Disability Review (CDR) Cases
DI 28080.025: Provide Due Process Notification for Title XVI Only Continuing Disability Review (CDR) Cases
DI 28080.030: Due Process Requirements for Concurrent Title II/Title XVI Continuing Disability Review (CDR) Cases
DI 28080.035: Title XVI and Concurrent Title II/Title XVI Due Process Notice Content
DI 28080.045: Guidelines for Folder Documentation, Diary Controls, and Final Actions for Title II Continuing Disability Review (CDR) Pre-determination Notice
DI 28080.050: Due Process Requirements When the Disability Determination Services Receives Additional Evidence or Information
DI 28080.055: Individual Alleges Improper or No Due Process
DI 28080.065: Continuing Disability Review (CDR) Cases with a Basis Change from Blind to Disabled
DI 28080.110: Process Medical Cessation Cases for Disability Determination Services (DDS)
DI 28080.115: "301" and Extended Period of Eligibility Cases
 DI 28084: Completion of Continuing Disability Review Determination Forms (SSA-832 and SSA-833)
DI 28084.000: Completion of Continuing Disability Review Determination Forms (SSA-832 and SSA-833) - Table of Contents
DI 28084.001: Introduction and Sample Forms SSA-832 and SSA-833
DI 28084.005: Identifying Information (Items 1 to 7)
DI 28084.010: Adjudicative Level, Determination Findings, and Basis for Determination (Items 8 to 10)
DI 28084.015: Reason for Cessation Codes (Item 11)
DI 28084.020: Reason for Continuance Codes (Item 12)
DI 28084.025: Vocational Rule and Vocational Background Information (Items 14 to 17)
DI 28084.030: Why Review was Made (Item 20)
DI 28084.035: Diagnosis Codes (Items 21 and 22)
DI 28084.040: Diary Information (Item 23)
DI 28084.045: Remarks and Multiple Impairments (Items 24 to 24B)
DI 28084.050: Signatures, Dates, Specialty Name and Specialty Codes (Items 25 to 28 and Items 30 to 33)
DI 28084.055: Letter/Paragraph Number (Item 29)
DI 28084.060: List Numbers (Item 34)
DI 28084.065: Disability Determination Services (DDS) Selections of Quality Assurance (QA) Sample Cases and Case Processing
 DI 28087: Vocational Rehabilitation (VR) and Other Agency Referrals
DI 28087.000: Vocational Rehabilitation (VR) and Other Agency Referrals - Table of Contents
DI 28087.001: Referral of Social Security Disability Insurance (SSDI) Beneficiaries and Supplemental Security Income (SSI) Recipients to VR Agencies
DI 28087.010: Initial Referrals and Re-referrals to the State VR Agency and Initial Referrals to Other Agency
DI 28087.015: Vocational Rehabilitation Screening Criteria
DI 28087.020: Three Categories of Screening Criteria
DI 28087.025: Participation of DDS Medical or Psychological Consultant
DI 28087.030: Transmittal of Title II and Title XVI Referrals or Re-referrals to VR
DI 28087.035: Preparation and Routing of Title XVI Child Referrals to the Designated State Agency
DI 28087.040: Advising Designated State Agency About Title XVI Childhood Cessations
DI 28087.045: Advising SSA of VR Screening Results
DI 28087.050: Individual Moves Out of State
DI 28087.055: Obtaining Medical Information from SSA Files for VR Purposes
 DI 28090: CDR Rationale Preparation
DI 28090.000: CDR Rationale Preparation - Table of Contents
DI 28090.001: Cessation or Continuance of Disability or Blindness Determination and Transmittal (SSA-832/833) Rationale
DI 28090.005: Overview of Rationales
DI 28090.010: Continuing Disability Review (CDR) Rationale Content
DI 28090.015: Rationale Content - Evidence Sources
DI 28090.020: Rationale Content - Basis for the Most Recent Prior Favorable Determination and Reason for Current Medical Review
DI 28090.025: Rationale Content - The Individual’s Reason(s) for Continued Entitlement or Eligibility
DI 28090.030: Rationale Content - Statement of Nonmedical Issues
DI 28090.035: Rationale Content - Medical Findings
DI 28090.040: Rationale Content - Meets or Equals
DI 28090.045: Rationale Content - Medical Improvement (MI)
DI 28090.050: Rationale Content - Whether Medical Improvement (MI) is Related to the Ability to Work
DI 28090.055: Rationale Content – Groups I and II Exceptions
DI 28090.060: Rationale Content – Non-severe Impairment(s)
DI 28090.065: Rationale Content - Ability to Do Substantial Gainful Activity (SGA)
DI 28090.070: Rationale Content - Statement of Residual Functional Capacity (RFC)
DI 28090.075: Rationale Content - Ability to Perform Past Relevant Work (PRW) - Cessation
DI 28090.080: Rationale Content - Ability to Perform Other Work - Cessation
DI 28090.085: Rationale Content - Inability to Perform Past Relevant Work (PRW) or Other Work - Continuance
DI 28090.150: Rationale Content – Basis for the Disability Determination (All Cases)
DI 28090.200: Rationale Content - Special Situations
DI 28090.300: Sample Rationales - Continuances and Cessations
 DI 28095: CDR Notice Instructions
DI 28095.000: CDR Notice Instructions - Table of Contents
DI 28095.001: General Information on Continuing Disability Review (CDR) Notices
DI 28095.005: Types of Continuing Disability Review (CDR) Notices
DI 28095.015: Notice Designation, Suffix Usage, Pre-effectuation Review (PER) and Quality Assurance (QA) Sample Cases
DI 28095.020: Multiple Notices
DI 28095.030: Spanish Continuing Disability Review (CDR) Language Notices
DI 28095.035: Medical Cessation Notices - General
DI 28095.040: Continuing Disability Review (CDR) Notices for Cessations
DI 28095.050: Whereabouts Unknown Notices
DI 28095.055: Disability Determination Service (DDS) Actions if the Claimant Dies Before a Determination
DI 28095.060: Continuing Disability Review (CDR) Notices for Continuances
DI 28095.100: Stock Letters for Title II, Title XVI, and Concurrent (Title II and Title XVI) Claims Continuances
DI 28095.105: Title II Medical Cessation Notices Chart
DI 28095.110: Title XVI Medical Cessation Notices Chart