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What to expect in SSA interview for Child-in-Care benefits after child turns 16 with disabilities?

I finally got through to Social Security and they scheduled me for an interview this Friday to start the process for 'deeming' my son disabled for Child-in-Care (CIC) benefits as he's turning 16 next month. I've been collecting widow's benefits since my husband passed 3 years ago, but know they'll stop unless my son qualifies as disabled. I'm really nervous about this interview and have no idea what to expect. Will they just ask about his disability conditions? Do I need to bring financial records or documentation about our living situation? Need to mentally prepare myself for this conversation - it's stressful enough dealing with his care needs. Any advice from those who've been through this process would be incredibly helpful!

I went through this exact process with my daughter last year. The interview is primarily focused on establishing the evidence of disability that meets SSA's definition. They asked detailed questions about: 1. Medical diagnoses and when they began 2. How the disabilities affect daily activities and self-care 3. Educational accommodations or special programs 4. Treatment history and current treatments 5. Names/contact info for all doctors and specialists They didn't ask about expenses or rent during this interview - that's more for SSI applications which is different. This interview is focused on determining if your son meets the adult disability criteria for Social Security purposes. Bring any recent medical reports or IEP documents if you have them. The interview took about 45 minutes for us.

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Thank you so much for this detailed info! This helps calm my nerves a bit. His main diagnosis is severe autism with intellectual disability, so I'll gather his most recent evaluations and IEP documents. Did they ask specific questions about his ability to work in the future? That's what worries me most since technically some autistic adults can work, but my son would definitely need substantial supervision.

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i had this meeting last month for my kid. they basicaly want to know if ur kid can work or not. thats the big question. its all about if they can hold a job without help. my daughter has downs and they approved her right away but my friend with autistic son had harder time proving it.

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That's exactly what I'm worried about. My son is completely non-verbal and needs supervision for almost everything, but I've heard autism cases can be trickier to prove. Did they make a decision during the interview or did you have to wait?

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we waited like 3 months for final desicion. they sent him to one of there doctors too. bring ALL the paperwork u have. IEP school stuff medical reports everything.

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The deeming process for Child-in-Care benefits when a child turns 16 follows adult disability determination standards, so they're primarily concerned with whether your child can perform substantial gainful activity (SGA). For 2025, that means earning more than $1,550/month. The technical term for what you're applying for is "Childhood Disability Benefits" (CDB), sometimes called "Disabled Adult Child" benefits. Since your son has severe autism with intellectual disability, the key factors they'll assess are: - Ability to communicate effectively - Ability to interact with others appropriately - Ability to follow instructions and complete tasks - Level of support needed for daily activities Bring documentation of his limitations from multiple sources: medical records, school evaluations, psychologist reports, etc. Also helpful to have a letter from any vocational counselors who've evaluated him. This is just the initial interview - after this, they'll likely schedule a consultative exam with an SSA doctor as part of the determination process.

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Thank you for the detailed explanation! I didn't realize the official name was "Childhood Disability Benefits" - the SSA rep just kept saying we need to "deem him disabled" to continue my benefits. I'll definitely bring all his evaluations, especially his most recent functional assessment that clearly shows he can't work independently. Is there anything specific I should emphasize during the interview based on the criteria?

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Emphasize concrete examples of how his limitations would prevent employment. For instance, instead of just saying "he has social difficulties," explain specifically: "He cannot interpret social cues, becomes overwhelmed in environments with multiple people, and has meltdowns when his routine is disrupted, which happen approximately X times per week." Focus on function rather than diagnosis. The SSA is less concerned with the medical label and more interested in how his condition impacts daily functioning and ability to work. Be ready to explain his limitations in: - Following multi-step instructions - Adapting to changes - Self-regulating emotions - Communication barriers - Need for supervision Don't downplay challenges in an attempt to present him positively. This is a situation where accurately describing limitations is critical.

