Full Medical Continuing Disability Review Cessations Reversed at the Reconsideration Level of Appeal

Date: 
Friday, April 25, 2014
Report Number: 
A-07-13-23019
Report Type: 
Audit Report
Office Affiliation: 

The Social Security Administration (SSA) conducts continuing diability reviews (CDR) on Disability Insurance (DI) beneficiaries and Supplemental Security Income (SSI) disability recipients to determine whether they remain medically eligible for disability payments. Individuals profiled as having a high likelihood of medical improvement undergo a full medical CDR by a disability determination services (DDS). A cessation determination is made when a CDR reveals medical improvement had occurred and an individual no longer meets the requirements for disability benefits.

When a full medical CDR results in a cessation determination, the individual can request a reconsideration. CDR reconsiderations consist of the pre-hearing and disability hearing levels, where a determination is made by a disability hearing officer.

The purpose of this report was to determine why full medical CDR cessation determinations were reversed at the reconsideration level of appeal.