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DI 28005.045: Step-by-Step Discussion of the 7-Step Drug Addiction or Alcoholism (DAA) Material Continuing Disability Review (CDR) Evaluation Process for Title II and Adult Title XVI Individuals

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  • Effective Dates: 06/03/2015 - Present
  • Effective Dates: 10/31/2017 - Present
  • TN 5 (06-15)
  • DI 28005.045 Step-by-Step Discussion of the 7-Step Drug Addiction or Alcoholism (DAA) Material Continuing Disability Review (CDR) Evaluation Process for Title II and Adult Title XVI Individuals
  • A. Introduction to this Step-by-Step discussion
  • The discussion in DI 28005.045B in this section is numbered to correspond to the steps in the chart in DI 28005.040B. The chart and this discussion are applicable to CDR cases involving DAA.
  • B. Step-by-step discussion
  • 1. Disability continues
  • Decide whether disability continues by following the CDR evaluation process outlined in DI 28005.010. Consider all the evidence, including any evidence of DAA.
  • 2. Medical evidence of DAA
  • Decide whether the medical evidence establishes the existence of a substance use disorder.
  • * If not, find that disability continues.
  • * If so, go to step 3.
  • 3. Medical improvement (MI) if DAA stopped
  • Decide whether MI would occur if the individual stopped using drugs or alcohol.
  • * If not, find that DAA is not material and disability continues.
  • * If so, go to step 4.
  • 4. MI related to the ability to work
  • Decide whether MI would be related to the ability to work.
  • * If not, find that DAA is not material and disability continues.
  • * If so, go to step 5.
  • 5. Severe
  • Decide whether the individual would have a severe impairment(s) if the individual stopped using drugs or alcohol.
  • * If not, find that DAA is material and disability ceases.
  • * If so, go to step 6.
  • 6. Past work
  • Decide whether the individual would be able to do past work if the individual stopped using drugs or alcohol.
  • * If not, find that DAA is material and disability ceases.
  • * If so, go to step 7.
  • * If so, find that DAA is material and cease disability.
  • * If not, go to step 7.
  • 7. Other work
  • Decide whether the individual would be able to do other work if the individual stopped using drugs or alcohol.
  • * If so, find that DAA is material and disability ceases.
  • * If not, find that DAA is not material and disability continues.
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