Conduct a CDR when the FO forwards a claim in which an SGA determination has been made and the front end interview has been conducted, unless, in the rare instance, ODIO/PSC-DRS did not do the medical review and the evidence in file establishes that the individual is currently disabled in accordance with DI 28055.020. Also conduct a CDR when the FO finds indication of possible MI subsequent to ODO/PSC-DRS's finding that no DDS determination is necessary.

If the CDR should be discontinued, record the specific reason and the specific POMS reference on a signed and dated SSA-5002. Send the notice shown in DI 28055.060.

1. a. 

   Follow established guidelines used in developing medical CDRs.

2. b. 

   Medical Improvement Review Standard (MIRS)

   • •

     When the FO has used the SGA exception in finding that a person's disability ceased due to work activity, do not use it in the medical determination, i.e, impairment severity determination.

   • •

     See DI 28005.015A.7 concerning work performed during the TWP, EPE, or extended Medicare eligibility as it relates to past relevant work.

1. a. 

   Prepare a regular medical CDR, i.e., a determination to continue/
   
   cease “disability”,when the FO finds disability to continue despite work activity (i.e., FO prepares an SSA-833-U3 SGA continuance determination.)

2. b. 

   Prepare an “impairment severity” determination when disability previously ceased due to SGA.

   • •

     When the month in which the impairment is no longer disabling is the same or after the month disability ceases due to SGA, process an “impairment severity” cessation determination, not to cease “disability”, but to terminate the EPE, cash benefits and/or Medicare in accordance with DI 28055.030 through DI 28055.040.

   • •

     Follow DI 28005.205 in establishing the month of cessation in impairment severity cessation cases.