When an individual is known to a State, or other accredited, VR agency at the time of the CDR, contact the agency for a full report about the individual, including medical reports relating to the individual’s current medical status and other evidence pertinent to a determination. If evidence previously obtained from the agency (e.g., in connection with the initial adjudication) indicated the case was closed and the individual states the case has not been reopened, do not make further contact with the VR agency. Evidence obtained from the individual’s medical sources, together with evidence available through the VR agency, may be sufficient to permit a sound determination as to whether disability continues. For procedures on VR involvement “301” cases, refer to DI 28001.040.
If an individual is actively involved in VR-type services, clarify through the FO whether the “Ticket to Work” program is in use. If the individual is using a “ticket,” DDS may need to stop development and return the case to the FO for possible screen-out. See DI 13005.020, DI 55025.001, and DI 55025.010.
Do not make a clear-cut cessation (i.e., cessation without current medical
evidence, on the basis that medical recovery is indicated by return to full-time work without medical restrictions) when VR services are continuing (DI
28030.035). When current medical evidence establishes MI and a present capacity for doing substantial gainful activity, find that disability ceases despite the fact that the individual may be an active participant in a State-sponsored VR program.
EXAMPLE: The DDS found the individual disabled based on multiple fractures and complications that indicated the disabling MDI would meet the 12-month duration requirement. When the medical diary came due, the CDR established that the individual is enrolled in a two-year bookkeeping course under a State-sponsored VR program. The DDS obtained evidence from the VR agency that stated one year of schooling remained. The DDS then obtained current medical evidence that clearly established MI. Therefore, the DDS made a cessation determination.