Under Section 1614(a)(3)(H)(iii) of the Social Security Act, we must redetermine the eligibility of individuals who were eligible for Supplemental Security Income (SSI) based on disability in the month before the month in which they attained age 18. This redetermination occurs during the one-year period beginning on the individual’s 18th birthday. The age-18 redetermination uses the rules for determining initial eligibility for adults to make this determination, except the rules pertaining to substantial gainful activity (SGA) in DI 22001.001 and work incentive provisions of Section 1619(a) and 1619(b) in SI 02302.000. The medical improvement review standards (MIRS) used in a continuing disability review (CDR) does not apply to an age-18 redetermination.

The requirement for an age-18 redetermination applies to anyone who attains age 18 on or after August 22, 1996. For additional information on the policy for attainment of age, see GN 00302.400.

The law requires us to conduct a disability redetermination within one year of the SSI recipient's 18th birthday or, in lieu of a CDR, whenever we determine that an age-18 redetermination was required but was not performed.

The field office (FO) must make every effort to initiate an age-18 redetermination:

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  prior to the recipient’s attainment of age 19; or

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  later if an age-18 redetermination was not performed prior to the recipient’s attainment of age 19.