TN 4 (04-24)

DI 23010.035 Required Written Analysis for a Failure to Follow Prescribed Treatment Determination

A. Required content

The Failure To Follow Prescribed Treatment (FTFPT) determination must include all of the following:

  • The identity of the prescribing medical source.

  • The identity of the impairment(s) for which the treatment was prescribed.

  • A description of the prescribed treatment.

  • A description of the evidence that demonstrates the individual did not follow the prescribed treatment.

  • An explanation of your assessment(s) about why we do or do not expect the prescribed treatment to result in the individual no longer being disabled and/or why the individual does or does not have good cause for not following the prescribed treatment.

  • An explanation on why you did not need to make both assessments described in the fifth bullet above.

B. Location of the analysis

Include the FTFPT determination:

  • In eCAT, in the Findings of Facts and Analysis of Evidence (FOFAE) section of eCAT in the Disability Determination Explanation (DDE);

  • In the Disability Case Processing System (DCPS), in the appropriate section; or

  • In a paper claim, in the written rationale.

In claims adjudicated using DCPS, include the FTFPT determination where indicated in the claims path.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0423010035
DI 23010.035 - Required Written Analysis for a Failure to Follow Prescribed Treatment Determination - 04/23/2024
Batch run: 04/23/2024
Rev:04/23/2024