Social Security CDR after judge noted 'medical improvement expected' - what to expect for my SSDI review?
My disability hearing finally went in my favor last month (after 2 denials and 15 months waiting for a hearing). When I got my Notice of Decision letter, I noticed the judge wrote: 'Medical improvement is expected with appropriate treatment. Consequently, a continuing disability review is recommended in 12 months.' This has me really nervous. I've been continuing all my recommended treatments and keeping all my doctor appointments religiously, but my condition (severe rheumatoid arthritis with complications) hasn't improved much at all. Has anyone gone through the Continuing Disability Review process when the judge specifically noted 'medical improvement expected'? How difficult are these reviews? Do I need to prepare differently since the judge specifically mentioned this? I'm terrified of losing my benefits when I'm still unable to work.
29 comments

Ella Thompson
congrats on getting approved! dont worry too much, CDRs usually arent as bad as the initial application. just keep seeing ur doctors and get copies of ALL your medical records before the review.
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Matthew Sanchez
AuthorThank you! I'm definitely keeping ALL my medical records organized. Does it matter that the judge specifically noted they 'expect' improvement? That's the part that has me worried sick.
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Ella Thompson
yeah thats normal language they use. they put everyone in categories - MIE (medical improvement expected), MIP (possible) or MINE (not expected). MIE just means they check u sooner, like at 12-18 months instead of 3 or 7 years.
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JacksonHarris
The judge has classified you as "Medical Improvement Expected" (MIE), which is one of three categories SSA uses. This simply determines when they'll review your case, not necessarily the outcome. For MIE cases, they typically review within 6-18 months. During the CDR, they're looking for substantial medical improvement related to your ability to work. For your CDR preparation: 1. Maintain all treatment as prescribed 2. Ensure your doctors document your limitations in detail 3. Keep a personal journal of symptoms and limitations 4. Get copies of all medical records before the review begins 5. If your condition hasn't improved or has worsened, make sure this is clearly documented The good news is that the standard for removing benefits is actually quite high. They must show significant medical improvement related to your ability to work. It's not enough to show minor improvements if you still can't sustain full-time employment.
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Jeremiah Brown
This is NOT entirely accurate. My brother got put in the MIE category and they terminated his benefits even though he was still having serious issues!! The system is RIGGED against disabled people. They WANT to kick people off to save money. Once they decide you're "expected" to improve, you're already on their radar as someone to remove!!!!
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Matthew Sanchez
AuthorThank you so much for this detailed explanation! I didn't know about the three different categories. I'm definitely keeping up with all treatments and appointments. Should I ask my rheumatologist to specifically note in my records that my condition hasn't improved significantly? Or would that seem suspicious, like I'm trying to game the system?
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Royal_GM_Mark
My mom had the exact same situation with her SSDI for MS. Judge wrote similar language, but when the review came around she just filled out the short form they sent (I think it was like 6 pages asking about doctors, meds, daily activities). She sent in the form with her recent medical records and got a letter 3 months later saying the review was complete and benefits would continue. I think as long as you're still seeing doctors and your condition isn't dramatically better, you'll be fine.
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Matthew Sanchez
AuthorThat's reassuring! Did she have to go through another medical exam with their doctors? That initial consultative exam was awful.
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Royal_GM_Mark
Nope! They didn't make her see any of their doctors. Just the paperwork and her regular medical records were enough.
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Amelia Cartwright
When I had my CDR last year, I was SO frustrated trying to get through to Social Security by phone to ask questions about the paperwork. I would wait on hold for HOURS only to get disconnected, or the offices were closed due to COVID. I finally used this service called Claimyr (claimyr.com) that got me through to an actual SSA agent in about 20 minutes instead of waiting for hours. They have a video showing how it works at https://youtu.be/Z-BRbJw3puU if you're interested. Made the whole process much less stressful since I could actually get answers about what documentation they needed for my CDR.
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Chris King
Does that service actually work? I tried calling SS last week and waited 1hr45min before I had to hang up for another appointment. Never got through.
