Basic (01-19)

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

A. Required content

The FTFPT determination must include all of the following:

  • The identity of the prescribing medical source.

  • The identity of the impairment 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.

  • If you did not need to make both assessments, an explanation why.

B. Location of the analysis

Include the FTFPT determination:

  • In eCAT, in the FOFAE section of eCAT in the DDE;

  • In 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 claim 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 (FTFPT) Determination - 01/03/2019
Batch run: 01/03/2019
Rev:01/03/2019