High-energy trauma non-unions in the major weight-bearing bones. Paragraph A persistent fracture line, atrophic and hypertrophic non-union, pseudarthrosis, 1.00C3 imaging. Paragraph B walker or bilateral canes or bilateral crutches under 1.00C6a and 1.00C6d(i). Exchange nailing, BMP-2, Ilizarov, Masquelet technique, infected non-union. Pelvic ring non-unions on CT. Worcester MA pilon and Jacksonville FL Tile C pelvic ring worked cases.

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ALS as Compassionate Allowance with 5-month SSDI and 24-month Medicare waiting periods waived by Public Law 116-126. Gold Coast 2020 versus revised El Escorial. EMG showing active and chronic denervation across body regions. Bulbar versus spinal onset. FDA 2026 picture: riluzole, edaravone IV and oral, tofersen for SOD1, Relyvrio withdrawn April 2024. ALS-FTD spectrum and ECAS. Boston MA bulbar onset and Miami FL SOD1 D90A spinal onset worked cases.

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The 2021 musculoskeletal revision rewrote how SSA evaluates stenosis. Paragraph A nonradicular pseudoclaudication. Paragraph B cauda equina compromise on MRI (Schizas C or D, CSF effacement, nerve root crowding). Paragraph C 12-month duration plus bilateral assistive device under 1.00C6a. Failed back surgery, SCS, ESI failure record, and Grid Rule 201.06 fallback. Worked Worcester MA multi-level stenosis and Jacksonville FL failed fusion cases.

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ASIA Impairment Scale A through D, the three-month rule that controls all three paragraphs, the 90-day repeat exam as the dispositive anchor, bowel and bladder dysfunction, autonomic dysreflexia for above-T6 injuries, intrathecal baclofen, Onward ARC-IM stimulation. Worked Boston C6 tetraplegia and Tampa T11 incomplete paraplegia cases. Compassionate Allowance overlay for severe cervical complete injuries.

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The TERI processing flag under POMS DI 23020.045 and field office POMS DI 11005.601. Auto-trigger conditions (ALS, Stage IV cancers, pancreatic cancer, hospice, transplant candidates). SSA-3033 path for non-auto cases. 30 day DDS target, CE skip rules, payment center pull-forward. CAL plus TERI double flag. Worked Worcester MA pancreatic and Tampa FL Stage IIIB lung cancer cases.

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Homelessness does not disqualify SSDI. POMS DI 11005.604 expedited processing. SOAR program raises initial approval rates from 13 to 65 percent. Six accepted mailing address types. Direct Express debit card path for no-bank claimants. Representative payee selection. ER, FQHC, and street medicine records as acceptable medical evidence. Worked Boston schizophrenia and Houston PTSD plus DDD concurrent cases.

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Paragraph A two-extremity motor disorganization with extreme limitation. Paragraph B marked physical plus marked mental in one of four areas. McDonald 2024 MRI criteria. EDSS 6.5 threshold. BICAMS cognitive battery (SDMT, CVLT-II, BVMT-R). Anti-CD20 DMTs (Ocrevus, Kesimpta, Briumvi) and S1P modulators. T25-FW and 9HPT functional tests. Worked Worcester MA RRMS-to-SPMS and Tampa FL PPMS cases.

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Four-paragraph rule for major joint disorders. 1.00I major joint definitions (shoulder, elbow, wrist-hand, hip, knee, ankle-foot). 1.00C6 assistive device documentation and 1.00C6a documented medical need. 1.00C7c four-month proximity rule. Kellgren-Lawrence imaging, post-arthroplasty PJI and dislocation complications, biologic DMARDs for inflammatory arthritis. Worked Worcester MA bilateral knee OA and Tampa FL failed THA cases.

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The three Paragraph A pathways: altered motor or sensory function, distressing somatic symptoms, or preoccupation with serious illness. Why 12.07 has no Paragraph C and the Step 5 RFC pathway. PHQ-15, SSS-8, Whiteley Index, MMPI-2-RF scoring. Video EEG for pseudoseizures. Hoover sign for conversion. Worked Worcester MA conversion and Tampa FL illness anxiety cases.