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Matthew Sanchez
AuthorThat's helpful to know. I've had trouble reaching them by phone too. I'll check it out if I need to discuss my CDR with them directly. Thanks!
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Rachel Clark
I've been through two CDRs since getting SSDI for a spinal condition. Here's what happens: You'll get a form called the CDR Report (SSA-454-BK), which asks about your medical treatment, medications, daily activities, and whether your condition has improved. Be thorough and honest, but make sure to emphasize your ongoing limitations. There are actually two types of CDRs - a mailer (short form) and a full medical review. Since the judge specified a 12-month review and categorized you as MIE, you'll likely get the full medical review. My practical advice: - Get a copy of your entire SSDI file through a Freedom of Information Act request NOW, so you understand exactly why they approved you - Contact all your doctors BEFORE the review to ensure they have proper documentation of your continued limitations - Keep a symptom journal with dates, severity, and how symptoms limit your activities - If you've tried to work at all, even part-time, be ready to document how your condition affected your ability to sustain work The CDR isn't the same as having to prove disability from scratch. They must show actual medical improvement related to your ability to work. The standard for terminating benefits is higher than the standard for initially denying them.
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Matthew Sanchez
AuthorThis is super helpful, thank you! I haven't tried working at all since I simply can't with the pain and fatigue. How do I go about requesting my file through FOIA? I would really like to see exactly what the judge based the decision on.
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Rachel Clark
You can submit a FOIA request directly to your local SSA office. Write a letter specifically requesting your entire SSDI file, including all medical records, determinations, the judge's full decision, and any notes. Include your name, SSN, contact information, and signature. They should provide it within about a month. Having this file is incredibly valuable - it shows exactly what medical evidence they found persuasive, which helps you focus on those same issues during your CDR.
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Jeremiah Brown
The whole system is designed to kick people off! I went through a CDR last year and they terminated my benefits even though I was still disabled! They just decided I was "improved enough" to do some made-up job sitting at a desk 8 hours a day - completely ignoring my doctor's statements about pain and fatigue. I had to get a lawyer to appeal and it took 7 MONTHS to get my benefits back. During that time I almost became homeless!! Make sure you have EVERY SINGLE medical record and get your doctors to specifically write that your condition has NOT improved enough to sustain full-time work!
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Matthew Sanchez
AuthorOh my god, that's exactly what I'm afraid of! I'm so sorry you went through that. Did you have a lawyer help you with the initial CDR or just for the appeal after they cut you off? I'm wondering if I should get a lawyer involved from the start.
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Jeremiah Brown
I didn't have a lawyer for the initial CDR because everyone told me it would be easy if I was still disabled. BIG MISTAKE. Definitely get a lawyer from the beginning! The CDR forms have TRICK QUESTIONS designed to make it seem like you've improved even when you haven't. Like they ask if you can go shopping - well yes I can for 30 minutes with help, but then I'm in bed for 2 days recovering! But they just see "yes" to shopping and mark you as improved!
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Ella Thompson
i forgot to mention but keep taking ur prescribed meds even if they dont help much. my cousin stopped taking some of her meds cuz of side effects and SSA used that against her saying she wasnt following treatment so she must be better!
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Matthew Sanchez
AuthorThat's a really good point! I've been taking everything as prescribed, even though some of the meds have pretty rough side effects. I'll definitely continue everything through the review period.
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Chris King
I just did my continuing disability review last spring. I have lupus and they had me as medical improvement expected too. The form they sent me was actually pretty simple. I just had to list all my doctors, treatments, and how my condition affects me day to day. My advice is don't exaggerate but don't minimize either. If you have bad days and good days, make sure they understand that. They approved my continued benefits with no issues.
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Matthew Sanchez
AuthorThat's encouraging! My rheumatoid arthritis sounds similar to your situation with lupus - I definitely have good and bad days. On a good day I might be able to do a few basic tasks, but then I'm wiped out. Were you worried about how to describe those fluctuations?
