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4. Has applied for SSI and/or SSDI and separately to DPHHS for Medicaid and SSA has not made a disability determination as of Medicaid application date; NOTE: If SSA has not made a disability determination by the Medicaid application date, a MEDS disability determination is pursued. The application remains pended (not denied) while awaiting either a MEDS or SSA disability determination. NOTE: A SSA disability determination of “Hold Early Input” confirms no disability determination has been made by SSA. In these situations, the MEDS process should be used to establish a disability determination while a decision from SSA is pending. 5. Alleges a disabling condition different from, or in addition to that considered by SSA in making its determination; OR 6. It has been more than 12 months since the individual’s most recent SSA determination denying their disability and the following criteria are met: a. The individual alleges that his or her condition has changed or deteriorated since that SSA determination, AND b. Alleges a new period of disability which meets the durational requirements of the ACT, AND c. Has not applied to SSA for a determination with respect to these allegations. 7. It has been less than 12 months since the individual’s most recent SSA determination denying their disability and the following criteria are met: a. The individual alleges that his or her condition has changed or deteriorated since that SSA determination, AND b. Alleges a new period of disability which meets the durational requirements of the ACT, AND c. Has applied to SSA for reconsideration or reopening of its disability decision and SSA refused to consider the new allegations; AND/OR d. He or she no longer meets the non-disability requirements for SSI but may meet the State’s non-disability requirements for Medicaid eligibility. MEDS RE-EXAMINATION: When MEDS provides a disability approval determination that includes a future re-exam date, the disability determination is only valid through the re-exam date. A new MEDS disability determination is required to continue to use the MEDS determination to meet the Medicaid disability criteria past the re- exam date. SSA DISABILITY DETERMINATION: SSA determines disability for: 1. Social Security Disability Insurance (SSDI) benefits; and 2. Supplemental Security Income (SSI) benefits. An SSI application filed with SSA is also a Montana Medicaid application.