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美国儿科学会:政策声明——残疾儿童和青少年的补充保障收入(SSI)

From the American Academy of Pediatrics: Policy statements--Supplemental Security Income (SSI) for children and youth with disabilities.

出版信息

Pediatrics. 2009 Dec;124(6):1702-8. doi: 10.1542/peds.2009-2557.

Abstract

The Supplemental Security Income (SSI) program remains an important source of financial support for low-income families of children with special health care needs and disabling conditions. In most states, SSI eligibility also qualifies children for the state Medicaid program, providing access to health care services. The Social Security Administration (SSA), which administers the SSI program, considers a child disabled under SSI if there is a medically determinable physical or mental impairment or combination of impairments that results in marked and severe functional limitations. The impairment(s) must be expected to result in death or have lasted or be expected to last for a continuous period of at least 12 months. The income and assets of families of children with disabilities are also considered when determining financial eligibility. When an individual with a disability becomes an adult at 18 years of age, the SSA considers only the individual's income and assets. The SSA considers an adult to be disabled if there is a medically determinable impairment (or combination of impairments) that prevents substantial gainful activity for at least 12 continuous months. SSI benefits are important for youth with chronic conditions who are transitioning to adulthood. The purpose of this statement is to provide updated information about the SSI medical and financial eligibility criteria and the disability-determination process. This statement also discusses how pediatricians can help children and youth when they apply for SSI benefits.

摘要

补充保障收入(SSI)计划仍然是有特殊医疗需求和残疾状况儿童的低收入家庭重要的经济支持来源。在大多数州,符合SSI资格的儿童也有资格参加州医疗补助计划,从而能够获得医疗服务。负责管理SSI计划的社会保障管理局(SSA)规定,如果儿童存在医学上可确定的身体或精神损伤或多种损伤的组合,导致明显且严重的功能受限,则该儿童在SSI计划下属于残疾。这种损伤必须预期会导致死亡,或者已经持续或预期会持续至少12个月的连续时间。在确定经济资格时,残疾儿童家庭的收入和资产也会被考虑在内。当残疾个体年满18岁成年后,SSA仅考虑该个体的收入和资产。如果存在医学上可确定的损伤(或多种损伤的组合),导致无法从事有实质性收益的活动至少连续12个月,SSA则认定该成年人残疾。SSI福利对于患有慢性病且正步入成年期的年轻人很重要。本声明的目的是提供有关SSI医疗和经济资格标准以及残疾判定过程的最新信息。本声明还讨论了儿科医生在儿童和青少年申请SSI福利时如何提供帮助。

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