The FO will complete the following actions when processing an age-18 redetermination:

• •

  conduct the disability interview in the same manner as an initial claim;

• •

  will not take a new application;

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  will not develop medical information back to the original onset date; and

• •

  will obtain completed disability reports and functional reports appropriately to initiate the disability determinations.

The DDS will complete the following actions when processing an age-18 redetermination.

1. a. 

   Evaluate the individual’s disability using the initial disability standard for adults.

2. b. 

   Do not apply Step 1 substantial gainful activity (SGA) of the sequential evaluation process.

3. c. 

   Do not apply the medical improvement review standards (MIRS) in an age-18 redetermination.

4. d. 

   Although the cases will be evaluated using the rules for initial adult claims (except for Step 1(SGA)), they will be processed in a manner similar to a CDR.

5. e. 

   Document and input the age-18 redetermination in the same manner as a CDR using the form SSA-832 (Cessation or Continuance of Disability or Blindness Determination and Transmittal- Title XVI).

The FO will send create and transfer electronic cases in the Electronic Disability Collect System (EDCS) to the DDS and should be identified as an age-18 redetermination, see DI 81020.205. However, some cases age 18 and over, may be received as CDRs and then identified by the DDS as requiring an age-18 redetermination instead of a CDR. For additional information on cases that require a disability redetermination instead of a CDR, see DI 28005.003. In paper cases, if the prior paper folder is not available, the FO should place the new disability material in a yellow MDF folder and staple the flag to the top of the folder. When the DDS receives a paper case, the DDS will receive the age 18 case from the FO with the Disability Redetermination Flag, per DI 23570.110.

An age-18 redetermination is a new determination using the initial standards of disability for adults. If the case has a prior paper folder create the age-18 redetermination in EDCS, see DI 81010.232. The DDS will develop the current evidence as though it is a new claim and make a disability determination without regard to the previous determination.

The DDS may decide that a child case initiated as a CDR should have an age-18 redetermination after reviewing the prior folder. During the prior folder review, the DDS must also review the SSID query as mentioned in DI 28030.010. Generally, the prior folder is not as critical as it is in a normal CDR; however, scan all relevant school and medical records into the current age-18 redetermination folder. For additional information on documenting and copying relevant evidence, see DI 81020.230 and DI 22501.001.

An age-18 redetermination decision is appropriate instead of a CDR if:

• •

  the coding shows that a CDR or age-18 redetermination was not done after age 18; or

• •

  if a CDR was done after age 18, it is clear from the coding that the prior continuance was not based on consideration of the adult standard applicable to initial claims. The additional information on system coding identification, see DI 23570.010B.1.

Receipt the case as a CDR using the following codes:

• •

  CDT:

  • –

    02 - Childhood Disability Redetermination Case

    NOTE: Once the original child redetermination workload is completed, it will be unusual to receive a case from the FO identified as a child disability redetermination.

  • –

    04 - Age 18 Disability Redetermination Case

• •

  SLC: 8

Review the case to see if the CDR meets the child disability redetermination requirements, if a CDR is pending on a child under age 18, see DI 25201.001. If so, process the case as a DC redetermination, see DI 28005.030. If the disabled child turns age 18 prior to a determination, notify the individual and the representative payee of the disability standards using the special notice provided as mentioned in DI 23570.100 and make an age-18 redetermination. For additional information on a case that require a disability redetermination instead of a CDR, see DI 28005.003.

An age-18 redetermination is required, if a CDR is pending on any individual who attained age 18:

• •

  who was eligible as a child in the month before the month of attainment of age 18; and

• •

  who has not had a medical determination under the initial adult standard after attaining age 18, see DI 23570.010A.

If the disabled child turns age 18 prior to a disability determination, send a notice of the medical redetermination using the special notice provided in DI 23570.100.

The FO may initiate an initial level CDR in EDCS when the claimant is age 17 and 10 months until the day before the claimant reaches age 19, the information is collected in EDCS as an age-18 redetermination. The DDS must process the case as an age-18 redetermination, if a CDR is pending on a child, and the child is now or will attain age 18 within 2 months. However, do not make an age-18 determination on the case until the child attains age 18. The DDS must verify eligibility and provide a notice of the need for an age-18 redetermination before rendering the disability determination since the case was sent to the DDS as a child CDR. The DDS must hold the case and make the age-18 redetermination after the disabled individual attains age 18.