POMS Reference

DI 23580: Amyotrophic Laterial Sclerosis (ALS) Cases - Medicare Waiting Period Waived - DDS

TN 1 (09-04)

A. ENGLISH NOTICE

NOTE: Page 1 of the notice, third paragraph, second fill-in, select “A” if the claimant is not determined to have ALS; select “B” if the claimant is determined to have ALS after expiration of the 24-month Medicare waiting period established by the original (non-ALS) onset.

G-DI_23580.005A-1

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G-DI 23580.005A-2

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G-DI_23580.005A-3

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B. SPANISH NOTICE

G-DI_23580.005B-1

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G-DI_23580.005B-2

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G-DI_23580.005B-3

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