BASIC (07-08)

To determine whether to send a case to a DDS for a determination, follow guidelines in DI 11010.255 “Sending Initial Disability Insurance Benefits (DIB), Freeze Claims to the Disability Determination Services (DDS)”.

To determine which DDS should receive the case, see DI 11010.255 “Sending Initial Disability Insurance Benefits (DIB), Freeze Claims to the Disability Determination Services (DDS)”.

For electronic disability routing and transfer, see DI 81010.085 “Transferring Cases in Electronic Disability Collect System (EDCS)”.

NOTE: The GLPSC-Disability Processing Branch (DPB) – location code V32 has jurisdiction of Title II disability determinations in career railroad and surviving dependent railroad annuitant claims. See DI 11050.005C. “Categories of Railroad (RR) Related Claims”.

A. Childhood Disability Benefit (CDB) claim for a child whose alleged onset date (AOD) is before age 22

If the child's alleged onset of disability is before age 22, or the child's impairment is of a nontraumatic origin with the alleged onset of disability before age 23, send the case to the DDS.

B. A disability determination is necessary for a child age 15 1/2 to age 18 to entitle a mother or father

Complete claims in the Modernized Claims System (MCS) and EDCS as for any initial claim and then transfer to the DDS.

If a disability determination is necessary for a child age 15 1/2 to age 18 under the provisions of P.L. 97-35, the Omnibus Budget Reconciliation Act of 1981, prepare a folder (if appropriate) for the disability material on the child and forward the case to the DDS of the State in which the child resides, unless otherwise excluded by procedures in this subchapter (see RS 00202.095 “Last Child in Care Attaining Age 16 and Child's Disability Alleged” and RS 01310.001 “Conditions for Entitlement and Definitions”).

If the claim is an EDCS exclusion or limitation, create a paper Modular Disability Folder (MDF) per DI 81010.030 “EDCS Exclusions and Limitations”.

C. Disability determination for CDB to enable a survivor to collect the Lump Sum Death Payment (LSDP)

If a CDB disability determination is necessary under the 1981 Amendments to establish eligibility to a disability benefit only so the survivor can collect the LSDP, forward the case to the DDS of the State in which the CDB claimant resides unless otherwise excluded by procedures in this subchapter.

D. Title II CDB claim filed by a Supplemental Security Income (SSI) disability recipient

See DI 11011.005 “FO Adoption Decision” and DI 20101.001 “Disability Determination Services (DDS) and Social Security Administration (SSA) Jurisdictions - Initial and Subsequent Cases”.

E. Claimant moved out of the State

If the claimant moves out of the State of jurisdiction, see DI 11010.255 “Sending Initial Disability Insurance Benefits (DIB), Freeze Claims to the Disability Determination Services (DDS)”.

If the FO learns of the move first, notify DDS using the Update After Transfer Utility (UAT) in Electronic Disability Collect System (EDCS) per DI 81010.095. To transfer EDCS, see DI 81010.085.

F. Child receiving (or applying for) student or auxiliary benefits is over age 18 and alleges disability

Separate the material for the award of auxiliary or student benefits, and forward disability-related material to the appropriate DDS. Annotate both sets of claims material regarding the whereabouts of the other material.

G. Disabled child over age 18 and other individuals are eligible for benefits

Separate the award for benefits for other individuals, the application, and supporting material, and send this material to the appropriate PC (See GN 01020.250 “Claims Identification Information”). Send the disability material for the child applying for CDB to the appropriate DDS. Annotate both sets of claims material regarding the whereabouts of the other material.