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Regulations last checked for updates: Nov 22, 2024
Title 20 - Employees' Benefits last revised: Sep 30, 2024
All Titles
Title 20
Chapter III
Part 404
Subpart P - Subpart P—Determining Disability and Blindness
GENERAL
§ 404.1501 - Scope of subpart.
§ 404.1502 - Definitions for this subpart.
DETERMINATIONS
§ 404.1503 - Who makes disability and blindness determinations.
§ 404.1503a - Program integrity.
§ 404.1503b - Evidence from excluded medical sources of evidence.
§ 404.1504 - Decisions by other governmental agencies and nongovernmental entities.
DEFINITION OF DISABILITY
§ 404.1505 - Basic definition of disability.
§ 404.1506 - When we will not consider your impairment.
§ 404.1508 - [Reserved]
§ 404.1509 - How long the impairment must last.
§ 404.1510 - Meaning of substantial gainful activity.
§ 404.1511 - Definition of a disabling impairment.
EVIDENCE
§ 404.1512 - Responsibility for evidence.
§ 404.1513 - Categories of evidence.
§ 404.1513a - Evidence from our Federal or State agency medical or psychological consultants.
§ 404.1514 - When we will purchase existing evidence.
§ 404.1515 - Where and how to submit evidence.
§ 404.1516 - If you fail to submit medical and other evidence.
§ 404.1517 - Consultative examination at our expense.
§ 404.1518 - If you do not appear at a consultative examination.
STANDARDS TO BE USED IN DETERMINING WHEN A CONSULTATIVE EXAMINATION WILL BE OBTAINED IN CONNECTION WITH DISABILITY DETERMINATIONS
§ 404.1519 - The consultative examination.
§ 404.1519a - When we will purchase a consultative examination and how we will use it.
§ 404.1519b - When we will not purchase a consultative examination.
STANDARDS FOR THE TYPE OF REFERRAL AND FOR REPORT CONTENT
§ 404.1519f - Type of purchased examinations.
§ 404.1519g - Who we will select to perform a consultative examination.
§ 404.1519h - Your medical source.
§ 404.1519i - Other sources for consultative examinations.
§ 404.1519j - Objections to the medical source designated to perform the consultative examination.
§ 404.1519k - Purchase of medical examinations, laboratory tests, and other services.
§ 404.1519m - Diagnostic tests or procedures.
§ 404.1519n - Informing the medical source of examination scheduling, report content, and signature requirements.
§ 404.1519o - When a properly signed consultative examination report has not been received.
§ 404.1519p - Reviewing reports of consultative examinations.
§ 404.1519q - Conflict of interest.
AUTHORIZING AND MONITORING THE REFERRAL PROCESS
§ 404.1519s - Authorizing and monitoring the consultative examination.
PROCEDURES TO MONITOR THE CONSULTATIVE EXAMINATION
§ 404.1519t - Consultative examination oversight.
EVALUATION OF DISABILITY
§ 404.1520 - Evaluation of disability in general.
§ 404.1520a - Evaluation of mental impairments.
§ 404.1520b - How we consider evidence.
§ 404.1520c - How we consider and articulate medical opinions and prior administrative medical findings for claims filed on or after March 27, 2017.
§ 404.1521 - Establishing that you have a medically determinable impairment(s).
§ 404.1522 - What we mean by an impairment(s) that is not severe.
§ 404.1523 - Multiple impairments.
MEDICAL CONSIDERATIONS
§ 404.1525 - Listing of Impairments in appendix 1.
§ 404.1526 - Medical equivalence.
§ 404.1527 - Evaluating opinion evidence for claims filed before March 27, 2017.
§ 404.1528 - [Reserved]
§ 404.1529 - How we evaluate symptoms, including pain.
§ 404.1530 - Need to follow prescribed treatment.
§ 404.1535 - How we will determine whether your drug addiction or alcoholism is a contributing factor material to the determination of disability.
