What Is a Continuing Disability Review?
A Continuing Disability Review (CDR) is a periodic evaluation by the Social Security Administration (SSA) to determine if individuals receiving disability benefits still meet the eligibility criteria. It assesses the individual’s medical condition, functional abilities, and likelihood of improvement. The goal is to ensure benefits are provided to those who still meet the disability requirements. Factors such as medical evidence, changes in the condition, and review frequency are considered during the CDR process.
Understanding the Continuing Disability Review Process
During a continuing disability review, the SSA examines whether individuals still have a medical condition that qualifies them for disability benefits. The review aims to assess if the individual’s medical condition has improved to the extent that they are now able to engage in substantial gainful activity (SGA). The frequency of CDRs can vary based on the likelihood of medical improvement in each case, ranging from every six months to every seven years.
Factors Considered in a Continuing Disability Review
Several factors are considered during a continuing disability review. The SSA evaluates medical evidence, including recent medical records, doctors’ reports, and any new treatments or medications. They also consider information provided by the individual, such as changes in their medical condition, work activity, and any additional impairments that may have developed since the initial disability determination.
Types of Continuing Disability Reviews
There are three main types of continuing disability reviews conducted by the SSA:
1. Medical Improvement Expected
For individuals with impairments where medical improvement is expected, a review is conducted at least once every six to 18 months. This allows the SSA to monitor their condition and determine if any changes have occurred that may affect their eligibility for disability benefits.
2. Medical Improvement Possible
For impairments where medical improvement is possible, but not expected, a review is conducted approximately every three years. This type of review acknowledges that while the individual’s condition may not improve significantly, it is still important to assess if any changes have occurred.
3. Medical Improvement Not Expected
For impairments where medical improvement is not expected, a review is conducted approximately every seven years. This category includes conditions such as permanent disabilities or terminal illnesses where significant improvement is unlikely to occur.
What Happens During a Continuing Disability Review?
During a continuing disability review, the SSA will notify individuals that their case is being reviewed. They may request updated medical information, including recent medical records, test results, and treatment details. It is essential to provide accurate and comprehensive information to support the continuation of disability benefits.
Consequences of a Continuing Disability Review
Following a continuing disability review, there are three possible outcomes:
1. Benefits Continue
If the SSA determines that the individual’s medical condition has not improved to the extent of engaging in substantial gainful activity, their benefits will continue unchanged.
2. Benefits Cease
If the SSA determines that the individual’s medical condition has improved enough to engage in substantial gainful activity, their benefits may be terminated. However, individuals have the right to appeal this decision if they believe it to be incorrect.
3. Ongoing Review
In some cases, the SSA may determine that further monitoring is necessary, and they will schedule a future review to reassess the individual’s eligibility for benefits.
In conclusion, a continuing disability review is a critical process undertaken by the Social Security Administration to determine if individuals still meet the eligibility requirements for receiving disability benefits. It involves assessing medical evidence and considering various factors to determine if an individual’s medical condition has improved enough to engage in substantial gainful activity. Understanding the continuing disability review process and providing accurate and updated information is essential to maintain disability benefits. By staying informed and actively participating in the review process, individuals can ensure the continuation of the vital support they need.
Contact Our Sacramento SSDI and SSI Attorney
If you have received a denial for your SSDI or SSI benefits following a Continuing Disability Review, it is crucial to seek immediate assistance from a trusted California SSDI and SSI attorney. By contacting attorney Jon Sipes, you can rely on his extensive experience in handling SSDI and SSI cases to effectively appeal your denial. Jon Sipes is well-versed in the complexities of the SSDI and SSI programs and will work diligently to ensure a fair outcome for your California SSDI or SSI case. With a proven track record of helping clients obtain SSDI and SSI benefits in Sacramento and throughout California, Jon Snipes understands the necessary qualifications under these programs. To discuss your case and schedule a consultation, please reach out to us today.