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Adult ADHD, specific learning disorder, borderline intellectual functioning, and Tourette syndrome. ASRS-v1.1, CAARS, WAIS-IV, WIAT-4, BRIEF-A, YGTSS scoring. Childhood evidence for developmental onset. Stimulants, alpha-2 agonists, VMAT2 inhibitors (Ingrezza for Tourette 2023), CBIT. Why 12.11 has no Paragraph C and the Step 5 RFC pathway. Worked Boston MA adult ADHD and Jacksonville FL Tourette cases.

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Paragraph A six cognitive domains (complex attention, executive function, learning/memory, language, perceptual-motor, social cognition). MMSE under 24, MoCA under 26, WMS-IV, WAIS-IV, Trail Making, Boston Naming, Rey Complex Figure. Imaging: amyloid PET, FDG-PET, MRI atrophy patterns, DaTscan. Donepezil, memantine, lecanemab, donanemab evidence. Worked Worcester MA early-onset Alzheimer and Orlando FL post-TBI cases.

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Nine pervasive Paragraph A patterns covering every DSM-5-TR personality disorder plus IED. SCID-5-PD, PID-5, MMPI-2-RF, MCMI-IV, PAI, ZAN-BPD scoring. Why there's no Paragraph C and what that means. DBT, MBT, schema therapy, TFP. Section 12 MA / Baker Act FL involuntary commitments. Worked Boston MA borderline and Miami FL IED cases including Step 5 fallback strategy.

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Paragraph A1 anxiety symptoms (need 3 of 6), A2 panic plus persistent concern or agoraphobia, A3 OCD intrusive thoughts and compulsions. Y-BOCS 24+ severe, GAD-7 15+ severe, Panic Disorder Severity Scale, Liebowitz Social Anxiety. Paragraph B four areas, Paragraph C marginal adjustment. Plus medications, ERP, Section 12 MA, Baker Act FL, and worked Erin Worcester and David Orlando cases.

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Paragraph A medical criteria for schizophrenia, schizoaffective, delusional, schizophreniform and brief psychotic disorder. PANSS, BPRS, BACS, MATRICS, SANS, BNSS scoring. First and second generation antipsychotics, long-acting injectables, clozapine REMS for treatment-resistant. ACT teams, supportive housing, payee as 12.00D highly structured settings. Worked Marcus Springfield and Tiffany Miami cases including DAA materiality.

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Paragraph A medical criteria for major depressive disorder and bipolar I and II, the four areas of mental functioning in Paragraph B with the marked vs extreme severity scale, the two-year serious and persistent path in Paragraph C with the marginal adjustment test, plus the treatment record and worked Massachusetts and Florida cases.

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The four-paragraph spine listing for nerve root compromise from herniated disc, spinal stenosis, spondylolisthesis, degenerative disc disease, and facet arthritis. Paragraph A radicular symptoms, Paragraph B muscle weakness plus nerve root irritation plus sensory or reflex findings, Paragraph C imaging consistent with compromise, Paragraph D assistive device requirement. Plus the 4-month close proximity rule.

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The 11.00D motor disorganization standard, the 11.00G marked physical plus marked mental path, NCS and EMG documentation, diabetic neuropathy, chemo induced peripheral neuropathy, CIDP, GBS, CMT, alcoholic, vasculitic, plus RFC math and worked examples in Massachusetts and Texas.

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Anorexia nervosa, bulimia, binge eating disorder, ARFID, OSFED. Paragraph A persistent alteration plus impairs physical or psychological health. Paragraph B marked in two or extreme in one of four mental areas. Parallel listing 5.08 weight loss and 4.05 arrhythmia paths. Massachusetts and Florida worked examples.

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The 11.00C 3 month rule on prescribed treatment, Paragraph A two-extremity motor disorganization with 11.00D1 and D2 definitions, Paragraph B marked physical plus marked mental with 11.00G, MDS-UPDRS scoring, Hoehn and Yahr staging, Compassionate Allowance pathways for MSA, PSP, CBD, and ALS-Parkinsonism Dementia Complex, plus worked examples for Texas and California.

