There are some situations in which the DDS makes a determination establishing disability
or blindness, but the FO must deny the case for non-medical reasons (i.e., not released
from an institution within 30 days of notification of decision (prerelease), or other
technical denial). If the claimant files an application later and meets all non-medical
factors, another DDS decision is not always necessary, as there are some situations
in which the prior favorable DDS medical allowance is used. For complete instructions,
see DI 11055.075 – Using the Previous SSI Favorable Medical Determination or Decision to Reestablish
or Reinstate SSI Benefits.
The FO may use a prior favorable DDS medical allowance when:
A claimant previously denied for non-medical reasons (e.g., non-release from institution,
income and resources) now meets all non-medical factors and:
No issues of intervening work or medical improvement is involved.
The FO refers the case to the DDS for a new disability determination for situations
The previous claim was denied by the DDS on a substantive basis or:
There are intervening work or medical improvement issues.