TN 7 (10-15)

DI 28075.620 1619 Determinations - Preparation of the Forms SSA-832 and SSA-833

To prepare the Form SSA-832 (Cessation or Continuance of Disability or Blindness Determination and Transmittal - Title XVI), see the instructions in DI 28084.001 through DI 28084.065; to prepare the Form SSA-833 (Cessation or Continuance of Disability or Blindness Determination and Transmittal - Title II), see the instructions in DI 28084.001 through DI 28084.065.

For 1619 cases, the following specific instructions apply:

  • In concurrent cases for Disability Insurance Benefits (DIB), Disabled Widow(er) Benefits (DWB), Childhood Disability Benefits (CDB), and 1619 cases, SSA requires a determination on both titles; and

  • If the evidence supports a cessation, SSA will cease benefits on both titles. This situation applies even if the individual is in a trial work period (TWP) under Title II.

A. Form SSA-832 for Title XVI determination

SSA selects cases with 1619 initial eligibility for a medical review under the regular CDR process.

SSA will do reviews of 1619 CDRs when there is a 1619 status change event. Use “1619 Status Change CDR” coding when preparing the Form SSA-832 for these cases.

The items are as follows:

  1. Item 11 - Reason for Cessation: Do not enter any of the old substantial gainful activity (SGA) or TWP or extended period of eligibility (EPE) codes, i.e., 66-71. The definitions for these codes are obsolete.

  2. Item 12 - Reason for Continuance: Do not enter any of the old SGA or TWP or EPE codes, (i.e., 78-80, 85-86). The definitions for these codes are obsolete.

  3. Item 20 - Why Review Was Made (WRM): Enter Code 23, (1619(a), Initial Eligibility CDR); Code 24, (1619(b) Initial Eligibility CDR); or Code 25, (1619 Status Change CDR).

  4. Item 23 - Diary Information: In continuances, enter an MIE, MIP, or MINE diary as appropriate, based on the instructions in DI 26525.000. TWP diaries are not appropriate for Title XVI determinations, but they may be needed for the Title II determination in a concurrent case; see DI 28075.620B in this section.

  5. Item 24 Remarks: Enter “1619(a) Initial Eligibility CDR,” or “1619(b) Initial Eligibility CDR,” or “1619 Status Change CDR.”

  6. Item 29 - Letter/Paragraph Number: Show “S”. For notice instructions, see DI 28075.625 and DI 28075.630.

B. Form SSA-833 for Title II determination

The items are as follows:

  1. Item 20 - Why Review Was Made (WRM): Enter Code 26, (1619 CDR - Concurrent Title II Determination).

  2. Item 23 - Diary Information: In continuances, enter an MIE, MIP, or MINE diary, as appropriate, based on the instructions in DI 26525.000, unless a TWP diary is needed.

  3. Item 24 Remarks: Enter “1619 CDR - Concurrent Title II Determination.”

  4. Item 29 - Letter/Paragraph Number: In continuances, enter “1013”; in cessations, show “S”. For notice instructions, see DI 28075.625.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0428075620
DI 28075.620 - 1619 Determinations - Preparation of the Forms SSA-832 and SSA-833 - 05/24/2016
Batch run: 05/24/2016
Rev:05/24/2016