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The 11.00Q 3 month deferral rule, Paragraph A two-extremity motor disorganization, Paragraph B marked physical plus marked mental limitation, closed vs penetrating vs blast TBI evidence, GCS, FIM, and Berg Balance scoring, the Wounded Warrior expedited pathway, 100 percent VA P&T status, the no-offset rule between VA and SSDI, plus worked examples for Pennsylvania construction and Florida veteran blast injury.

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No Blue Book listing for CRPS. SSR 03-2p directs equivalence to listings 1.15, 1.16, 11.14 or RFC at step 5. The six clinical signs (swelling, autonomic instability, hair or nail growth changes, osteoporosis, involuntary movements, allodynia), the less than sedentary RFC limits, and worked examples for California and Texas.

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Tilt table criteria (30 bpm jump in adults, 40 bpm in adolescents), the four POTS subtypes, equivalence to Listing 4.05 recurrent arrhythmias or Listing 11.14 peripheral neuropathy, the long COVID overlap, the comorbid conditions (EDS, MCAS, ME/CFS), and the RFC limits that win step 5 cases.

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The four paths under 7.05 covering hemolytic anemias including sickle cell and thalassemia, the 6 vaso-occlusive crises with parenteral narcotic rule, the 3 hospitalizations of 48 hours rule, the hemoglobin 7.0 g/dL threshold under paragraph C, beta thalassemia major transfusion dependence under paragraph D, plus the residual 7.18 path for repeated complications.

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The two paragraphs of 12.10 covering adult autism spectrum disorder, the medical criteria under paragraph A, the four functional areas under paragraph B, what marked and extreme actually mean, the ADOS-2 and neuropsych testing that wins cases, adult-diagnosed autism, and the residual RFC path with non-exertional limitations.

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The three paragraphs of 11.04 covering vascular insult to the brain, why the 3 month persistence rule decides most files, what aphasia under paragraph A actually requires versus dysarthria, what disorganization of motor function in two extremities means under paragraph B, the marked physical plus marked mental rule under paragraph C, NIH Stroke Scale and neuropsych evidence, plus the residual case at sedentary RFC.

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The four paths under 4.12 covering peripheral arterial disease, why ABI under 0.50 meets paragraph A, the exercise ABI drop of 50 percent with 10 minute recovery under paragraph B, toe systolic pressure under 30 mm Hg under paragraph C, toe-brachial index under 0.40 under paragraph D, non-compressible artery workarounds for diabetes patients, plus grid rule paths at sedentary RFC for claimants 50 and over.

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The 5.06A two-obstructions path requiring stenotic obstruction with proximal dilation on imaging plus two hospitalizations 60 days apart in a 6-month window, the 5.06B six-finding path with hemoglobin under 10 and albumin 3.0 or less, the narcotic medication language workaround, biologic and JAK inhibitor treatment history, and the residual case built on bathroom frequency and absenteeism.

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The 14.02A two-organs path with moderate severity in at least one system plus two constitutional symptoms (fatigue, fever, malaise, weight loss), the 14.02B repeated manifestations path with marked functional limitation in ADLs, social functioning, or concentration/persistence/pace, lupus nephritis ISN/RPS classification, belimumab and anifrolumab treatment records, and overlap with APS and Sjogren's.

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The four basic factors SSA applies to every cancer claim under 13.00B, the distant metastases test that handles most automatic approvals, the three-year remission clock under 13.00H1, the durational windows for head and neck (18 months), bone sarcoma (12 months), acute leukemia (24 months), and bone marrow transplant (12 months), and the residual treatment side effects that win cases that don't meet a listing.

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The five paragraph A symptom clusters (trauma exposure, re-experiencing, avoidance, mood disturbance, hyperarousal), the four paragraph B mental functioning areas with marked or extreme limit ratings, the two-year paragraph C marginal adjustment path, the medical source statement that wins under 20 CFR 404.1520c, and how VA PTSD ratings translate into Listing 12.15 evidence.

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The four ischemic findings under 4.04A (ST depression, ST elevation, dropping systolic BP, imaging-confirmed ischemia) at 5 METs or less, the three-episode rule under 4.04B with revascularization or not-amenable-to-revascularization documentation, the 4.04C angiographic stenosis thresholds when exercise testing is too risky, and the very serious ADL limitation requirement that decides most 4.04C cases.

