20 CFR 416, Subpart I - Determining Disability and Blindness
- — General
- § 416.901 — Scope of subpart.
- § 416.902 — General definitions and terms for this subpart.
- — Determinations
- § 416.903 — Who makes disability and blindness determinations.
- § 416.903a — Program integrity.
- § 416.904 — Determinations by other organizations and agencies.
- — 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 — What is needed to show an impairment.
- § 416.909 — How long the impairment must last.
- § 416.910 — Meaning of substantial gainful activity.
- § 416.911 — Definition of disabling impairment.
- — Evidence
- § 416.912 — Evidence.
- § 416.913 — Medical and other evidence of your impairment(s).
- § 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.
- — 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.
- — 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 treating 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.
- — Authorizing and Monitoring the Referral Process
- § 416.919s — Authorizing and monitoring the consultative examination.
- — Procedures To Monitor the Consultative Examination
- § 416.919t — Consultative examination oversight.
- — Evaluation of Disability
- § 416.920 — Evaluation of disability of adults, in general.
- § 416.920a — Evaluation of mental impairments.
- § 416.920b — How we consider evidence.
- § 416.921 — What we mean by a not severe impairment(s) in an adult.
- § 416.922 — When you have two or more unrelated impairments—initial claims.
- § 416.923 — Multiple impairments.
- § 416.924 — How we determine disability for children.
- § 416.924a — Considerations in determining disability for children.
- § 416.924b — Age as a factor of evaluation in the sequential evaluation process for children.
- — 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.
- § 416.926a — Functional equivalence for children.
- § 416.927 — Evaluating opinion evidence.
- § 416.928 — Symptoms, signs, and laboratory findings.
- § 416.929 — How we evaluate symptoms, including pain.
- § 416.930 — Need to follow prescribed treatment.
- — 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 which may warrant a finding of presumptive disability or presumptive blindness.
- — 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.
- — Residual Functional Capacity
- § 416.945 — Your residual functional capacity.
- § 416.946 — Responsibility for assessing your residual functional capacity.
- — Vocational Considerations
- § 416.960 — When we will consider your vocational background.
- § 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.
- — 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.
- § 416.974a — When and how we will average your earnings.
- § 416.975 — Evaluation guides if you are self-employed.
- § 416.976 — Impairment-related work expenses.
- — 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.
- — 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.
- § 416.989a — We may conduct a review to find out whether you continue to be blind.
- § 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.
- § 416.992a — [Reserved]
- § 416.993 — Medical evidence in continuing disability review cases.
- § 416.994 — How we will determine whether your disability continues or ends, disabled adults.
- § 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.
- § 416.995 — 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?
- § 416.999a — 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?
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.
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].
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§ 1254a - Temporary protected status
§ 3720A - Reduction of tax refund by amount of debt
§ 421 - Disability determinations
§ 421 note - Disability determinations
§ 423 note - Disability insurance benefit payments
§ 902 - Commissioner; Deputy Commissioner; other officers
§ 902 note - Commissioner; Deputy Commissioner; other officers
§ 1310 - Cooperative research or demonstration projects
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
§ 1381 - Statement of purpose; authorization of appropriations
§ 1381a - Basic entitlement to benefits
§ 1382 - Eligibility for benefits
§ 1382a - Income; earned and unearned income defined; exclusions from income
§ 1382b - Resources
§ 1382c - Definitions
§ 1382d - Rehabilitation services for blind and disabled individuals
§ 1382f - Cost-of-living adjustments in benefits
§ 1382h - Benefits for individuals who perform substantial gainful activity despite severe medical impairment
§ 1382h note - Benefits for individuals who perform substantial gainful activity despite severe medical impairment
§ 1382j - Attribution of sponsor’s income and resources to aliens
§ 1382 note - Eligibility for benefits
§ 1383 - Procedure for payment of benefits
§ 1383b - Administration
§ 1383c - Eligibility for medical assistance of aged, blind, or disabled individuals under State’s medical assistance plan
§ 1681 note - Continuance of civil government for Trust Territory of the Pacific Islands; assistance programs; maximum fiscal year costs; reimbursement
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 416 after this date.
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.