20 CFR 404, Subpart P - Determining Disability and Blindness
- — General
- § 404.1501 — Scope of subpart.
- § 404.1502 — General definitions and terms for this subpart.
- — Determinations
- § 404.1503 — Who makes disability and blindness determinations.
- § 404.1503a — Program integrity.
- § 404.1504 — Determinations by other organizations and agencies.
- — Definition of Disability
- § 404.1505 — Basic definition of disability.
- § 404.1506 — When we will not consider your impairment.
- § 404.1508 — What is needed to show an impairment.
- § 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 — Evidence.
- § 404.1513 — Medical and other evidence of your impairment(s).
- § 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 treating 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.
- § 404.1521 — What we mean by an impairment(s) that is not severe.
- § 404.1522 — When you have two or more unrelated impairments—initial claims.
- § 404.1523 — Multiple impairments.
- — Medical Considerations
- § 404.1525 — Listing of Impairments in appendix 1.
- § 404.1526 — Medical equivalence.
- § 404.1527 — Evaluating opinion evidence.
- § 404.1528 — Symptoms, signs, and laboratory findings.
- § 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 — Disability defined for widows, widowers, and surviving divorced spouses for monthly benefits payable for months prior to January 1991.
- § 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
- § 404.1588 — 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.
- § 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.
Title 20 published on 2012-04-01
The following are only the Rules published in the Federal Register after the published date of Title 20.
For a complete list of all Rules, Proposed Rules, and Notices view the Rulemaking tab.
GPO FDSys XML | Text type regulations.gov FR Doc. 2013-02169 RIN 0960-AH04 Docket No. SSA-2009-0039 SOCIAL SECURITY ADMINISTRATION Final rule. These rules are effective April 5, 2013. 20 CFR Part 404 We are revising the criteria in the Listing of Impairments (listings) that we use to evaluate cases involving impairments that affect multiple body systems in adults and children under titles II and XVI of the Social Security Act (Act). The revisions reflect our program experience and address adjudicator questions we have received since we last comprehensively revised this body system in 2005. We do not expect any decisional differences due to the revisions in this body system.
GPO FDSys XML | Text type regulations.gov FR Doc. 2012-17934 RIN 0960-AH26 Docket No. SSA-2010-0060 SOCIAL SECURITY ADMINISTRATION Final rules. These rules are effective August 24, 2012. 20 CFR Parts 404 and 416 We are revising our rules to give adjudicators the discretion to proceed to the fifth step of the sequential evaluation process for assessing disability when we have insufficient information about a claimant's past relevant work history to make the findings required for step 4. If an adjudicator finds at step 5 that a claimant may be unable to adjust to other work existing in the national economy, the adjudicator will return to the fourth step to develop the claimant's work history and make a finding about whether the claimant can perform his or her past relevant work. We expect that this new expedited process will not disadvantage any claimant or change the ultimate conclusion about whether a claimant is disabled, but it will promote administrative efficiency and help us make more timely disability determinations and decisions.
GPO FDSys XML | Text type regulations.gov FR Doc. 2012-14407 RIN 0960-AH49 Docket No. SSA-2012-0024 SOCIAL SECURITY ADMINISTRATION Final rule. This final rule is effective on June 13, 2012. 20 CFR Part 404 We are extending the expiration dates of the following body systems in the Listing of Impairments (listings) in our regulations: Growth Impairment, Musculoskeletal System, Respiratory System, Cardiovascular System, Digestive System, Hematological Disorders, Skin Disorders, Neurological, and Mental Disorders. We are making no other revisions to these body system listings in this final rule. This extension will ensure that we continue to have the criteria we need to evaluate impairments in the affected body systems at step three of the sequential evaluation processes for initial claims and continuing disability reviews.
This is a list of United States Code sections, Statutes at Large, Public Laws, and Presidential Documents, which provide rulemaking authority for this CFR Part.
This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].
It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.
§ 3720A - Reduction of tax refund by amount of debt
§ 401 - Trust Funds
§ 402 - Old-age and survivors insurance benefit payments
§ 403 - Reduction of insurance benefits
§ 404 - Overpayments and underpayments
§ 405 - Evidence, procedure, and certification for payments
§ 405 note - Evidence, procedure, and certification for payments
§ 406 - Representation of claimants before Commissioner
§ 409 - “Wages” defined
§ 410 - Definitions relating to employment
§ 410a - Transferred
§ 411 - Definitions relating to self-employment
§ 412 - Self-employment income credited to calendar years
§ 413 - Quarter and quarter of coverage
§ 414 - Insured status for purposes of old-age and survivors insurance benefits
§ 415 - Computation of primary insurance amount
§ 416 - Additional definitions
§ 417 - Benefits for veterans
§ 418 - Voluntary agreements for coverage of State and local employees
§ 418 note - Voluntary agreements for coverage of State and local employees
§ 421 - Disability determinations
§ 421 note - Disability determinations
§ 422 - Rehabilitation services
§ 423 - Disability insurance benefit payments
§ 424a - Reduction of disability benefits
§ 425 - Additional rules relating to benefits based on disability
§ 428 - Benefits at age 72 for certain uninsured individuals
§ 429 - Benefits in case of members of uniformed services
§ 430 - Adjustment of contribution and benefit base
§ 431 - Benefits for certain individuals interned by United States during World War II
§ 433 - International agreements
§ 902 - Commissioner; Deputy Commissioner; other officers
§ 902 note - Commissioner; Deputy Commissioner; other officers
§ 909 - Delivery of benefit checks
42 USC § 1320a–6 - Adjustments in SSI benefits on account of retroactive benefits under subchapter II
42 USC § 1320a–8a - Administrative procedure for imposing penalties for false or misleading statements
42 USC § 1320b–17 - Cross-program recovery of overpayments from benefits
§ 1801 - Approval of Covenant to Establish a Commonwealth of the Northern Mariana Islands
Title 20 published on 2012-04-01
The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 20 CFR 404 after this date.