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Just went through this. Make sure u bring ID for both of u. They'll ask lots of medical questions. It took like a hour total. My daughter has epilepsy and they pretty much said she qualifies on the spot but still took FOREVER to get final approval. Good luck!!!

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I remember how stressful this process was when we went through it with my son. The interview itself wasn't as bad as the WAITING afterwards!!! THREE MONTHS of anxiety wondering if they'd approve him. And trying to get updates was IMPOSSIBLE! Called the 800 number constantly and either couldn't get through or got different answers every time. Make sure you write down EVERYTHING in the interview. Get the name of the person interviewing you. Ask for direct contact info (they probably won't give it). Ask specifically WHAT will happen next and WHEN. They're terrible about keeping you informed about where you are in the process. Don't mean to be negative but just want you to be prepared for the bureaucratic nightmare that follows the interview.

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I totally understand your frustration with the SSA phone system! I discovered a service called Claimyr (claimyr.com) that helped me get through to an actual person at Social Security when I was dealing with my daughter's disability application. They have a system that basically waits on hold for you and then calls you when a representative is on the line. Saved me hours of frustration during our application process. They have a video showing how it works at https://youtu.be/Z-BRbJw3puU - I found it really helpful during the waiting period when I needed status updates.

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Does your son receive SSI already? If yes, then much of the disability determination work might be done already and this could be more straightforward. If not, they'll need to do a full disability determination. My daughter was already on SSI when we did her CDB application, which made the process faster.

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No, he doesn't receive SSI. We never applied because my income was too high to qualify. The SSA representative mentioned something about this being a completely separate determination process from SSI, specifically for continuation of my widow's benefits. It sounds like we'll be going through the full disability determination.

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Yes, you're right. CDB determination is separate from SSI, though they use similar criteria. The good news is that CDB doesn't have the income/resource limits that SSI has. The challenge is that at 16, they use adult disability criteria. Make sure you document any jobs/work experiences he's attempted and why they weren't successful. If he's never worked, explain why work hasn't been possible. They're looking at capacity for substantial gainful activity.

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One important thing to prepare for: they will ask specific questions about Activities of Daily Living (ADLs). Before your interview, make notes about how much assistance your son needs with: - Personal hygiene/grooming - Dressing - Meal preparation - Managing medications - Transportation - Communication - Managing money - Following instructions - Social interactions Be honest and specific. Don't say "he needs help with bathing" if the reality is "he cannot bathe without complete supervision and step-by-step prompting." Also, if your son has had any vocational assessments through school transition services, bring those as they can be very helpful in documenting limitations in work settings. The disability determination process for children becoming adults is looking primarily at whether they can work at a level of substantial gainful activity. Focus your documentation and answers on those functional limitations.

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Thank you for this specific list! His school did do a vocational assessment last year as part of transition planning, and it clearly showed he would only be able to work in a highly supported environment with 1:1 assistance. I'll definitely bring that along with a written list of his daily support needs.

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btw did they mention medical review or did they send u forms for that already??? sometimes they do that seperate

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No, they didn't send any medical forms yet. The representative just said to bring whatever documentation I have to the interview, and they would tell me what additional forms may be needed. Should I call back and ask about this specifically?

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No need to call back. The process typically works like this: 1. Initial interview (what you're having Friday) 2. They'll give you Form SSA-3368 (Adult Disability Report) to complete 3. They'll request medical records from the providers you list 4. They may schedule a consultative exam with their doctor 5. The Disability Determination Service reviews everything At the interview, they'll explain which forms you need to complete and will provide them. Just focus on gathering your current documentation for now.

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Does ur son get Medicaid? If so bring that paperwork too! Sometimes the medicaid disability determination can help with SS disability stuff. At least in my state they share some info between programs.

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Yes, he does have Medicaid through our state's waiver program for developmental disabilities. I'll definitely bring that paperwork as well. Thank you for the suggestion!

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