How SSDI Reviews Are Changing: What to Expect from Continuing Disability Reviews (CDRs)

If you are receiving Social Security Disability Insurance (SSDI) benefits, you may be required to undergo a Continuing Disability Review (CDR) at regular intervals. This review is conducted by the Social Security Administration (SSA) to ensure that you still meet the criteria for disability benefits. While this is a standard procedure, it can feel intimidating if you’re not sure what to expect.

In this blog, we’ll discuss how SSDI reviews are evolving, what changes have occurred recently, and what you can do to prepare for your next CDR. With the right information and approach, you can protect your benefits and avoid unnecessary stress.

What Is a Continuing Disability Review (CDR)?

A CDR is a periodic check conducted by the SSA to determine whether an SSDI beneficiary’s medical condition has improved and whether they still meet the SSA’s definition of disability.

• Frequency of CDRs: The SSA determines how often you will undergo a CDR based on the severity of your condition and the likelihood of improvement. There are generally three categories:
  • Medical Improvement Expected: Reviewed every 6 to 18 months.
  • Medical Improvement Possible: Reviewed every 3 years.
  • Medical Improvement Not Expected: Reviewed every 5 to 7 years.

Example:
A person receiving SSDI for a temporary physical injury, such as a back surgery, may be placed in the “Medical Improvement Expected” category. In contrast, someone with a chronic condition like Parkinson’s disease might be placed in the “Not Expected” category and reviewed less frequently.

How SSDI Reviews Are Changing in 2024

In recent years, the SSA has made some changes to the CDR process, reflecting both technological improvements and policy updates.

Key Changes in 2024:

• Increased Use of Electronic Records: The SSA now relies more heavily on electronic medical records and databases, which means your healthcare providers may be contacted directly for updated records.
• Faster Processing: With improved systems in place, CDRs may be processed more quickly, meaning beneficiaries will receive decisions sooner. However, this also means it’s crucial to provide all the necessary information right away.
• Focus on Mental Health Conditions: The SSA is paying more attention to claimants with mental health conditions, particularly in light of how mental health can fluctuate over time. Reviews may focus on whether conditions like PTSD, anxiety, or depression have improved with treatment.

What to Expect During a CDR

The CDR process typically begins when the SSA sends you a Disability Update Report or a Continuing Disability Review Report. These forms will ask for updated information about your medical condition, treatment, and ability to work.

Steps in the CDR Process:

1. Complete the Form: The SSA will send you a form to complete, either the shorter Disability Update Report (Form SSA-455) or the more comprehensive Continuing Disability Review Report (Form SSA-454). Be sure to fill out all sections thoroughly and accurately.
2. Submit Medical Records: You may be asked to provide updated medical records, including notes from your doctors, recent test results, and information about any treatments or therapies you’ve undergone since your last review.
3. SSA Review: The SSA will review your responses and any medical evidence you provide. If they believe your condition has improved, they may request more information or schedule a consultative examination.

Example:
A person receiving SSDI for chronic heart failure may be asked to submit recent cardiac tests and notes from their cardiologist. If the medical evidence shows no improvement or worsening symptoms, their benefits will likely continue.

What Happens if the SSA Believes You Have Improved?

If the SSA determines that your medical condition has improved to the point where you can return to work, they may stop your benefits. However, you have the right to appeal this decision.

• Request for Reconsideration: You have 60 days to request a reconsideration if your benefits are terminated. During this time, you can submit additional medical evidence or request a hearing before an Administrative Law Judge (ALJ).
• Continue Receiving Benefits During Appeal: If you file for reconsideration within 10 days of receiving your cessation notice, you can continue receiving benefits while your appeal is being processed.

Example:
A claimant who receives SSDI due to lupus may undergo a CDR that concludes their condition has improved. If they believe this decision is incorrect, they can file an appeal and provide updated medical evidence showing their symptoms have not improved or have worsened.

How to Prepare for a CDR

Preparing for a CDR is crucial, especially if your condition has not improved or has worsened over time. Here are some key steps to take:

• Keep Detailed Medical Records: Make sure you continue visiting your doctors regularly and keep a detailed record of your treatment, medications, and any changes in your condition.
• Document Your Symptoms: Keep a personal journal that tracks your daily symptoms, including pain levels, physical limitations, and mental health issues. This can help demonstrate how your condition continues to impact your daily life.
• Submit Comprehensive Evidence: Provide as much medical evidence as possible. This includes recent lab tests, doctor’s notes, hospital visits, physical therapy records, and any other relevant medical documentation.

Example:
A claimant receiving SSDI for severe arthritis should ensure that all medical records—including X-rays, physical therapy notes, and doctor’s evaluations—are up to date and submitted promptly to avoid any delays or gaps in their case review.

What to Do If You Receive a Cessation Notice

If you receive a cessation notice (a notice that your benefits will be stopped), it’s essential to act quickly.

• File an Appeal Promptly: Remember, you have only 60 days to file an appeal. If you act within 10 days, you can continue to receive your benefits during the appeal process.
• Gather Additional Medical Evidence: Ask your doctors for any recent test results or updated evaluations that may support your case.
• Seek Legal Assistance: The appeals process can be complicated, especially if you’ve already been through a CDR. An experienced attorney can help guide you through the process, gather necessary evidence, and represent you at your hearing.

How Disability Law Group Can Help with CDR

If you’re worried about an upcoming CDR or have received a cessation notice, don’t face it alone. At Disability Law Group, we have extensive experience helping clients navigate the SSDI review process. Whether you need help preparing your CDR paperwork or appealing a cessation notice, we are here to protect your benefits.

Contact us today for a free consultation, and let us help you continue receiving the disability benefits you rely on.