The Continuing Disability Review (CDR) is a process conducted by the Social Security Administration (SSA) to ensure that individuals receiving Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) still meet the eligibility criteria for benefits. Here’s what you need to know:
What Is a CDR?
A CDR is a routine evaluation of an individual’s disability status to determine whether they remain medically or vocationally eligible for benefits. These reviews are critical to maintaining the integrity of the SSDI program, ensuring benefits go only to those who still qualify【6】【8】.
When Are CDRs Conducted?
The frequency of a CDR depends on the likelihood of medical improvement:
- Medical Improvement Expected (MIE): Reviews occur every 6–18 months.
- Medical Improvement Possible (MIP): Reviews are conducted every 3 years.
- Medical Improvement Not Expected (MINE): Reviews occur approximately every 5–7 years
For children, CDRs often coincide with significant age milestones, such as transitioning to adult disability criteria at age 18.
The CDR Process
- Notification: Beneficiaries receive a notice from the SSA when a CDR is initiated.
- Forms Submission: Recipients complete either a short form (SSA-455) or a detailed form (SSA-454), detailing their medical history, treatments, and work activity since their last review.
- Medical Records Evaluation: The SSA reviews medical records and may contact healthcare providers directly. In some cases, they might require additional exams.
- Work Activity Assessment: For work-related CDRs, the SSA evaluates income levels and work activity against the Substantial Gainful Activity (SGA) threshold【6】【10】.
Outcomes of a CDR
- Continued Benefits: If the SSA determines the individual’s condition hasn’t improved or their ability to work remains limited, benefits continue.
- Termination of Benefits: If evidence shows significant improvement in medical or vocational capacity, benefits may cease. Beneficiaries can appeal this decision within 60 days, and continuing benefits during the appeal is possible if filed within 10 days.
How to Prepare for a CDR
- Maintain Comprehensive Medical Records: Document all treatments, tests, and symptoms consistently.
- Follow Treatment Plans: Show adherence to prescribed medical treatments to avoid penalties for non-compliance.
- Provide Updated Evidence: Submit recent medical records and details about any changes in your condition.
Changes in the CDR Process (2024)
- Digital Advancements: Increased reliance on electronic medical records for faster processing.
- Focus on Mental Health: Enhanced evaluation of mental health conditions, such as anxiety or PTSD, recognizing their fluctuating nature.
Additional Resources
For detailed guidance or to appeal a cessation notice, consider consulting experienced disability attorneys. The Disability Law Group offer expertise in navigating SSDI cases. For general tips on passing a CDR, visit Disability Secrets.
By understanding the process and staying prepared, you can better ensure your continued eligibility for disability benefits.