TN 37 (05-15)

DI 28001.065 Reestablishing Title XVI Eligibility Following Suspension or Termination for Non-disability Reasons

When a recipient’s prior Title XVI eligibility was suspended due to:

  • a non-disability reason; and

  • when payment reinstatement is requested so that the non-disability suspension no longer applies.

A continuing disability review (CDR) and determination will be necessary, when an event raises a continuing disability (CD) issue after the last disability determination was processed. The case will be forwarded to Disability Determination Services (DDS) for appropriate development and CD determination, if the event that occurs, raises a medical issue.

The DDS will also receive cases where the payments, previously suspended on a whereabouts unknown basis, were reinstated, but in which a CD issue is still outstanding. (Suspension for whereabouts unknown, exception S08 (rep payee), are terminated after 12-consecutive suspension months effective 9/4/79.) A CD determination is required to resolve any medical improvement issues that may have occurred since the last determination.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0428001065
DI 28001.065 - Reestablishing Title XVI Eligibility Following Suspension or Termination for Non-disability Reasons - 05/18/2015
Batch run: 05/18/2015
Rev:05/18/2015