This subchapter contains the policy and field office (FO) instructions for processing
SBC during an appeal under Title II and/or Title XVI of:
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a medical cessation determination where the disabled individual’s physical or mental
impairment(s) has ceased, never existed, or is no longer disabling, i.e., medically
improved, or
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a medical adverse reopening/revision determination.
Appealing the medical cessation (or medical adverse reopening/revision determination)
is required to have the option of SBC.
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A beneficiary that elects SBC is required to sign a specific statement (SSA-795) to
that effect. See DI 12027.010B.4.
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A beneficiary that declines SBC is required to sign a specific statement (SSA-795)
to that effect. See DI 12027.010B.4.
The continued benefit provisions do not apply to an initial determination on an application
for disability benefits or to a determination that an individual was disabled only
for a specified period of time.