If established onset is after age 22 in a CDB claim and is not based on a traumatic
onset, but is based on date of filing under Title XVI, or insured status on Title
II (i.e., a possible earlier onset exists), forward the claim to the DDS for a disability
When deciding to adopt a Title XVI (DI) determination, be sure to check the age of
the claimant at time of Title XVI onset. If the claimant was awarded as a “DC” and
converted to “DI” at age 18, and a medical determination, using adult criteria, was
never made, the Title XVI determination cannot be adopted. Forward the claim to the
NOTE: If the SSIDC attained age 18 before 08/22/96, different rules for determining disability apply. See DI 11070.001, Title XVI Childhood and Age 18 Disability Redetermination Cases (Public Law (P.L.)
104-193 As Modified by P.L. 105-33) - FO.
If the claimant was awarded as a “DC” and converted to “DI” at age 18, and a medical
determination, using the adult criteria, was made, the Title XVI determination can be adopted, as long as the claimant attained age 18 on or before the alleged onset
date (AOD)/date first insured for Title II DIB or AOD/age 22 for the Title II CDB.
In addition, be alert to situations in which the FO can not adopt a prior favorable
Title XVI determination when there is substantial gainful activity (SGA) after the
established Title XVI onset date.