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The McDonald 2024 diagnostic criteria, the extreme motor limitation path under 11.09A (disorganization of motor function in two extremities), the marked physical plus marked mental functioning path under 11.09B, the four mental functioning areas, EDSS scoring and what 6.0+ means at SSA, SDMT and BICAMS for cognitive evidence, FSS and MFIS for fatigue, and the disease modifying therapy record that decides Step 3.

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The four subparts of 14.09, the inability-to-ambulate and inability-to-perform-fine-and-gross-movements standards, the organ-system-plus-constitutional-symptoms test under 14.09B, the spine flexion math under 14.09C (45-degree and 30-degree paths), the marked functional limitation test under 14.09D, and the medication and constitutional symptom documentation that wins inflammatory arthritis cases.

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The two proteinuria paths under 6.06A (10 g per 24 hours alone OR 3.5 g per 24 hours with serum albumin 3.0 g/dL or less), the 90-day durability test, why spot protein-to-creatinine ratios at 3.5+ qualify, the strict anasarca definition under 6.00C6, alternative paths via 6.03, 6.04, 6.05, and medical equivalence, plus RFC factors that win at Step 5.

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The four MDI anchors under SSR 19-4p, why migraine and cluster headache equal 11.02B and 11.02D, the once-a-week and once-every-two-weeks frequency rules, the marked functional limitation test, RFC math on absences and off-task time, and the documentation that wins headache disability cases.

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The automatic 1.20A and 1.20B subparts, the functional criteria fights under 1.20C and 1.20D, why Syme amputations are excluded, what counts as a documented medical need for an assistive device, prosthesis use rules under 1.00C6b, and how to get a treating physician statement that fits the listing language.

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The $2,982 individual threshold, $4,473 couple threshold, the six month installment cycle, the nine month resource exclusion under POMS SI 01130.600, and the three legal exceptions (terminal illness, outstanding debts for food, clothing, shelter, or medical care, and ineligibility). CA and TX worked examples with attorney fee math.

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The $2,410 monthly and $9,730 annual SEIE caps, the regularly attending student test, the SSA-1372 verification process, how the SEIE stacks with the general income and earned income exclusions, and what happens when a student turns 22 mid year. Real intake math for summer earners and college part timers.

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The seven paths under 5.05A through 5.05G. The 2-unit transfusion rule for variceal bleeding, the 60-day evaluation rule for ascites and encephalopathy, the ABG altitude tiers for hepatopulmonary syndrome, and the SSA CLD score formula with the sodium correction. CA hepatitis C and TX alcohol-related cirrhosis worked examples.

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Statutory blindness under 2.02 and 2.03A versus non-statutory disability under 2.03B, 2.03C, 2.04A, and 2.04B. Better-eye rules, VER testing, MD of 22 dB on HFA 30-2, visual efficiency formula. Blind SGA $2,830 in 2026, no title XVI duration requirement. CA RP and TX diabetic retinopathy worked examples.

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The dialysis listing 6.03, the automatic one-year transplant grant under 6.04, and the 6.05 lab + complication path with the eGFR 20 cutoff, the 90-day documentation rule, and BMI 18 anorexia criterion. CA and TX worked examples on diabetic nephropathy and PKD.

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The four paths under 11.02 (A monthly tonic-clonic, B weekly dyscognitive, C and D with marked limitation), the 11.00H4 counting rules, the 3-month adherence floor, and the witness-description requirement. CA idiopathic generalized and TX temporal lobe worked examples.

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Submit or inform 5 business days before your hearing or the ALJ can reject your evidence. Here is the exact rule text, the three mandatory good cause exceptions, how to count the deadline backwards, what the HALLEX manual tells judges to do, and the practical workflow that keeps your record clean.

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A CDR doesn't ask whether you're disabled today. It asks whether your condition improved since the comparison point decision. Here is how the 8-step CDR sequential under 20 CFR 404.1594 actually runs in 2026, the 5 Group I exceptions, the 4 Group II exceptions, and how to keep your checks coming during appeal.

