The DDS uses the following guidelines when identifying and reviewing a case for an
Age-18 flag in paper cases
If the case involves a paper folder due to an electronic disability control system
(EDCS) exclusion, review the current folder to see whether the case contains an age-18
disability redetermination flag. For an example of an age-18 redetermination flag,
see DI 23570.110. For additional information on electronic age-18 redetermination cases, see DI 81010.232.
Review of the claim folder
During the continuing disability review (CDR) process, the DDS may identify individuals
who attained age 18 in the past, on or after August 22, 1996, are subject to an age-18
An age-18 redetermination is required if, the DDS examiner finds that the Title XVI
eligible in the month before the month of attainment of age 18; and
an age-18 medical redetermination or a determination under the adult initial claims
standard was never done.
Before initiating an age-18 redetermination, the DDS must send notices to the disabled
individual and representative payee that an age-18 redetermination will be done rather
than a CDR. The DDS must send this notice as soon as possible after the DDS recognizes
that a medical redetermination is appropriate. For an example of an age-18 redetermination
notice, see DI 23570.100.
Prior determination made using the adult criteria
An age-18 redetermination is not appropriate if the individual has otherwise had a
favorable determination under the adult initial claims standard after attainment of
Examples of cases that do not require an age-18
an age-18 redetermination has already been done;
a favorable Title II adult determination (child disability benefits (CDB), disability
insurance benefits (DIB) claims), that was processed after the individual attained
18, but if the prior determination was based on collateral estoppel, see DI 27515.001F; or
a CDR after age 18 resulted in a continuance based on meeting or equaling an adult
listing, or on a residual functional capacity (RFC) assessment plus consideration
of vocational factors. However, if the comparison point decision (CPD) was a child determination and the case was
continued based on no medical improvement (MI), or no MI related to the ability to
work, the determination as not a determination under the adult initial claim standards and the case still requires
an age-18 redetermination.
NOTE: For cases that meet the above criteria, complete the form SSA-832 (Cessation or Continuance
of Disability or Blindness Determination and Transmittal- Title XVI) as usual with
a favorable determination.
Screening out a CDR after an age-18 redetermination
If an age-18 redetermination was completed within the last 12 months and soon afterward
a new CDR is found pending, the DDS examiner should apply a “no determination” (ND)
decision to the CDR case providing that the medical diary
has not matured and will not mature in the next 3 months. If the case meets these conditions, the DDS must return the folder to the FO requesting
an update to the record to reflect the diary period established by the DDS at the
time the age-18 redetermination was processed. For additional information on the screen
out process, see DI 28003.005.