TN 25 (08-23)
NL 00705.357 Continuing Disability Review (CDR) Continuance Notice (Children Ages 16-17)
Social Security Administration
Supplemental Security Income
Important Information
Date:
Claim Number: 999-99-9999DC
Jane Doe for
John Smith
Street Address
City ST ZIP
IMPORTANT INFORMATION
PLEASE READ ALL OF THIS LETTER CAREFULLY
Earlier we wrote to tell you that we would review John Smith's disability case to
see if they are disabled. Now, we are writing to tell you that they are still disabled
under our rules. They will continue to receive Supplemental Security Income (SSI)
payments if they still meet all the other eligibility requirements. Also, if they
are getting medical assistance based on SSI, their coverage should continue.
We Will Review John Smith's Case Again
Doctors and other trained staff decided that they are still disabled. However, under
our rules, if a child is qualified for SSI because of disability the month before
their 18th birthday, we must look at their case again once they are 18 years old.
We will do this by using the same disability rules we use for adults who file new
applications. We will send you another letter describing the disability rules before
we do the redetermination.
[Optional Language: Use the medical diary language only if the decision establishes
a medical diary date before the child is 18 years old:
We must review the cases of children who receive SSI based on disability to decide
if they still meet our disability rules. Our rules require us to review, at least
once every three years, the cases of children whose health we think may improve. We
may also review their case at other times, even if we do not think that their health
may improve.
The doctors and other trained staff who decided that they are still disabled expect
their health to improve. Therefore, we will review their case again in Month/Year).
See Next Page
999-99-9999DC Page 2 of 3
***[NOTE: Do NOT use the treatment language if the child is their own payee.]
When we review John Smith's case again, we may ask you to show proof that they are
and have been receiving treatment that is medically necessary and available for their
condition. Before we ask for this proof, we will consider the nature of their condition.
If you do not show proof of treatment when we ask you, and you do not have a good
reason why they are not receiving treatment, we may stop making payments to you and
select another payee for them if it is in their best interests.
We will send you a letter before we start the review. We will tell you then what information
we need. We will help you get any information you do not have.
John Smith May Be Able To Get Training For A Job
You may want to contact your local State vocational rehabilitation agency. They may
be able to help them get training for a job and to find work.
Things To Remember
The decision we made on their case is based on information we have now. If this information
changes, it could affect their SSI. For this reason, it is important that you report
changes right away. Be sure to tell us about any of the following changes.
-
•
Their doctor says their health is better.
-
-
•
They move, or anyone else moves from or into their house.
-
•
There is a change in income or resources for them or members of the house.
-
•
They stop or start going to school regularly.
-
-
•
Their job, pay or work expenses change, if they are working now.
If You Disagree With The Decision
If you disagree with the decision, you have the right to appeal. We will review your
case again and consider any new facts you have. A person who did not make the first
decision will decide your case.
-
•
You have 60 days to ask for an appeal.
See Next Page
999-99-9999DC Page 3 of 3
-
•
The 60 days start the day after you receive this letter. We assume you got this letter
5 days after the date on it unless you show us that you did not get it within the
5-day period.
-
•
You must have a good reason if you wait more than 60 days to ask for an appeal.
-
•
You have to ask for an appeal in writing. We will ask you to sign Form SSA-561-U2,
called “Request for Reconsideration.” Contact one of our offices if you want help .
How the Appeal Works
You have the right to review the facts in your case. You can give us more facts to
add to your file. Then we will decide your case again. You will not meet the person
who will decide your case.
If You Want Help With Your Appeal
You can have a friend, lawyer, or someone else help you. There are groups that can
help you find a lawyer or give you free legal services if you qualify. There are also
lawyers who do not charge unless you win your appeal. Your local Social Security office
has a list of groups that can help you with your appeal.
If you get someone to help you, you should let us know. If you hire someone, we must
approve the fee before they can collect it.
If You Have Any Questions
If you have any questions you may call us toll-free at 1-800-772-1213, or call
your local Social Security office at [FO telephone number from TRIDE]. We can answer
most questions over the telephone. You can also write or visit any Social Security
office. The office that serves your area is located at:
[Field Office Address
City ST ZIP]
If you do call or visit an office, please have this letter with you. It will help
us answer your questions.
(Signature)
Regional Commissioner
Continuance Notice Language
Fill-ins
IMPORTANT INFORMATION
PLEASE READ ALL OF THIS LETTER CAREFULLY
Earlier we wrote to tell you that we would review (1) disability case to decide if
(2) still disabled. Now, we are writing to tell you that (3) still disabled under
our rules. (4) will continue to receive Supplemental Security Income (SSI) payments
if (5) all the other requirements. Also, if (6) getting medical assistance based on
SSI, (7) coverage should continue.