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Self-employed claimants don't get SGA evaluated by income alone. SSA runs three tests: Significant Services and Substantial Income, Comparability, and Worth of Work. Here is how each test runs in 2026 with the $1,690 SGA threshold, what deductions to take, and how the 24-month rule changes everything for current beneficiaries.

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You can win SSDI at Step 3 even if you don't meet every Blue Book criterion. 20 CFR 404.1526 gives three routes to equal a listing: missing criteria with findings of equal medical significance, impairment not in the Blue Book, and combination of impairments. Here is the 2026 breakdown including SSR 17-2p and the medical consultant sign-off requirement.

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A closed SSDI or SSI denial isn't always final. 20 CFR 404.987 lets you reopen a prior decision under three different windows: 12 months for any reason, 4 years (SSDI) or 2 years (SSI) for good cause, and anytime for fraud, clerical error, or face-of-record mistakes. Here is the 2026 breakdown with worked examples and the POMS rules SSA actually uses.

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When a federal court remands your SSDI case under 42 USC 405(g), it picks either sentence four or sentence six. The choice decides when EAJA fees can be filed, whether you get a final judgment, and how your back pay timeline plays out. Here is the 2026 breakdown of Shalala v. Schaefer, Melkonyan v. Sullivan, the 90-day EAJA window, and the differences that actually matter.

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If your SSDI or SSI was terminated because work earnings exceeded SGA, you have 60 months to ask SSA to turn the check back on without filing a new application. Here is the 2026 breakdown of the EXR statute, the medical improvement standard, the 6 months of provisional cash, and worked examples that show how the timeline actually plays out.

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Section 207 of the Social Security Act protects your SSDI and SSI from most creditors, but four federal exceptions can still pull money out of your check. Here is the 2026 breakdown of the anti-attachment rule, the child support, federal tax, federal debt, and restitution carve-outs, and the 31 CFR 212 rule that shields two months of benefits in your bank account.

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The SSI resource limit is frozen at $2,000 for individuals and $3,000 for couples in 2026, where it has sat since 1989. Here is the 2026 breakdown of what counts as a resource, the home and one-car exclusions, ABLE accounts, burial funds, deeming rules for spouses and parents, and the worked examples that show how SSA decides eligibility.

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Section 1619(b) lets SSI recipients keep Medicaid even after their cash benefit drops to zero from work earnings. Here is the 2026 state threshold table for all 50 states plus DC, the Medicaid Use Test, the Threshold Test, the 209(b) state quirks, and how to qualify for an individualized higher threshold under POMS SI 02302.050.

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SSR 96-8p tells SSA how to write your Residual Functional Capacity. It requires function-by-function analysis before exertional categories, a narrative discussion citing specific evidence, and weight given to treating source opinions. Here is the 2026 breakdown of the 7 strength demands, mental categories, and how to spot a defective RFC.

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Wounded Warriors and 100 percent P&T veterans get fast-tracked SSDI claims in 2026, but the two programs work differently and one trips up almost everyone. Here is the 2026 breakdown of POMS DI 11005.604 and DI 23055, the VA rating letter trick, and why SSDI plus VA disability stack with no offset.

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Disabled Widow Benefits (DWB) under Section 202(e) pay surviving spouses ages 50 to 59 who can't work. Here is the 2026 breakdown of the prescribed period, the 71.5 percent of PIA payment, the 5-month waiting period, the remarriage rules at ages 50, 55, and 60, and how to file when the deadline is closing in.

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SSR 12-2p is the only SSA ruling about fibromyalgia. Here is the 2026 breakdown of the 1990 ACR tender point criteria, the 2010 ACR symptom criteria, the 12-month longitudinal record requirement, the exclusion workup SSA expects, and the treating rheumatologist evidence that moves fibromyalgia claims from initial denials to ALJ approvals.

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Disabled Adult Child (DAC) and Childhood Disability Benefits (CDB) pay a disabled adult on a parent's Social Security record. Here is the 2026 walkthrough of the onset-before-22 rule, the 50 percent and 75 percent PIA math, Medicare at month 25, the marriage termination trap under 20 CFR 404.352, and how to keep DAC benefits if you marry another Title II beneficiary.

