If you receive Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits in New Hampshire, you’re probably familiar with the term Continuing Disability Review, or CDR. It’s a key part of maintaining your benefits, but it can also be a source of stress and confusion. This guide is designed to walk you through everything you need to know about CDRs in New Hampshire — what they are, why they happen, how to prepare, and what to expect from the process.
Key Takeaways
- A Continuing Disability Review (CDR) is a periodic check by the Social Security Administration (SSA) to determine if you still qualify for disability benefits.
- CDRs are triggered based on the expected medical improvement of your condition, your age, and the type of benefits you receive.
- In New Hampshire, the Disability Determination Services (DDS) office handles your CDR medical evaluations; understanding local processing times can help you plan.
- Responding promptly and thoroughly to CDR requests is vital to avoid losing your benefits; consulting a disability attorney can provide critical support during the process.
What Is a Continuing Disability Review (CDR)?
A Continuing Disability Review (CDR) is an administrative review conducted by the Social Security Administration to determine whether individuals receiving SSDI or SSI benefits still meet the medical criteria for disability. The SSA’s goal is to ensure that benefits go only to those who remain disabled according to their standards.
CDRs are not automatic every year but occur periodically based on your medical condition and likelihood of improvement. They involve a detailed evaluation of your medical records, work activity, and other evidence.
Why Does the SSA Conduct CDRs?
The SSA conducts CDRs to:
- Verify that your medical condition has not improved to the point you are able to work.
- Ensure program integrity by preventing payments to individuals who no longer qualify.
- Update medical and vocational information that affects your eligibility.
The SSA is required by law to periodically review your disability status, usually every 3 to 7 years depending on your impairment. If the SSA finds that your condition has improved, your benefits could be reduced or stopped.
How Often Will I Have a CDR in New Hampshire?
The frequency of CDRs depends on the category of your disability and the likelihood of medical improvement. The SSA classifies cases into three categories:
| Category | Expected Improvement | Typical Review Interval |
|—————————|——————————-|—————————–|
| Medical Improvement Expected (MIE) | Condition is likely to improve | Every 6 months to 3 years |
| Medical Improvement Possible (MIP) | Condition may improve | Every 3 years |
| Medical Improvement Not Expected (MINE) | Condition is unlikely to improve | Every 7 years |
For example, if you have multiple sclerosis or rheumatoid arthritis, your case might fall into the MIP category, meaning you could expect a CDR every 3 years. If you have a permanent condition with no expected improvement, like certain types of blindness, your review might only occur every 7 years.
Who Conducts CDRs in New Hampshire?
In New Hampshire, the Disability Determination Services (DDS) office is responsible for conducting medical evaluations and making disability determinations during CDRs. The New Hampshire DDS office works closely with your treating physicians and specialists, reviewing updated medical evidence to assess your current disability status.
Contact Information for New Hampshire DDS:
- Address: 68 Regional Drive, Concord, NH 03301
- Phone: (603) 225-5716
- Hours: Monday to Friday, 8:00 AM to 4:30 PM
You can also contact your local Social Security field office for assistance:
- Manchester Social Security Office
300 Hanover Street, Manchester, NH 03104
Phone: 1-800-772-1213
What Triggers a CDR?
The SSA uses a variety of triggers to initiate a CDR, including:
- The scheduled periodic review date based on your disability category.
- Information received from doctors, employers, or family members suggesting improvement.
- You return to work or engage in substantial gainful activity (SGA).
- You report changes in your condition or income.
The SSA will send you a letter when a CDR is scheduled. This letter will include forms that you must complete and return promptly.
What to Expect During the CDR Process
Step 1: Notification Letter
The SSA sends a “Disability Review Report” (Form SSA-455-BK) along with other forms such as:
- Work Activity Report (SSA-821): Details about any work you have done.
- Adult Function Report (SSA-3373): How your condition affects your daily activities.
- Authorization to Release Medical Information (SSA-827): Allows SSA to obtain medical records.
Step 2: Complete and Return Forms
It is crucial to complete these forms carefully, honestly, and return them by the deadline indicated in the letter. Failure to respond may result in termination of your benefits.
Step 3: Medical Records Review
The New Hampshire DDS medical examiners will review your medical records, including recent doctor visits, test results, and hospitalizations.
Step 4: Medical Examination (if required)
In some cases, the SSA will schedule a consultative examination (CE) with a local doctor to assess your current condition.
