Individuals who attained age 18 in the past, but on or after August 22, 1996, and
are subject to a disability redetermination, may be identified during the CDR process.
If, upon receipt of a CDR, the DDS examiner finds that the individual was eligible
in the month before the month of attainment of age 18 and an
age 18 disability redetermination or a determination
under the adult initial claims standard was never done, a disability redetermination is required. Before making a determination, send notices
advising both the individual and payee that a disability redetermination will be done
rather than a CDR. This notice should be sent as soon as possible after the DDS recognizes
that a disability redetermination is appropriate.
NOTE: In rare instances, if an age 18 redetermination decision was made within the last
12 months and soon afterward a CDR decision is found pending, the DDS examiner should
apply a “no decision” to the CDR case providing that the medical diary has not matured and will not mature
in the next 3 months. If the above conditions are met, the DDS must return folder to the FO requesting
that the record be updated to reflect the diary period established by the DDS at the
time the age 18 redetermination was processed. See DI 13005.020C.4.c. for FO procedures.
A disability redetermination is not appropriate if the individual has had a favorable
determination under the adult initial claims standard after attainment of age 18.
Examples of cases in which an age 18 disability redetermination is not required:
an age 18 disability redetermination has already been done;
a favorable title II adult determination (CDB, HA), that was not an adoption, was
done after age 18; or,
a CDR after age 18 resulted in a continuance based on meeting or equaling a listing,
or on a residual functional capacity assessment plus consideration of vocational factors.
However, if the Comparison Point Decision (CPD) was a childhood determination and the case
was continued based on no medical improvement (MI), or no MI related to the ability
to work, the determination does not constitute a determination under the adult initial claims standard and an age 18 disability
redetermination is required.
NOTE: For cases that meet the above criteria, complete the SSA 832 as usual for a favorable