TN 4 (09-21)

DI 28080.110 Process Medical Cessation Cases for Disability Determination Services (DDS)

 

A. Screen and Process

When the DDS receives a continuing disability review (CDR) case, the adjudicator will:

  • Screen the case to determine whether the CDR is Title II only, Title XVI only, or concurrent Title II/Title XVI, and obtain relevant queries if they are not already in file.

  • Adjudicate the case according to the CDR evaluation process, including consideration of medical improvement described in DI 28010.000.

B. Initial Cessations for Title II, Title XVI, or Concurrent Title II/Title XVI

When processing an initial cessation, the adjudicator will:

  1. 1. 

    Complete development and adjudication in accordance with existing CDR instructions in DI 28084.000, including preparation of the SSA-833 (Title II) and SSA-832 (Title XVI), Cessation or Continuance of Disability or Blindness Determination and Transmittal.

  2. 2. 

    Not input a cessation.

  3. 3. 

    Retain a copy of the SSA-833 and the SSA-832 in the official case folder.

  4. 4. 

    Prepare and release a personalized cessation notice, including both statutory benefit continuation (SBC) and appeal rights. For notice instructions, see DI 28095.040.

  5. 5. 

    Route the folder to the FO and include the remark “Title II (or Title XVI or Concurrent) Medical Cessation - SBC” since the cessation input has not been done.

  6. 6. 

    Input folder movement data before releasing the official case folder. For an explanation about processing CDR decisional data (continuance or cessation) and case movement information for Title II and Title XVI disability cases forwarded to the DDS for CDR, see SM 05901.001.

C. State Agency Operating Report (SAOR)

The DDS must adhere to established SAOR workload reporting and sampling procedures. It is essential that the individual receives the correct notice.

D. References

  • DI 28005.000, The CDR Evaluation Process – Table of Contents

  • SM 05901.000, Continuing Disability Review (CDR) Processing – Table of Contents

 


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0428080110
DI 28080.110 - Process Medical Cessation Cases for Disability Determination Services (DDS) - 06/26/2013
Batch run: 09/15/2021
Rev:06/26/2013