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Paolo Rizzo

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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I went through this same process about 6 months ago with my son who has cerebral palsy and developmental delays. The interview was actually much more straightforward than I expected - they really just want to understand his functional limitations and how they would prevent him from working. A few things that helped me prepare: - I made a timeline of his medical history with dates - I wrote down specific examples of his daily challenges (like how long routine tasks take, what happens when plans change, etc.) - I brought copies of everything even though they said they'd request records themselves The interviewer was actually quite understanding and patient. They explained that since he's turning 16, they have to evaluate him under adult disability standards, but they're very familiar with autism cases. The whole thing took about an hour. One thing I wish I'd known: they might ask about any part-time work or volunteer experiences he's had through school programs. Even if those were highly supported, be ready to explain exactly what level of assistance was needed. You've got this! The fact that you're so prepared and advocating for your son shows you're doing everything right.

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Thank you so much for sharing your experience! It's really reassuring to hear from someone who went through this recently. The timeline idea is brilliant - I'm going to organize all his medical history chronologically before Friday. One quick question: when they asked about work/volunteer experiences, did they want to know about his school-based job training programs? He's done some tasks at school like sorting and simple assembly work, but only with constant supervision and prompting. I'm worried they might see that as evidence he can work, even though it's in a completely artificial, highly supported environment. Your point about explaining the level of assistance needed is really important. I'll make sure to be very specific about what "participation" actually looked like versus independent work capability.

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Yes, definitely mention those school programs, but frame them correctly! When they asked about my son's school work experiences, I explained exactly what you described - that he could only do very basic tasks with constant 1:1 supervision, frequent prompting, and in a controlled environment with no time pressure or production requirements. I made it clear that this wasn't "work" in any meaningful sense - it was more like occupational therapy. The key is emphasizing that these activities required more staff time and resources than they produced value, which is the opposite of employment. The interviewer actually appreciated that level of detail because it helped document his functional limitations. Don't worry about them misinterpreting supported school activities as work capability - they're trained to understand the difference. Just be very specific about what level of support was required to achieve even basic task completion. Your preparation sounds excellent. Having that medical timeline will really help keep the conversation organized and show you're taking this seriously.

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As someone who went through this process with my daughter who has autism and intellectual disability, I wanted to add a few practical tips for the day of your interview: Arrive a few minutes early - SSA offices can be busy and you don't want to feel rushed. Bring a folder with copies of everything organized (they may want to keep copies). During the interview, it's okay to take your time answering questions. If you need to think about specific examples or dates, just say so. The interviewer would rather have accurate, detailed information than quick responses. One thing that caught me off guard was when they asked about his "best day" versus "worst day" functioning. Be prepared to explain that even on his best days, he still requires significant support that would make employment impossible. Also, if your son has any behavioral challenges (meltdowns, self-injury, aggression), document the frequency and triggers. These are considered work-limiting factors even if his cognitive abilities might seem higher in some areas. The waiting period after the interview is definitely the hardest part, but you're taking all the right steps to advocate for him. The documentation you're gathering will make a strong case. Good luck on Friday!

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Thank you for these practical tips! The "best day vs worst day" question is something I hadn't thought about, but that's such an important distinction. Even on my son's absolute best days, he still needs someone to help him sequence through basic tasks and provide constant redirection. I'll make sure to emphasize that consistency. The point about behavioral challenges is really helpful too. He does have meltdowns when routines change or when there's too much sensory input, which happens several times a week. I've been documenting these incidents for his school team, so I'll bring those records as well. I'm feeling much more prepared thanks to everyone's advice here. It's reassuring to know that other parents have successfully navigated this process. I'll definitely bring a well-organized folder and take my time with answers rather than rushing through. Really appreciate you taking the time to share your experience!

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I went through this exact situation with my son who has autism and cognitive delays about 8 months ago. The interview itself was much less intimidating than I anticipated - the SSA representative was actually very knowledgeable about autism and understanding of our situation. A few things that really helped me: - I brought a one-page summary of his diagnoses, current medications, and key limitations that I could reference during the interview - I had specific examples ready of how his autism affects his ability to work (like needing 2-3 reminders to complete simple tasks, inability to handle workplace social interactions, sensory overload in typical work environments) - I brought his most recent IEP and psychological evaluation - they were very interested in the functional assessments The interviewer asked a lot about his daily routine, what happens when that routine is disrupted, his communication abilities, and whether he could handle workplace expectations like being on time, following supervisor instructions, and interacting appropriately with coworkers. One thing that surprised me was they asked about his understanding of money and whether he could manage finances - apparently that's part of their work capacity evaluation. The whole process took about 3 months after the interview, but we were approved. Having all that documentation ready really seemed to help. You're doing great by preparing so thoroughly - that shows you're taking this seriously and advocating well for your son.

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This is incredibly helpful! I love the idea of creating a one-page summary - that will help me stay focused during what I know will be an emotional conversation. The point about money management is interesting and something I hadn't considered. My son has no concept of money value and can't make change or understand transactions, so I'll definitely be prepared to discuss that. Your examples about workplace expectations are exactly what I needed to hear. My son struggles with all of those areas - he has no sense of time, needs constant prompting to follow even simple instructions, and becomes overwhelmed by social interactions with unfamiliar people. Knowing that these are the specific areas they focus on helps me organize my thoughts. Did they ask about his future potential for improvement or whether you thought he might eventually be able to work with support? I'm worried they might think that with enough training or support services, he could become employable, even though realistically that's not possible given the severity of his disabilities. Thank you so much for sharing your experience - it's giving me confidence that we can navigate this process successfully.

