Public Law 104–193 (the Personal Responsibility and Work Opportunity Reconciliation Act of 1996) amended
                  Section 1614(a)(3) of the Social Security Act.
               
               The law requires the agency to conduct CDRs on all non-permanently disabled children
                  under age 18 at least once every three years. The Commissioner may review Title XVI
                  child cases involving a permanent impairment at such times that the Commissioner deems
                  appropriate.
               
               The law also directs when a CDR is required for cases in which low birth weight is
                  a contributing factor material to the disability determination.
               
               In addition, the law requires that an eligible Supplemental Security Income (SSI)
                  individual found disabled before age 18 must be subject to a review upon attaining
                  age 18. In these cases, the medical improvement review standard (MIRS) does not apply.
                  Instead, the age-18 medical redetermination applies the disability evaluation process
                  used for an initial Title XVI adult claim, see DI 13005.020D in this section. A future medical reexamination date may warrant screening out and
                  discontinuing a CDR, pending maturation of the medical reexamination review date,
                  see DI 13005.020D3. in this section.
               
               Do not screen out a CDR based on the future medical diary date on the Supplemental
                  Security Record (SSR). If the medical diary on the current SSR displays a future diary
                  date based on a system limitation (such as a start date record), review the medical
                  diary date established on the last favorable medical determination. If the medical
                  diary date has expired, complete the CDR.
               
               Do not screen out a case that involves the following:
               
                  - 
                     
                        • 
                           A Title XVI age-18 medical redetermination case with a future medical reexamination
                              diary,
                            
 
 
- 
                     
                        • 
                           A Title XVI low birth weight (LBW) case with a future medical reexamination diary,
                              or 
 
 
- 
                     
                        • 
                           A Title XVI disabled child case with a future medical reexamination diary. 
 
 
EXCEPTION: Screen out a Title XVI disabled child (not LBW) case if the case meets both of the following conditions:
               
               
                  - 
                     
                        • 
                           The DDS or OHO made a fully developed decision (initial claim, or CDR, but not a modified
                              decision) within the last 12 months; and 
 
 
- 
                     
                        • 
                           The medical diary has not matured and will not mature in the next three months.