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The April 2021 musculoskeletal rewrite replaced old Listing 1.04 with Listings 1.15 (nerve root compromise) and 1.16 (cauda equina and lumbar stenosis), plus 1.18 for major joints. The biggest change is the assistive device requirement under the D criterion. Here is what spinal claimants need to prove in 2026 to meet a Listing, why most back claims now win at step five instead, and how to build the medical record SSA actually wants.

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SSR 18-3p replaced the old SSR 82-59 on October 29, 2018 and rewrote how SSA handles failure-to-follow-treatment denials. The agency has to prove four prerequisites before it can deny on this ground, and six good-reason categories let a claimant beat the denial. Here is the 2026 walkthrough of every step, the religious objection rule under 20 CFR 404.1530(c)(2), the cost and side-effect defenses, and how to write the explanation that wins.

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Acquiescence Ruling 24-1(6), effective December 2, 2024, rescinded the old Drummond and Dennard rulings and changed how SSA handles prior ALJ findings in refiled disability claims. Here is what Earley v. Commissioner means in 2026, why the new rule applies nationwide, and how to use prior findings to strengthen your next application.

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20 CFR 404.957 lets an ALJ dismiss your SSDI hearing request for missed hearings, untimely filings, res judicata, or claimant death. Here is the 2026 breakdown of every dismissal ground, the good cause standard under (b)(2), the 60-day vacate window under 404.960, and how to fight a dismissal that ended your case.

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Your Established Onset Date controls how much retroactive money you get and when Medicare kicks in. Here is how SSR 18-1p and POMS DI 25501.250 set the EOD in 2026, the difference between AOD, POD, and EOD, traumatic vs non-traumatic onset, the Unsuccessful Work Attempt exception, and when ALJs call medical experts to infer onset.

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If your ALJ has a financial conflict, a prior relationship, or has said something that makes a reasonable person question impartiality, you can ask them to recuse. Here is how HALLEX I-2-1-60 works after the August 2024 rewrite by Transmittal I-2-257, the three mandatory disqualification grounds, and the appeal path if the ALJ refuses to step down.

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When a child on SSI turns 18, SSA must re-evaluate the case under the adult disability standard. About one in three children lose benefits. Here is how the redetermination works, what POMS DI 13006 requires, how Section 301 keeps payments going during vocational training, and the 10 day appeal window that protects benefits.

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After the Appeals Council denies review, your only option is federal district court. The 60 day clock starts ticking, the new Supplemental Rules govern the filing, and about 60% of cases remanded back to SSA end in approval. Here is the full process, sentence four vs sentence six remands, and how EAJA pays your attorney.

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If you have substance use in your medical record, SSA runs a separate six-step analysis on top of the regular five-step sequential evaluation. Here's how SSR 13-2p, 20 CFR 404.1535, and POMS DI 90070.050 actually work in 2026, the irreversible damage carve-out, what counts as a period of abstinence, and worked examples for depression, cirrhosis, and Wernicke-Korsakoff.

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If you get SSDI plus Medicaid, you're a dual eligible, and a D-SNP can wrap both programs into one card with $0 premiums, dental, vision, transportation, and a flex card for groceries or utilities. Here's how the four tiers (FIDE, HIDE, AIP, Coordination-Only) compare in 2026, the CY2026 Final Rule changes, integrated ID card rules, and a state-by-state look at Illinois, California, and Tennessee.

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BWE comes off countable earned income after the $65 plus half exclusion under POMS SI 00820.535. That makes it a near dollar-for-dollar boost to your SSI check. Here's the full walkthrough: who qualifies, what counts (taxes, FICA, guide dog, transportation, meals at work), why BWE beats IRWE, and a worked 2026 example for a blind worker earning $27,420 a year.

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The four MSPs cover Part B premiums and, for QMB, all Medicare cost sharing. 2026 limits: $1,350, $1,616, $1,816, and $5,405 monthly income, with $9,950 in countable resources. Annual value runs from $6,500 (QDWI) to $17,800 (QMB plus auto-deemed Extra Help). Here's who qualifies, what each tier pays, and how to apply through your state Medicaid office.

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