GPO FDSys XML | Text type regulations.gov FR Doc. 2013-06975 RIN 0960-AH28 Docket No. SSA-2010-0078 SOCIAL SECURITY ADMINISTRATION Final rules. These rules are effective April 29, 2013. 20 CFR Part 404 We are revising and reorganizing the criteria in the Listing of Impairments (listings) that we use to evaluate cases involving visual disorders in adults and children under titles II and XVI of the Social Security Act (Act). The revisions reflect our program experience and guidance we have issued in response to adjudicator questions we have received since we last revised these criteria in 2006. These revisions will provide clarification about how we evaluate visual disorders and ensure more timely adjudication of claims in which we evaluate visual disorders that result in a loss of visual acuity or field.
GPO FDSys XML | Text type regulations.gov FR Doc. 2013-02169 RIN 0960-AH04 Docket No. SSA-2009-0039 SOCIAL SECURITY ADMINISTRATION Final rule. These rules are effective April 5, 2013. 20 CFR Part 404 We are revising the criteria in the Listing of Impairments (listings) that we use to evaluate cases involving impairments that affect multiple body systems in adults and children under titles II and XVI of the Social Security Act (Act). The revisions reflect our program experience and address adjudicator questions we have received since we last comprehensively revised this body system in 2005. We do not expect any decisional differences due to the revisions in this body system.
GPO FDSys XML | Text type regulations.gov FR Doc. 2013-02166 RIN 0960-AH03 Docket No. SSA-2009-0038 SOCIAL SECURITY ADMINISTRATION Notice of proposed rulemaking. To ensure that your comments are considered, we must receive them by no later than April 5, 2013. 20 CFR Part 404 We propose to revise the criteria in the Listing of Impairments (listings) that we use to evaluate claims involving genitourinary disorders in adults and children under titles II and XVI of the Social Security Act (Act). The proposed revisions reflect our program experience, advances in methods of evaluating genitourinary disorders, and comments we received in response to an advance notice of proposed rulemaking (ANPRM).
GPO FDSys XML | Text type regulations.gov FR Doc. 2013-02165 RIN 0960-AF58 Docket No. SSA-2006-0149 SOCIAL SECURITY ADMINISTRATION Notice of proposed rulemaking. To ensure that your comments are considered, we must receive them by no later than April 5, 2013. 20 CFR Parts 404 and 416 We propose to revise the criteria in the Listing of Impairments (listings) that we use to evaluate claims involving respiratory disorders in adults and children under titles II and XVI of the Social Security Act (Act). The proposed revisions reflect our program experience, advances in medical knowledge, and comments we received from medical experts and the public at an outreach policy conference and in response to an Advance Notice of Proposed Rulemaking (ANPRM).
GPO FDSys XML | Text type regulations.gov FR Doc. 2013-01522 RIN 0960-AH52 Docket No. SSA-2012-0066 SOCIAL SECURITY ADMINISTRATION Notice of proposed rulemaking. To ensure that your comments are considered, we must receive them no later than February 27, 2013. 20 CFR Parts 404 and 416 We propose to replace the term “mental retardation” with “intellectual disability” in our Listing of Impairments (listings) that we use to evaluate claims involving mental disorders in adults and children under titles II and XVI of the Social Security Act (Act) and in other appropriate sections of our rules. This change would reflect the widespread adoption of the term “intellectual disability” by Congress, government agencies, and various public and private organizations.
GPO FDSys XML | Text type regulations.gov FR Doc. 2012-17934 RIN 0960-AH26 Docket No. SSA-2010-0060 SOCIAL SECURITY ADMINISTRATION Final rules. These rules are effective August 24, 2012. 20 CFR Parts 404 and 416 We are revising our rules to give adjudicators the discretion to proceed to the fifth step of the sequential evaluation process for assessing disability when we have insufficient information about a claimant's past relevant work history to make the findings required for step 4. If an adjudicator finds at step 5 that a claimant may be unable to adjust to other work existing in the national economy, the adjudicator will return to the fourth step to develop the claimant's work history and make a finding about whether the claimant can perform his or her past relevant work. We expect that this new expedited process will not disadvantage any claimant or change the ultimate conclusion about whether a claimant is disabled, but it will promote administrative efficiency and help us make more timely disability determinations and decisions.
GPO FDSys XML | Text type regulations.gov FR Doc. 2012-14407 RIN 0960-AH49 Docket No. SSA-2012-0024 SOCIAL SECURITY ADMINISTRATION Final rule. This final rule is effective on June 13, 2012. 20 CFR Part 404 We are extending the expiration dates of the following body systems in the Listing of Impairments (listings) in our regulations: Growth Impairment, Musculoskeletal System, Respiratory System, Cardiovascular System, Digestive System, Hematological Disorders, Skin Disorders, Neurological, and Mental Disorders. We are making no other revisions to these body system listings in this final rule. This extension will ensure that we continue to have the criteria we need to evaluate impairments in the affected body systems at step three of the sequential evaluation processes for initial claims and continuing disability reviews.