TN 7 (10-15)
To be eligible for Medicare coverage based on disability, an individual must meet
the definition of disability in the Social Security law.
The MQGE individuals are subject to all conditions and reviews that apply to regular
Title II disabled individuals (e.g., extended period of eligibility (EPE), medical
and trial work period (TWP) diaries).
Follow these instructions for cessation cases:
Prepare a Form SSA-833 (Cessation or Continuance of Disability or Blindness Determination
and Transmittal – Title II). Enter “MQGE only” in item 24.
Prepare a notice to the individual using appropriate paragraphs as instructed in DI 28095.105.
In EPE cases prepare a notice to the individual using appropriate paragraphs as instructed
in DI 13010.215A.
Route folder to FO.
Follow these instructions for continuance cases:
Prepare a Form SSA-833 determination and enter “MQGE only” in item 24.
Send an SSA-L270-U2 (Social Security Disability Information) to the individual. For
an exhibit of SSA-L270-U2, see DI 31515.201.
Route folder to FO, as appropriate. If the folder is electronic, insert “Attn: Disability
Examiner. See Form SSA-833 in file” on the Alerts and Messages screen. If folder is
paper, attach SSA-408 annotated with “Attn: Disability Examiner. See Form SSA-833