Be alert to potential TERI cases. Flag the case for TERI processing whenever the claimant
alleges or medical records indicate that an impairment is untreatable, cannot be reversed,
and is expected to end in death.
Use the following descriptors to identify potential TERI cases.
-
1.
An allegation from the claimant or third party that the illness is terminal.
-
2.
An allegation or diagnosis of amyotrophic lateral sclerosis (ALS), known as Lou Gehrig’s
Disease.
-
3.
An allegation or diagnosis of acquired immune deficiency syndrome or acquired immunodeficiency
syndrome (AIDS).
-
4.
Receiving inpatient hospice care or is receiving home hospice care – e.g., in-home
end of life counseling or palliative nursing care.
-
5.
Chronic dependence on a cardiopulmonary life-sustaining device.
-
6.
Awaiting a heart, heart and lung, lung, liver, small intestine, or bone marrow transplant
(excludes kidney, pancreas, and corneal transplants).
-
7.
Chronic pulmonary or heart failure requiring continuous home oxygen and an inability
to care for personal needs.
-
8.
Any malignant neoplasm (cancer) which is:
-
-
-
•
Persistent or recurrent following initial therapy; or
-
•
Inoperable or unresectable.
-
9.
An allegation or diagnosis of:
-
-
-
-
•
Cancer of the gallbladder;
-
-
•
Small Cell or Oat Cell lung cancer;
-
-
•
Acute myelogenous leukemia (AML) or acute lymphocytic leukemia (ALL).
-
10.
Comatose for 30 days or more.
-
11.
Newborn with a lethal genetic or congenital defect.
NOTE: The above list, shown on the back of the paper TERI Flag (i.e., SSA-2200 (TERI Case)),
is not intended to be all-inclusive. It should be used to provide general guidance
in the identification of TERI cases. The category Other (Identify): allows for cases that are not identified in the list of descriptors, to be included
as well, as long as the medical condition is untreatable and is expected to end in
death.