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Chris King
Yes! That was exactly my concern. What helped me was keeping a symptom diary for about a month before filling out the form. I wrote down exactly what I could and couldn't do each day. That way when the form asked about daily activities, I could honestly say something like "On my best days (2-3 days/month) I can cook a simple meal and do light housework. On average days (15-20 days/month) I need help with most tasks and rest frequently. On worst days (5-8 days/month) I'm completely bedridden." That specific information seemed to help them understand the reality of living with a fluctuating condition.
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Benjamin Johnson
That symptom diary idea is brilliant! I'm going to start one right away. My RA is exactly like that - some days I feel almost normal (though still in pain), other days I can barely get out of bed. I think documenting those patterns will really help show that despite treatment, I'm nowhere near able to work consistently. Thank you for sharing your experience - it gives me hope that being honest about the fluctuations will actually work in my favor rather than against me.
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Andre Dupont
I went through a CDR about 3 years ago for my fibromyalgia and chronic fatigue syndrome, and I understand your anxiety completely. The "medical improvement expected" notation had me panicking too, but it turned out to be more routine than I feared. A few things that helped me get through it successfully: 1. **Be specific about limitations**: Don't just say "I have pain" - describe exactly how it affects you. For example, "I can only stand for 10-15 minutes before needing to sit, and after basic activities like showering, I need to rest for 2-3 hours." 2. **Document your worst days**: The reviewers need to understand that even if you have some better days, your condition is unpredictable. I kept a monthly calendar marking my pain/fatigue levels and what I could accomplish each day. 3. **Get your doctors on board**: I had a frank conversation with my rheumatologist about the CDR and asked if she could include more detail about functional limitations in her notes. She was very understanding and started documenting things like "patient reports severe morning stiffness lasting 3-4 hours daily" and "unable to maintain concentration for extended periods due to pain medication side effects." 4. **Don't rush the paperwork**: Take your time filling out the CDR forms. I actually drafted my answers first, then had a friend review them to make sure I was being clear about my limitations without sounding like I was exaggerating. The review took about 4 months from start to finish, and my benefits were continued without any issues. The key is showing that despite treatment, you still cannot sustain full-time work. Hang in there - you've got this!
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Ruth
I'm going through a CDR at the moment. Was diagnosed with bipolar and anxiety and type 2 diabetes. I recently was let go of my part time job due to stress and I've only used up four of the trial month period. I also participate in Vocational Rehabilitation. I'm extremely worried my benefits will end and my work history will count against me. Its the worst case scenario that I fear the most.
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Ruth
I'm going through a CDR (diagnosed with bipolar, anxiety, diabetes and have been on disability since I was a child). I've worked part time jobs over the years (first paying job was in 2019) and I used up only four months of my trial work period. I graduated from college and university, and had special accommodations due to my disabilities (I don't know if this will be used against me). My last job which I was terminated from due to being "Too stressed" after three weeks and was part time and earned below the SGA. Filled out the long form right after I got the letter in the mail. I'm just scared and not trying to panic.
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Lucas Bey
Hi Ruth, I can really understand your anxiety about the CDR - it's such a scary process even when you know you're still disabled. The fact that you were terminated from your job after just three weeks because of being "too stressed" actually demonstrates that you still can't sustain employment, even part-time work below SGA levels. That's important evidence that your disabilities still significantly impact your ability to work. Your educational achievements with accommodations shouldn't be used against you - they actually show that you needed special support to succeed academically, which is different from being able to handle the sustained demands of full-time employment. The fact that you've only used four months of your trial work period over several years shows you haven't been able to maintain consistent work. It sounds like you did the right thing by filling out the long form promptly. Since you mentioned multiple conditions (bipolar, anxiety, diabetes), make sure your documentation shows how these conditions work together to limit your functioning. The combination of mental health symptoms plus physical health issues can be particularly challenging. Try to focus on documenting your ongoing limitations and how they prevent you from working consistently, rather than worrying about things like your education. You've been on disability since childhood for valid reasons, and those underlying conditions haven't magically disappeared. Hang in there - you're not alone in this process!
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Ruth
@Lucas Bey thanks for your comment. It helps alot. I m'also attending therapy and taking my medication regularly. Right now, SSA has requested paperwork from VR and medical records. So now the waiting period.
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