The DDS cannot determine medical improvement without the comparison point decision
(CPD) folder or medical evidence. If DDS is unable to locate the appropriate CPD folder
or medical evidence, the adjudicator will bypass MIRS temporarily.
When the adjudicator receives current medical evidence covering at least the last
12 months, he or she will evaluate the evidence using the initial sequential evaluation
process (subject to the trial work period (TWP), extended period of eligibility (EPE),
and 1619 provisions, if the individual is working).