POMS Reference

DI 25225: Functional Equivalence for Children

BASIC (02-01)

The following are some examples of impairments and limitations that functionally equal the listings. Findings of equivalence based on the disabling functional limitations of a child's impairment(s) are not limited to the examples in this paragraph, because these examples do not describe all possible effects of impairments that might be found to functionally equal the listings. As with any disabling impairment, the duration requirement must also be met (see DI 25505.025 and DI 25201.001 ff.).

  1. Any condition that is disabling at the time of onset, requiring continuing surgical management within 12 months after onset as a life-saving measure, or for salvage or restoration of function, and such major function is not restored or is not expected to be restored within 12 months after onset of the condition.

  2. Effective Ambulation possible only with obligatory bilateral upper limb assistance.

  3. Any physical impairment(s) or combination of physical and mental impairments causing complete inability to function independently outside the area of one's home within age-appropriate norms.

  4. Requirement for 24-hour-a-day supervision for medical (including psychological) reasons.

  5. Major congenital organ dysfunction which could be expected to result in death within the first year of life without surgical correction, and the impairment is expected to be disabling (because of residual impairment following surgery, or the recovery time required, or both) until attainment of 1 year of age.