Adjudicators must prepare a rationale using a SSA-4268 (Explanation of Determination) or other approved method for continuances and cessations,
to reflect all applicable steps in the CDR evaluation process, present a detailed
explanation of the determination including the documentation used to support the determination,
and incorporate the medical improvement review standard (MIRS). The rationale should
contain the following elements:
A listing of the sources on which the comparison point decision (CPD) was based.
A listing of all new sources of medical evidence when contact was made with a medical
A brief statement indicating the established onset date, the basis for the most recent
prior favorable decision, and the reason the current medical review has been undertaken.
A brief statement outlining the reasons the individual gave for believing he or she
is still disabled, as appropriate.
A statement of non-medical issues (whether the individual is engaging in substantial
gainful activity, work activity, vocational rehabilitation (VR) involvement, Section
301 cases, etc.).
The findings of fact showing the existence of the MINE or MINE-equivalent impairment
and showing how the current development verifies those findings. The findings of fact
summarized in this determination along with the current verification will serve as
the basis of comparison in any future CDR. Include a statement regarding medical improvement
and a statement that a continuance is appropriate.
NOTE: Technical rationales largely contain information documented elsewhere in the folder.
If this is the situation, an abbreviated rationale may be used as described in DI 28090.200A4 instead of the technical rationale.
For examples on MINE rationales, see DI 28090.300S.
For instructions on supplemental rationale and samples, see DI 28090.000.