-
(1)
Choice 1: Recipient's name (possessive)
Choice 2: your
-
(2)
Choice 1: they are
Choice 2: you are
-
(3)
Choice 1: they are
Choice 2: you are
-
(4)
Choice 1: They
Choice 2: You
-
(5)
Choice 1: they meet
Choice 2: you meet
-
(6)
Choice 1: they are
Choice 2: you are
-
(7)
Choice 1: their
Choice 2: your
***[NOTE: For children ages 16-17, use the medical diary language only if the decision establishes
a medical diary date before the child is 18 years old.]
We Will Review (1) Case Again
We must review the cases of children who receive SSI based on disability to decide
if they are still disabled. Our rules require us to review, at least once every three
years, the cases of children whose health we think may improve. We may also review
their cases at other times, even if we do not think that their health may improve.
The doctors and other trained staff who decided that (2) still disabled expect (3)
health to improve. Therefore, we will review (4) case again in (Month/Year).
***[NOTE: Do NOT use the treatment language if the child is their own payee.]
When we review (5) case again, we may ask you to show proof that (6) are and have
been receiving treatment that is medically necessary and available for (7) condition.
Before we ask for this proof, we will consider the nature of (8) condition.
If you do not show proof of treatment when we ask you, and you do not have a good
reason why (9) are not receiving treatment, we may stop making payments to you and
select another payee for them if it is in (10) best interests.
We will send you a letter before we start the review. We will tell you then what information
we need. We will help you get any information you do not have.
-
(1)
Choice 1: Recipient's name (possessive)
Choice 2: Your
-
(2)
Choice 1: Recipient's name is
Choice 2: you are
-
(3)
Choice 1: their
Choice 2: your
-
(4)
Choice 1: their
Choice 2: your
-
(5)
Choice 1: Recipient's name
-
-
-
-
-
***[NOTE: Use only for the child who is age 16 or 17 years old.]
(1)
May Be Able To Get Training For A Job
You may want to contact your local State vocational rehabilitation agency. They may
be able to help (2) get training for a job and to find work.
-
(1)
Choice 1: Recipient's name
Choice 2: You
-
(2)
Choice 1: them
Choice 2: you
Things To Remember
The decisions we made on (1) case are based on information we have now. If this information
changes, it could affect (2) SSI. For this reason, it is importunately you report
changes right away. Be sure to tell us about any of the following changes:
-
•
(3) doctor says (4) health is better.
-
-
•
(6), or anyone else moves from or into (7) house.
-
•
There is a change in income or resources for (8) or members of the house.
-
•
(9) going to school regularly.
-
-
(1)
Choice 1: Recipient's name (possessive)
Choice 2: your
-
(2)
Choice 1: their
Choice 2: your
-
(3)
Choice 1: Their
Choice 2: Your
-
(4)
Choice 1: their
Choice 2: your
-
(5)
Choice 1: They marry.
Choice 2: You marry.
-
(6)
Choice 1: They move
Choice 2: You move
-
(7)
Choice 1: their
Choice 2: your
-
(8)
Choice 1: them
Choice 2: you
-
(9)
Choice 1: They stop or start
Choice 2: You stop or start
-
(10)
Choice 1: They go
Choice 2: You go
If You Disagree With The Decision
If you disagree with the decision, you have the right to appeal. We will review your
case again and consider any new facts you have. A person who did not make the first
decision will decide your case.
-
•
You have 60 days to ask for an appeal.
-
•
The 60 days start the day after you receive this letter. We assume you got this letter
5 days after the date on it unless you show us that you did not get it within the
5-day period.
-
•
You must have a good reason if you wait more than 60 days to ask for an appeal.
-
•
You have to ask for an appeal in writing. We will ask you to sign Form SSA-561-U2,
called “Request for Reconsideration.” Contact one of our offices if you want help.
How the Appeal Works
You have the right to review the facts in your case. You can give us more facts to
add to your file. Then we will decide your case again. You will not meet the person
who will decide your case.
If You Want Help With Your Appeal
You can have a friend, lawyer, or someone else help you. There are groups that can
help you find a lawyer or give you free legal services if you qualify. There are also
lawyers who do not charge unless you win your appeal. Your local Social Security office
has a list of groups that can help you with your appeal. If you get someone to help
you, you should let us know. If you hire someone, we must approve the fee before they
can collect it.
If You Have Any Questions
If you have any questions you may call us toll-free at 1-800-772-1213, or call your
local Social Security office at [FO telephone number from TRIDE]. We can answer most
questions over the telephone. You can also write or visit any Social Security office.
The office that serves your area is located at:
[Field Office Address
City ST ZIP]
If you do call or visit an office, please have this letter with you. It will help
us answer your questions.