TN 7 (10-15)

DI 28075.630 1619 Cessation Notices (Title XVI)

Paragraph1

1619(a)
Status

1619(b)
Status

1619(a) 301 Status

1619(b) 301 Status

1619(b) Blind or Visually Impaired

Lead In

4207

4207

4207

4207

4207

Attachment 2

4041

4041

4041

4041

4041

Payments End

4213

----

4213

----

----

Medicaid Ends

----

4229

----

4229

4229

Information About Medicaid

4050

4217

4050

4217

4217

Vocational Rehabilitation

----

----

4053

4227

----

Appeals

4056

4056

4057

4057

4056

Benefit Continuation

4061

4231

4061

4231

4231

Disability Hearing

4066

4066

4066

4066

4067

If You Need Help

4069

4069

4069

4069

4069

Things to Remember

4073

4073

4073

4073

4077

DO Referral

4078

4078

4078

4078

4078

Enclosure

3

 3

 3

 3

 3

Footnotes:

1 For paragraph language, see NL 00708.100.

2 Delete if personalized explanation is included in the body of the notice.

3 Enclosures:

Explanation of Determination

SSA Pub. No. 05-11008

(NOTE: Delete “Explanation of Determination” if the personalized information is included in the body of the notice.)


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0428075630
DI 28075.630 - 1619 Ce