[Title 20 CFR 404.1593]
[Code of Federal Regulations (annual edition) - April 1, 1996 Edition]
[Title 20 - EMPLOYEES' BENEFITS]
[Chapter III - SOCIAL SECURITY ADMINISTRATION]
[Part 404 - FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- )]
[Subpart P - Determining Disability and Blindness]
[Sec. 404.1593 - Medical evidence in continuing disability review cases.]
[From the U.S. Government Publishing Office]
20
EMPLOYEES' BENEFITS
2
1996-04-01
1996-04-01
false
Medical evidence in continuing disability review cases.
404.1593
Sec. 404.1593
EMPLOYEES' BENEFITS
SOCIAL SECURITY ADMINISTRATION
FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- )
Determining Disability and Blindness
Sec. 404.1593 Medical evidence in continuing disability review cases.
(a) General. If you are entitled to benefits or if a period of
disability has been established for you because you are disabled, we
will have your case file with the supporting medical evidence previously
used to establish or continue your entitlement. Generally, therefore,
the medical evidence we will need for a continuing disability review
will be that required to make a current
[[Page 369]]
determination or decision as to whether you are still disabled, as
defined under the medical improvement review standard. See
Secs. 404.1579 and 404.1594.
(b) Obtaining evidence from your medical sources. You must provide
us with reports from your physician, psychologist, or others who have
treated or evaluated you, as well as any other evidence that will help
us determine if you are still disabled. See Sec. 404.1512. You must have
a good reason for not giving us this information or we may find that
your disability has ended. See Sec. 404.1594(e)(2). If we ask you, you
must contact your medical sources to help us get the medical reports. We
will make every reasonable effort to help you in getting medical reports
when you give us permission to request them from your physician,
psychologist, or other medical sources. See Sec. 404.1512(d)(1)
concerning what we mean by every reasonable effort. In some instances,
such as when a source is known to be unable to provide certain tests or
procedures or is known to be nonproductive or uncooperative, we may
order a consultative examination while awaiting receipt of medical
source evidence. Before deciding that your disability has ended, we will
develop a complete medical history covering at least the 12 months
preceding the date you sign a report about your continuing disability
status. See Sec. 404.1512(c).
(c) When we will purchase a consultative examination. A consultative
examination may be purchased when we need additional evidence to
determine whether or not your disability continues. As a result, we may
ask you, upon our request and reasonable notice, to undergo consultative
examinations and tests to help us determine if you are still disabled.
See Sec. 404.1517. We will decide whether or not to purchase a
consultative examination in accordance with the standards in
Secs. 404.1519a through 404.1519b.
[56 FR 36962, Aug. 1, 1991]