Consider every individual filing a SSI claim for benefits, including children, to
be a potential candidate for PD/PB benefits. The FO can make a PD/PB determination
in any SSI claim in which:
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we are likely to allow the claim on formal determination; and
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there is an allegation listed in the PD/PB categories chart in DI 11055.231.
However, if we denied an individual’s prior claim based on medical factors, the FO
or DDS may make a PD/PB finding only when:
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the individual presents sufficient evidence;
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there is documentation of a worsening physical or mental condition;
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•
there is documentation of the existence of a new impairment; or
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there is a strong likelihood that the claim will be medically approved.