DI 23580: Amyotrophic Laterial Sclerosis (ALS) Cases - Medicare Waiting Period Waived - DDS
TN 1 (09-04)
A. ENGLISH NOTICE
NOTE: Page 1 of the notice, third paragraph, second fill-in, select “A” if the claimant is not determined to have ALS; select “B” if the claimant is determined to have ALS after expiration of the 24-month Medicare waiting period established by the original (non-ALS) onset.
B. SPANISH NOTICE
