Revised Medical Criteria for Evaluating Neurological Disorders

SUMMARY:We are revising the criteria in the Listing of Impairments (listings) that we use to evaluate disability claims involving neurological disorders in adults and children under titles II and XVI of the Social Security Act (Act). These revisions reflect our program experience; advances in medical knowledge, treatment, and methods of evaluating neurological disorders; comments we received from medical experts and the public at an outreach policy conference; responses to an advance notice of proposed rulemaking (ANPRM); and public comments we received in response to a Notice of Proposed Rulemaking (NPRM) and a Federal Register notice that reopened the NPRM comment period.

DATES: This rule is effective September 29, 2016.

 

https://www.federalregister.gov/documents/2016/07/01/2016-15306/revised-medical-criteria-for-evaluating-neurological-disorders

Medical Criteria for Evaluating Mental Disorders

SUMMARY: We are revising the criteria in the 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). The revisions reflect our program experience, advances in medical knowledge, recommendations from a commissioned report, and public comments we received in response to a Notice of Proposed Rulemaking (NPRM).


DATES: These rules are effective January 17, 2017.

Social Security Ruling, SSR 16–3p: Titles II And XVI: Evaluation of Symptoms in Disability Claims

 

"SUMMARY: We are providing notice of SSR 16-3p. This Ruling supersedes SSR 96-7p. This Ruling provides guidance about how we evaluate statements regarding the intensity, persistence, and limiting effects of symptoms in disability claims under Titles II and XVI of the Social Security Act (Act) and blindness claims under Title XVI of the Act."

 

Social Security Ruling, SSR 16–1p: Titles II And XVI: Fraud and Similar Fault Redeterminations Under Sections 205(u) And 1631(e)(7) of the Social Security Act

"This ruling [16-1p] describes the process we use when we redetermine an individual’s entitlement or eligibility to receive benefits when there is reason to believe that fraud or similar fault was involved in that individual’s application for benefits. This ruling applies to all final determinations or decisions on entitlement or eligibility to receive benefits under title II and title XVI of the Act. This ruling does not replace or limit other appropriate standards and criteria for evaluation of claims."

Social Security Ruling, SSR 16–2p; Titles II and XVI: Evaluation of Claims Involving Similar Fault in the Providing of Evidence

"This Ruling [16-2p] supersedes and replaces previously published SSR 00–2p. It provides the definition of fraud, and clarifies the definitions of knowingly and preponderance of the evidence. The Ruling also clarifies that we may find that any individual or entity has committed fraud or similar fault, and that we may disregard evidence submitted by any individual or entity that we find has committed fraud or similar fault. In addition, the Ruling provides examples of such individuals and entities." (emphasis added.)