Subpart J. Subpart J—Determinations of Disability

• General Provisions

  • SECTION § 416.1001 - Purpose and scope.
  • SECTION § 416.1002 - Definitions.
  • SECTION § 416.1003 - Basic responsibilities for us and the State.

• Responsibilities for Performing the Disability Determination Function

  • SECTION § 416.1010 - How a State notifies us that it wishes to perform the disability determination function.
  • SECTION § 416.1011 - How we notify a State whether it may perform the disability determination function.
  • SECTION § 416.1013 - Disability determinations the State makes.
  • SECTION § 416.1014 - Responsibilities for obtaining evidence to make disability determinations.
  • SECTION § 416.1015 - Making disability determinations.
  • SECTION § 416.1016 - Medical consultants and psychological consultants.
  • SECTION § 416.1017 - Reasonable efforts to obtain review by a physician, psychiatrist, and psychologist.
  • SECTION § 416.1018 - Notifying claimant of the disability determination.

• Quick Disability Determinations

  • SECTION § 416.1019 - Quick disability determination process.

• Administrative Responsibilities and Requirements

  • SECTION § 416.1020 - General administrative requirements.
  • SECTION § 416.1021 - Personnel.
  • SECTION § 416.1022 - Training.
  • SECTION § 416.1023 - Facilities.
  • SECTION § 416.1024 - Medical and other purchased services.
  • SECTION § 416.1025 - Records and reports.
  • SECTION § 416.1026 - Fiscal.
  • SECTION § 416.1027 - Audits.
  • SECTION § 416.1028 - Property.
  • SECTION § 416.1029 - Participation in research and demonstration projects.
  • SECTION § 416.1030 - Coordination with other agencies.
  • SECTION § 416.1031 - Confidentiality of information and records.
  • SECTION § 416.1032 - Other Federal laws and regulations.
  • SECTION § 416.1033 - Policies and operating instructions.

• Performance Standards

  • SECTION § 416.1040 - General.
  • SECTION § 416.1041 - Standards of performance.
  • SECTION § 416.1042 - Processing time standards.
  • SECTION § 416.1043 - Performance accuracy standard.
  • SECTION § 416.1044 - How and when we determine whether the processing time standards are met.
  • SECTION § 416.1045 - How and when we determine whether the performance accuracy standard is met.
  • SECTION § 416.1050 - Action we will take if a State agency does not meet the standards.

• Performance Monitoring and Support

  • SECTION § 416.1060 - How we will monitor.
  • SECTION § 416.1061 - When we will provide performance support.
  • SECTION § 416.1062 - What support we will provide.

• Substantial Failure

  • SECTION § 416.1070 - General.
  • SECTION § 416.1071 - Good cause for not following the Act, our regulations, or other written guidelines.
  • SECTION § 416.1075 - Finding of substantial failure.

• Hearings and Appeals

  • SECTION § 416.1080 - Notice of right to hearing on proposed finding of substantial failure.
  • SECTION § 416.1081 - Disputes on matters other than substantial failure.
  • SECTION § 416.1082 - Who conducts the hearings.
  • SECTION § 416.1083 - Hearings and appeals process.

• Assumption of Disability Determination Function

  • SECTION § 416.1090 - Assumption when we make a finding of substantial failure.
  • SECTION § 416.1091 - Assumption when State no longer wishes to perform the disability determination function.
  • SECTION § 416.1092 - Protection of State employees.
  • SECTION § 416.1093 - Limitation on State expenditures after notice.
  • SECTION § 416.1094 - Final accounting by the State.