Railroad disability determinations are reviewed in the same sequence as State disability determinations. Since the RMCS will have already signed the determination in its capacity as a member of the adjudicative team, claims should be referred to RMCS only when special circumstances dictate.

Examples of special circumstances are:

1. a. 

   Expert medical assistance is required to further evaluate the:

   • •

     Adequacy of the medical evidence,

   • •

     Correctness of an onset, ending, or cessation date,

   • •

     Level of impairment severity, or

   • •

     Level of residual functional capacity (RFC).

2. b. 

   The determination involves a mental impairmentand the folder does not contain a properly completed SSA-2506-BK.

3. c. 

   The determination should be based on a consideration of residual functional capacity and it does not contain an SSA-4734-F4 or the SSA-4734-F4 is not completed properly.

4. d. 

   The review component believes the determination is medically deficient.