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At the request of the U.S. Senate Committee on Finance, the U.S. Government Accountability
Office (GAO), an agency of the Congress, is reviewing the Social Security Administrations
implementation of the 1984 Social Security Disability Benefits Reform Acts Medical Improvement
Review Standard (Public Law 98-460). Specifically, our objectives are to (1) examine the
proportion of beneficiaries who receive medical Continuing Disability Reviews (CDRs) and
leave the disability rolls, including those who leave because they have medically improved,
and (2) determine if the medical improvement standard poses special challenges for SSA when
determining whether beneficiaries continue to be disabled.
As part of our review, we are conducting a web-based survey to obtain information on the
implementation of the Medical Improvement Review Standard (MIRS). This questionnaire is
being sent to all Disability Determination Services Directors and includes questions that
allow for both categorical and open-ended responses. In our report to Congress we plan to
use only aggregate results of this survey, and not identify responses on a state-by-state basis.
Please complete this questionnaire within 2 weeks of receipt. It will take between
30 60 minutes to complete. After receiving your responses, we may follow up with a
brief telephone call if we need to clarify any of your responses. We understand that
there are great demands on your time; however, the participation of your state in our
study is essential for us to provide requested information to Congress.
We appreciate your time and effort in completing this questionnaire.
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