Step 5: DDS Decision
Based on all the evidence, DDS will decide whether your disability continues. They will send a Notice of Decision explaining if your benefits will continue, be reduced, or stopped.
What Happens If My Benefits Are Stopped?
If your benefits are stopped after a CDR, you have the right to appeal the decision. You must request a reconsideration within 60 days of receiving the notice. During the appeal, it’s critical to gather new medical evidence supporting your continued disability.
How to Prepare for a CDR in New Hampshire
1. Keep Detailed Medical Records: Regularly visit your doctors and keep copies of all medical reports, test results, and treatment plans.
2. Report All Symptoms and Limitations Honestly: When completing forms and speaking to SSA representatives, be clear and thorough about how your condition affects your daily life.
3. Do Not Miss Deadlines: Submit all requested paperwork promptly.
4. Consult Your Physicians: Inform your doctors a CDR is scheduled so they can prepare and provide updated medical information.
5. Seek Legal Assistance: If you anticipate problems or your benefits are at risk, contact a disability attorney who understands New Hampshire’s DDS practices.
New Hampshire CDR Processing Times and Statistics
CDR processing times and outcomes can vary widely by state and by local DDS office. As of the latest data, here’s an overview specific to New Hampshire:
| Metric | New Hampshire | National Average |
|———————————–|———————————-|———————————|
| Average Time to Complete a CDR | 90-120 days | 90-150 days |
| Percentage of CDRs Resulting in Benefit Termination | 15-20% | 18-22% |
| Percentage of CDRs Resulting in Benefit Continuation | 80-85% | 78-82% |
| Average Time to Appeal a CDR Denial | 60-90 days | 60-120 days |
Sources: SSA.gov, New Hampshire DDS reports, FY 2023
Understanding the SSA Blue Book and CDRs
The SSA Blue Book is the official listing of impairments used to evaluate disability claims and CDRs. During a CDR in New Hampshire, your condition will be reviewed against the Blue Book criteria relevant to your impairment.
For example:
- If you initially qualified for benefits under the Musculoskeletal Disorders section (Section 1.00), SSA will review your current range of motion, pain levels, and functional limitations.
- If your condition falls under Neurological Disorders (Section 11.00), tests like nerve conduction studies or MRIs may be reviewed.
You can view the Blue Book online at SSA Blue Book.
What If My Condition Has Improved?
If the SSA finds that your condition has medically improved and you are capable of substantial gainful activity (SGA), your benefits may be stopped. However, SSA will consider:
- Whether you can perform your past relevant work.
- Whether you can adjust to other work considering your age, education, and work experience.
If you disagree with SSA’s decision, you can appeal and provide additional medical evidence.
Tips for Navigating CDRs in New Hampshire
- Stay Organized: Keep a file with all SSA correspondence, medical records, and forms.
- Be Proactive: Don’t wait for SSA to contact you. If your condition worsens, notify SSA immediately.
- Use Local Resources: New Hampshire offers advocacy through agencies like the Disability Rights Center-NH.
- Consult Experts: A disability attorney or Certified Benefits Counselor (CBC) familiar with New Hampshire’s DDS will be a valuable ally.
Frequently Asked Questions
1. How will I know when a CDR is coming?
The SSA will send you a notification letter by mail outlining the upcoming CDR and providing forms to complete. They rarely conduct surprise reviews without notice.
2. What if I don’t respond to the CDR forms?
Not responding can lead to immediate termination of benefits. Always complete and return forms by the deadline.
3. Can I request a postponement of a CDR?
Yes, you can request a postponement if you are temporarily hospitalized or unable to complete the review. Contact your local SSA office promptly.
4. Will I have to attend an exam for my CDR?
Not always. The SSA may decide based on medical evidence alone, but sometimes they require a consultative exam with a local doctor.
5. What should I do if my benefits are stopped after a CDR?
Request a reconsideration within 60 days and consider consulting a disability attorney to help gather evidence and prepare your appeal.
Final Thoughts
A Continuing Disability Review can be intimidating, especially when your benefits are your lifeline. Remember, the SSA’s goal is to ensure fairness and accuracy, but the process is complex and often stressful. Being prepared, staying organized, and seeking professional help can make a significant difference.
If you live in New Hampshire and are facing a CDR, I strongly encourage you to consult with a knowledgeable disability attorney. They can help you understand your rights, gather the necessary evidence, and guide you through appeals if needed.
Written by Michael T. Hargrove, former SSA Claims Examiner and Disability Benefits Consultant.