TN 1 (12-18)

DI 40505.205 When We May Need a Title XVI File for Continuing Disability Review (CDR)

A. Operating policy for when we may need a Title XVI file

The Disability Determination Services (DDS) needs the comparison point decision (CPD) evidence, which is normally in the Title II folder.

DDS does not need the Title XVI file unless the CPD evidence is in that file. The situations listed in this subsection occur most likely when DDS needs the Title XVI folder:

  • In cases converted from State welfare rolls in January 1974, without a Federal disability determination.

  • In cases in which we adopted a Title II allowance from an earlier Title XVI allowance.

  • If there is no Title II entitlement, obtain the Title XVI folder.

  • Even if evidence is in the Title II file, DDS will obtain the Title XVI file if they need the State plan CPD.

B. Operating procedure for when we may need a Title XVI file

If the Title II file does not contain the CPD medical evidence:

  • Look for indications of Title XVI involvement per DI 40505.210 in this section.

  • Associate the Title XVI and Title II files, or request on an SSA-5526 Request for Assistance – Disability for the FO to do so.

  • If we cannot locate the CPD evidence, see reconstruction of the lost folders per DI 40525.075, Step Three – Preparing Duplicate Folder for CDR Lost Folder/Medical Evidence.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0440505205
DI 40505.205 - When We May Need a Title XVI File for Continuing Disability Review (CDR) - 12/18/2018
Batch run: 12/18/2018
Rev:12/18/2018