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They did ask about future potential, but in my experience they were realistic about severe autism with intellectual disability. I explained that while he might continue to learn small skills over time, the core deficits that prevent employment - like his inability to generalize skills to new environments, need for constant supervision, and sensory processing issues - are permanent features of his disability that won't change enough to make competitive employment possible. What seemed to carry weight was being specific about what "support" would actually look like in a work environment. I explained that he would need a 1:1 aide to prompt every task, redirect him constantly, and manage his sensory needs - essentially requiring more staff resources than his work could produce. That's not reasonable workplace accommodation, that's full-time care. The interviewer actually appreciated my honesty about his limitations rather than trying to present an overly optimistic picture. They're looking for realistic functional assessments, not hope-based projections. Your son's lack of money concepts and need for constant prompting will be strong evidence of his work-limiting disabilities. Stay factual and specific about his current functioning - that's your strongest case for approval.

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I can't offer personal experience with this exact process, but I wanted to jump in with some encouragement. Reading through all these detailed responses from parents who've been through this, it's clear you're getting excellent advice and preparing thoroughly. One thing that stands out from everyone's experiences is how important it is to focus on concrete, specific examples of functional limitations rather than just listing diagnoses. It sounds like you're already gathering the right documentation - the vocational assessment showing he needs 1:1 support, his IEP, medical evaluations, etc. The fact that your son is non-verbal and needs supervision for daily activities should work in your favor, especially when combined with the autism and intellectual disability diagnoses. The SSA representatives doing these interviews are trained to understand developmental disabilities, so don't feel like you have to downplay his challenges. Your preparation and advocacy for your son is really impressive. Take some deep breaths - you've got this! The interview is just one step in documenting what you already know to be true about his support needs. Wishing you the best on Friday!

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Thank you so much for the encouragement! Reading through everyone's experiences here has been incredibly helpful and reassuring. You're absolutely right that the concrete examples seem to be key - I've been making lists of specific situations that show his functional limitations rather than just relying on his diagnoses. It's good to know that the SSA representatives are trained in developmental disabilities. I think I was worried they wouldn't understand the complexities of autism, but hearing from other parents who had knowledgeable interviewers gives me hope. I'm feeling much more prepared now thanks to all the advice in this thread. Having a plan and knowing what to expect definitely helps with the anxiety. I'll focus on being factual and specific about his current needs rather than getting emotional about the situation. Really appreciate the support from this community!

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I haven't been through this specific process myself, but I wanted to share something that might help with the documentation aspect. When my nephew went through disability determination for a different program, his advocate recommended creating a "typical day" narrative that walks through his actual daily routine and the level of support needed for each activity. For example, instead of just saying "needs help with morning routine," write something like: "Requires verbal prompting every 2-3 minutes to complete each step of getting dressed. Cannot sequence the steps independently and becomes distressed if the routine varies. Takes 45 minutes with constant supervision to complete what a typical person does in 10 minutes." This kind of detailed functional description really helped paint the picture of his actual support needs versus just listing his diagnoses. It might be worth preparing a few of these "day in the life" examples that show how his disabilities impact his ability to function independently in ways that would make employment impossible. You're clearly a dedicated advocate for your son, and all the preparation you're doing shows. Best of luck with the interview on Friday!

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This is such a brilliant suggestion! The "typical day" narrative approach really makes sense - it shows the real-world impact rather than just clinical descriptions. I'm definitely going to write out a few scenarios like this before Friday. Your example about the morning routine is perfect because it shows both the time and supervision intensity required. I could do similar breakdowns for things like meal times, transitions between activities, and how he responds to unexpected changes. That 45 minutes with constant supervision versus 10 minutes independently really puts it in perspective that anyone could understand. I think this approach will help me stay organized during the interview too - instead of trying to remember abstract concepts about his limitations, I can reference these concrete examples that show why employment just isn't realistic given his support needs. Thank you for this practical advice! I'm going to spend some time tomorrow writing these scenarios out so I have them ready to reference.

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I went through this process with my son who has autism spectrum disorder about two years ago. One thing I wish I had known beforehand is to bring a support person if possible - the interview can be emotionally draining when you're discussing your child's limitations in detail. The interviewer will likely ask you to describe a typical week for your son, including any activities, therapies, or programs he participates in. They want to understand his daily functioning level and support needs. Don't be afraid to mention things like: - How long it takes him to complete simple tasks - What happens when his routine is disrupted - His communication barriers and how they affect daily life - Any safety concerns that require supervision Also, if your son has ever had a job coach assessment or participated in any work-readiness programs through school, bring those reports. Even if they show he needs extensive support, that documentation is valuable evidence. The interview itself felt very clinical and focused, which actually helped keep my emotions in check. The representative took detailed notes and asked follow-up questions when she needed clarification. One last tip: after the interview, ask for a timeline of next steps and try to get contact information for checking on status. The waiting period is tough, but having some sense of the process helps. You're doing everything right by preparing so thoroughly!

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