The SGA exception applies when an individual has completed a TWP or EPE, and continues
to perform SGA. Only the FO can find a cessation based on SGA. Many cases that have
had an SGA cessation by the FO still require a DDS determination regarding medical
severity. If the FO establishes that the work is not SGA, the FO will return the file
to the DDS for a medical determination, as the SGA exception will not apply.
If the beneficiary is working, the FO should document which work incentive provisions,
if any, apply.
For EPE, see DI 28055.025, DDS Evaluation and Processing of EPE Cases.
SGA is not a basis for cessation in Title XVI cases, see DI 28075.610, Disability Determinations Services (DDS) Development and Evaluation in 1619 Cases,
for additional information.
If the beneficiary is working at the time of the CDR or may have completed a TWP or
EPE and the FO did not address the work situation, clearly document the need for work
development and return the file to the FO to determine if the SGA exception applies.
If the DDS discovers work activity during the current period of disability that was
not developed by the FO for possible TWP or EPE, follow the instructions in DI 28050.010.