§ 404.1536 - Treatment required for individuals whose drug addiction or alcoholism is a contributing factor material to the determination of disability.
§ 404.1537 - What we mean by appropriate treatment.
§ 404.1538 - What we mean by approved institutions or facilities.
§ 404.1539 - How we consider whether treatment is available.
§ 404.1540 - Evaluating compliance with the treatment requirements.
§ 404.1541 - Establishment and use of referral and monitoring agencies.
RESIDUAL FUNCTIONAL CAPACITY
§ 404.1545 - Your residual functional capacity.
§ 404.1546 - Responsibility for assessing your residual functional capacity.
VOCATIONAL CONSIDERATIONS
§ 404.1560 - When we will consider your vocational background.
§ 404.1562 - Medical-vocational profiles showing an inability to make an adjustment to other work.
§ 404.1563 - Your age as a vocational factor.
§ 404.1564 - Your education as a vocational factor.
§ 404.1565 - Your work experience as a vocational factor.
§ 404.1566 - Work which exists in the national economy.
§ 404.1567 - Physical exertion requirements.
§ 404.1568 - Skill requirements.
§ 404.1569 - Listing of Medical-Vocational Guidelines in appendix 2.
§ 404.1569a - Exertional and nonexertional limitations.
SUBSTANTIAL GAINFUL ACTIVITY
§ 404.1571 - General.
§ 404.1572 - What we mean by substantial gainful activity.
§ 404.1573 - General information about work activity.
§ 404.1574 - Evaluation guides if you are an employee.
§ 404.1574a - When and how we will average your earnings.
§ 404.1575 - Evaluation guides if you are self-employed.
§ 404.1576 - Impairment-related work expenses.
WIDOWS, WIDOWERS, AND SURVIVING DIVORCED SPOUSES
§ 404.1577 -
§ 404.1578 - How we determine disability for widows, widowers, and surviving divorced spouses for monthly benefits payable for months prior to January 1991.
§ 404.1579 - How we will determine whether your disability continues or ends.
BLINDNESS
§ 404.1581 - Meaning of blindness as defined in the law.
§ 404.1582 - A period of disability based on blindness.
§ 404.1583 - How we determine disability for blind persons who are age 55 or older.
§ 404.1584 - Evaluation of work activity of blind people.
§ 404.1585 - Trial work period for persons age 55 or older who are blind.
§ 404.1586 - Why and when we will stop your cash benefits.
§ 404.1587 - Circumstances under which we may suspend and terminate your benefits before we make a determination.
CONTINUING OR STOPPING DISABILITY
§ 404.1596 - Circumstances under which we may suspend and terminate your benefits before we make a determination.
§ 404.1597 - After we make a determination that you are not now disabled.
§ 404.1597a - Continued benefits pending appeal of a medical cessation determination.
§ 404.1598 - If you become disabled by another impairment(s).
§ 404.1599 - Work incentive experiments and rehabilitation demonstration projects in the disability program.
§ 404.1588 - Your responsibility to tell us of events that may change your disability status.
§ 404.1589 - We may conduct a review to find out whether you continue to be disabled.
§ 404.1590 - When and how often we will conduct a continuing disability review.
§ 404.1591 - If your medical recovery was expected and you returned to work.
§ 404.1592 - The trial work period.
§ 404.1592a - The reentitlement period.
§ 404.1592b - What is expedited reinstatement?
§ 404.1592c - Who is entitled to expedited reinstatement?
§ 404.1592d - How do I request reinstatement?
§ 404.1592e - How do we determine provisional benefits?
§ 404.1592f - How do we determine reinstated benefits?
§ 404.1593 - Medical evidence in continuing disability review cases.
§ 404.1594 - How we will determine whether your disability continues or ends.
§ 404.1595 - When we determine that you are not now disabled.
Appendix Appendix 1 - Appendix 1 to Subpart P of Part 404—Listing of Impairments
Appendix Appendix 2 - Appendix 2 to Subpart P of Part 404—Medical-Vocational Guidelines
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