Medical Considerations

§ 416.925 - Listing of Impairments in appendix 1 of subpart P of part 404 of this chapter.

§ 416.926 - Medical equivalence for adults and children.

§ 416.927 - Evaluating opinion evidence for claims filed before March 27, 2017.

§ 416.928 - [Reserved]

§ 416.929 - How we evaluate symptoms, including pain.

§ 416.930 - Need to follow prescribed treatment.

§ 416.926a - Functional equivalence for children.

Determinations

§ 416.903 - Who makes disability and blindness determinations.

§ 416.904 - Decisions by other governmental agencies and nongovernmental entities.

§ 416.903a - Program integrity.

§ 416.903b - Evidence from excluded medical sources of evidence.

Disability Redeterminations for Individuals Who Attain Age 18

§ 416.987 - Disability redeterminations for individuals who attain age 18.

Continuing or Stopping Disability or Blindness

§ 416.988 - Your responsibility to tell us of events that may change your disability or blindness status.

§ 416.989 - We may conduct a review to find out whether you continue to be disabled.

§ 416.990 - When and how often we will conduct a continuing disability review.

§ 416.991 - If your medical recovery was expected and you returned to work.

§ 416.992 - What happens if you fail to comply with our request for information.

§ 416.993 - Medical evidence in continuing disability review cases.

§ 416.994 - How we will determine whether your disability continues or ends, disabled adults.

§ 416.995 - If we make a determination that your physical or mental impairment(s) has ceased, did not exist or is no longer disabling (Medical Cessation Determination).

§ 416.996 - Continued disability or blindness benefits pending appeal of a medical cessation determination.

§ 416.998 - If you become disabled by another impairment(s).

§ 416.999 - What is expedited reinstatement?

§§ 416.992--416.992a - [Reserved]

§ 416.992a - [Reserved]

§ 416.994a - How we will determine whether your disability continues or ends, and whether you are and have been receiving treatment that is medically necessary and available, disabled children.

§ 416.989a - We may conduct a review to find out whether you continue to be blind.

§ 416.999a - Who is eligible for expedited reinstatement?

§ 416.999b - How do I request reinstatement?

§ 416.999c - How do we determine provisional benefits?

§ 416.999d - How do we determine reinstated benefits?

Definition of Disability

§ 416.905 - Basic definition of disability for adults.

§ 416.906 - Basic definition of disability for children.

§ 416.907 - Disability under a State plan.

§ 416.908 - [Reserved]

§ 416.909 - How long the impairment must last.

§ 416.910 - Meaning of substantial gainful activity.

§ 416.911 - Definition of disabling impairment.

Standards for the Type of Referral and for Report Content

§ 416.919f - Type of purchased examinations.

§ 416.919g - Who we will select to perform a consultative examination.

§ 416.919h - Your medical source.

§ 416.919i - Other sources for consultative examinations.

§ 416.919j - Objections to the medical source designated to perform the consultative examination.

§ 416.919k - Purchase of medical examinations, laboratory tests, and other services.

§ 416.919m - Diagnostic tests or procedures.

§ 416.919n - Informing the medical source of examination scheduling, report content, and signature requirements.

§ 416.919o - When a properly signed consultative examination report has not been received.

§ 416.919p - Reviewing reports of consultative examinations.

§ 416.919q - Conflict of interest.

Substantial Gainful Activity

§ 416.971 - General.

§ 416.972 - What we mean by substantial gainful activity.

§ 416.973 - General information about work activity.

§ 416.974 - Evaluation guides if you are an employee.

§ 416.975 - Evaluation guides if you are self-employed.

§ 416.976 - Impairment-related work expenses.

§ 416.974a - When and how we will average your earnings.

Standards to Be Used in Determining when a Consultative Examination Will Be Obtained in Connection With Disability Determinations

§ 416.919 - The consultative examination.

§ 416.919a - When we will purchase a consultative examination and how we will use it.

§ 416.919b - When we will not purchase a consultative examination.

Drug Addiction and Alcoholism

§ 416.935 - How we will determine whether your drug addiction or alcoholism is a contributing factor material to the determination of disability.

§ 416.936 - Treatment required for individuals whose drug addiction or alcoholism is a contributing factor material to the determination of disability.

§ 416.937 - What we mean by appropriate treatment.

§ 416.938 - What we mean by approved institutions or facilities.

§ 416.939 - How we consider whether treatment is available.

§ 416.940 - Evaluating compliance with the treatment requirements.

§ 416.941 - Establishment and use of referral and monitoring agencies.

Evaluation of Disability

§ 416.920 - Evaluation of disability of adults, in general.

§ 416.921 - Establishing that you have a medically determinable impairment(s).

§ 416.922 - What we mean by an impairment(s) that is not severe in an adult.

§ 416.923 - Multiple impairments.

§ 416.924 - How we determine disability for children.

§ 416.920a - Evaluation of mental impairments.

§ 416.920b - How we consider evidence.

§ 416.920c - xxx

§ 416.924a - Considerations in determining disability for children.

§ 416.924b - Age as a factor of evaluation in the sequential evaluation process for children.

§ 416.924c - Other factors we will consider.

Presumptive Disability and Blindness

§ 416.931 - The meaning of presumptive disability or presumptive blindness.

§ 416.932 - When presumptive payments begin and end.

§ 416.933 - How we make a finding of presumptive disability or presumptive blindness.

§ 416.934 - Impairments that may warrant a finding of presumptive disability or presumptive blindness.

General

§ 416.901 - Scope of subpart.

§ 416.902 - Definitions for this subpart.

Authorizing and Monitoring the Referral Process

§ 416.919s - Authorizing and monitoring the consultative examination.

Vocational Considerations

§ 416.960 - When we will consider your vocational background.

§ 416.961 - Your ability to do work depends upon your residual functional capacity.

§ 416.962 - Medical-vocational profiles showing an inability to make an adjustment to other work.

§ 416.963 - Your age as a vocational factor.

§ 416.964 - Your education as a vocational factor.

§ 416.965 - Your work experience as a vocational factor.

§ 416.966 - Work which exists in the national economy.

§ 416.967 - Physical exertion requirements.

§ 416.968 - Skill requirements.

§ 416.969 - Listing of Medical-Vocational Guidelines in appendix 2 of subpart P of part 404 of this chapter.

§ 416.969a - Exertional and nonexertional limitations.

Blindness

§ 416.981 - Meaning of blindness as defined in the law.

§ 416.982 - Blindness under a State plan.

§ 416.983 - How we evaluate statutory blindness.

§ 416.984 - If you are statutorily blind and still working.

§ 416.985 - How we evaluate other visual impairments.

§ 416.986 - Why and when we will find that you are no longer entitled to benefits based on statutory blindness.

Evidence

§ 416.912 - Responsibility for evidence.

§ 416.913 - Categories of evidence.

§ 416.914 - When we will purchase existing evidence.

§ 416.915 - Where and how to submit evidence.

§ 416.916 - If you fail to submit medical and other evidence.

§ 416.917 - Consultative examination at our expense.

§ 416.918 - If you do not appear at a consultative examination.

§ 416.913a - xxx

Residual Functional Capacity

§ 416.945 - Your residual functional capacity.

§ 416.946 - Responsibility for assessing your residual functional capacity.

Procedures to Monitor the Consultative Examination

§ 416.919t - Consultative examination oversight.

§ 416.903ba - xxx