The DDS must complete all actions below (for example, completion of the Form SSA-538
(Childhood Disability Evaluation Form) for child cases, release of notices, etc.)
using the existing procedures for processing continuances in a continuing disability
review (CDR).
1. Notices for favorable disability determinations
Use the special notices and language format designated for this workload (for example,
“Notice of Continuation”).
2. Completing the Form SSA-832 for a continuance
Complete the form SSA-832 (Cessation or Continuance of Disability or Blindness Determination
and Transmittal- Title XVI) as normal in DI 28084.020 for each item with the following exceptions.
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a.
Item 12
Use the following continuance codes as appropriate.
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1.
For a disability redetermination when the child is under age
18, use the existing “Reason for Continuance” codes:
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•
Code 71 (Impairment Meets the Listing (DC, BC)),
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•
Code 73 (Impairment Medically Equals Listing (DC, BC)), or
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•
Code 78 (Impairment Functionally Equals Listing (DC, BC)).
NOTE: Do not use Code 79
(Individualized Functional Assessment
(IFA)-Comparable Severity) as the IFA is no longer an appropriate basis for fully favorable determination. Do not use codes based on lack of
medical improvement (for example, Code 76 for “No
Medical Improvement”) because medical improvement is not the issue for disability redetermination cases.
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2.
For an age-18 redetermination, use the existing “Reason for Continuance” codes:
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•
Code 70 (Impairment Meets Listing),
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•
Code 72 (Impairment Equals Listing), or
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•
Code 74 (Impairment Plus Vocational Factors).
NOTE: Do not use codes based on lack of medical
improvement (for example, Code 76 for “No Medical
Improvement”) because medical improvement is not the issue for disability redetermination cases.
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b.
Item 20
Use the following Why Review Was Made (WRM) codes as appropriate.
-
1.
For a disability redetermination when the child is under age
18, enter Code 27 (IFA Disability Redetermination, P.L. 104-193). Always use this code
for a childhood medical redetermination if the original determination involved an
IFA, or enter Code 28 (Maladaptive Behavior Disability Redetermination, P.L. 104-193).
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2.
For an age-18 redetermination, enter Code 29 (Age 18 Disability Redetermination P.L. 104-193).
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c.
Item 24
For a child and an age-18 redetermination, enter in the Remark section, “P.L. 104-193.”