Send the case to the FO for a full CDR if:
The beneficiary or recipient, representative payee, or representative reports medical
improvement that raises a continuing disability (CD) issue.
Conflicts exist between statements made by the beneficiary or recipient, payee, or
representative and the evidence in file regarding the comparison point decision (CPD),
and such conflicts raise a CD issue.
The beneficiary or recipient's medical source or other third-party contact indicates
work activity since the CPD.
Based on disability determination services (DDS) review, a cessation appears appropriate.
The evidence does not clearly show the existence of a MINE or MINE-equivalent impairment
(including lost folders).
Reported medical improvement does not automatically raise a CD issue. If it is clear
that a beneficiary or recipient's impairment(s) still meets or equals the severity
of a listing (e.g. a double amputee), then any reported medical improvement could
not reasonably be expected to result in a cessation.
In a CDR review where a listing is met or equaled, only the non-medical exceptions
such as fraud or similar fault, failure to cooperate, or return to work would be expected
to result in a cessation.
EXAMPLE: The evidence of record in the CPD shows the beneficiary or recipient's has ischemic
heart disease which met Listing 4.04Al. Contact with the beneficiary or recipient
shows no work, but the individual indicates they have had heart surgery and reports
some improvement in their condition. Contact with the medical source addresses the
surgery and the issue of medical improvement. Because the medical source indicates
that the surgery has significantly improved the beneficiary or recipient condition,
a medical cessation is possible. Send the case to the FO for a personal contact and
a full CDR.