
 | amputation of a leg at the hip; |

 | allegation of total deafness; |

 | allegation of total blindness; |

 | allegation of bed confinement or immobility without a wheelchair, walker, or crutches, allegedly due to a longstanding condition––excluding recent accident and recent surgery; |

 | allegation of cerebral palsy, muscular dystrophy, or muscular atrophy and marked difficulty in walking (e.g., use of braces), speaking, or coordination of the hands or arms; |

 | allegation of Down syndrome; |

 | an applicant filing on behalf of another individual alleges severe mental deficiency for claimant who is at least seven years of age; |

 | Human Immunodeficiency Virus (HIV) infection; |

 | allegation of a stroke (cerebral vascular accident) more than three months in the past with continued, marked difficulty in walking or using a hand or arm; |

 | infants who weighed less than 1200 grams at birth, or less than 2000 grams at birth and they were "small for gestational age" (For example, they weigh at least two standard deviations below the mean, or below the third growth percentile, for gestational age.) and have not yet attained age one; |

 | allegation of inability to ambulate without the use of a walker or bilateral hand–held assistive devices more than two weeks following a spinal cord injury with confirmation of such status from an appropriate medical professional; |

 | a physician confirms by telephone or in a signed statement that an individual has a terminal illness with a life expectancy of 6 months or less OR a physician or knowledgeable hospice official confirms that an individual is receiving hospice services because of a terminal illness; |

 | end stage renal disease with ongoing dialysis, and the file contains a completed CMS–2728 End Stage Renal Disease Medical Evidence Report–Medicare Entitlement and/or Patient Registration; |

 | allegation of severe mental deficiency made by another individual filing on behalf of a claimant who is at least seven years of age; or |

 | allegation of Amyotrophic Lateral Sclerosis (ALS, Lou Gehrig's disease). |