TN 64 (09-09)

DI 11055.100 Adopting a Determination or Decision when a Claimant Previously Entitled to Childhood Disability Benefits (CDB) or Disabled Widow(er) (DWB) is Terminated for a Non-Medical Reason

Sometimes a CDB or DWB beneficiary is terminated for a non-medical reasons (e.g., because of marriage), and later files for SSI. In this situation, obtain a Master Benefit Record (MBR) query.

It is not necessary to send the Title XVI claim to the Disability Determination Services (DDS) for a new disability determination if the individual meets the following conditions:

  • The CDB or DWB was terminated for non-medical reasons;

  • The Title XVI claim is filed within 12 months of the date of the CDB or DWB terminating event;

  • The claimant does not allege blindness;

  • The claimant does not allege medical improvement or work activity; and

  • A medical re-exam was not scheduled.

Adopt the prior Title II medical determination if the individual meets all of these conditions, taking the following actions:

  • Place the MBR query in the official folder;

  • Complete a Report of Contact (RC) citing this POMS section as authority for not requesting a disability determination; and

  • Process the Title XVI claim in the field office (FO) in accordance with current system input instructions.

  • Complete an SSA-831 Disability Determination and Transmittal. Refer to DI 11011.020.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0411055100
DI 11055.100 - Adopting a Determination or Decision when a Claimant Previously Entitled to Childhood Disability Benefits (CDB) or Disabled Widow(er) (DWB) is Terminated for a Non-Medical Reason - 08/29/2012
Batch run: 08/29/2012
Rev:08/29/2012