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b. Medical Improvement. Any decrease in the medical severity of the impairment that was presented at the CPD as measured by changes in symptoms, signs and/or laboratory findings associated with the impairment. 3. The MART must conduct these reviews in accordance with Federal SSI Regulations at 20 C.F.R. § 404.1594 (2023) and the schedule for conducting reviews identified at 20 C.F.R. § 416.990 (2023). This schedule indicates the reviews must generally be conducted as follows: a. Impairment expected to improve – six (6) to eighteen (18) months from date of CPD; b. Impairment not considered permanent, but medical improvement cannot be accurately predicted – once every three (3) years from CPD; c. Impairment is considered permanent – at least once every seven (7) years, but not more often than once every five (5) years from CDP; d. Immediately, for the reasons set forth in subsection (b) of the Federal Rule including, but not limited to: the beneficiary returns to work or is reported by government agency or other source to be able to begin working or no longer disabled, electronic data sources indicating earnings increased substantially, or a self-reported recovery from the impairment. 4. Limitations – A periodic review is not required for any beneficiary with a disability determined by the SSA and/or authorized to work under the Sherlock Plan, Ticket to Work Plan, or any other eligibility pathway for adults with disabilities who are working as identified in this Chapter. 5. The eligibility of Medicaid beneficiaries who are sixty-five (65) and older are renewed on an annual basis in accordance with the provisions located in Subchapter 00 Part 2 of this Chapter. 1.11.6 Agency and Applicant Responsibilities A. The applicant must provide the health care authorizations and information necessary to make a timely and accurate determination of disability. The MART is responsible for assuring that determinations are made in accordance with 20 C.F.R. §§ 416.920-985 (2023) and may be obtained in hard copy by contacting the Social Security Administration, One Empire Plaza, 6th Floor, Providence, RI 02903 or 1-877-402-0808 (TYY 1-800-325-0778).