Volunteer to provide any additional information on your impairment. Depending on the backlog of claims, the completeness of your forms and documentation, and the amount of time required for the analyst to receive all of the information from your doctors, you will usually receive a decision in 60 to days. If you are applying for SSI: In some cases where there is a severe and obvious disability, and it is highly likely that your application will be approved, the Social Security office may consider you to have a "presumptive disability" and issue benefits to you for a number of months maximum of six months while your case is being processed.

It is important to understand that even though you may begin receiving benefits under these conditions, it does not mean that you have been approved for SSI. If for some reason your claim is eventually denied, your benefits will be terminated. If this occurs, however, you will note have to repay the benefits that you received under presumptive disability. For more about presumptive disabilities, refer to the following SSA documents:.

You may be able to achieve a priority standing and have your case assigned to a Disability Analyst more quickly under certain circumstances, such as homelessness, terminal illness, AIDS, or if all of the medical documentation for your case has already been collected. Disability Determination Services DDS will review the claim file and return an initial determination of approval or denial. Because of the backlog of cases, and the amount of medical review that is necessary, there is often a wait of several months before your claim is approved or denied. Once your case has been assigned to a disability analyst, he or she will review the medical evidence.

Copies of all medical reports and test results must be obtained, if you did not provide them. This is where the long delay often comes from in reaching a decision on your case. It may take months for the analyst to get all of the necessary information from your medical care suppliers, which is why it is so important to provide the medical reports and test results yourself if you can. The analyst has no control over the medical care suppliers — if the suppliers are slow in providing the requested information, the analyst has no choice but to wait.

Depending on the medical evidence provided, the analyst may arrange for you to be evaluated by a physician associated with SSA, and which will be paid for by SSA. This will often be done if your medical information is not recent. If you miss three scheduled appointments, your claim will probably be denied. The analyst, along with staff doctors, will then determine whether you meet the required criteria for disability according to the SSA disability requirements.

For children, they may additionally be considered disabled if the impairment "causes marked and severe functional limitations".

There are 5 steps in determining whether you meet the disability requirements. The following applies to non-blind adults — requirements for children and the blind are slightly different:.

Supplemental Security Income Telephone Wage Report - Instructions

Substantial gainful activity" can mean full-time or part-time work, as long as it is for pay or profit. This does not apply if you are receiving pay but not actively working — for example, if you are getting sick leave pay from your employer. If you are determined to be engaging in substantial gainful activity, your claim will be denied. If not, the Analyst will move on to step 2. Your impairment must interfere with basic work-related activities in order to qualify for disability.

The reason for your inability to work must be due to one or more "medically determinable" physical or mental impairments. It is not sufficient for you, or even your doctor, to state that you are disabled without clinical and laboratory medical evidence. However, pain and other similar factors that are without medical evidence can also be considered in determining whether or not you are disabled. It is important that you are receiving regular medical care so that detailed medical reports can be made for documentation.

Your impairment must also be shown to be independent of any drug or alcohol use. The impairment must be expected to prevent the you from working for at least 12 months, or until death. That does not mean that you have to wait until you have been disabled for 12 months before applying or becoming eligible for benefits—only that the condition is expected to prevent you from working or in the case of a child, to result in severe functional limitations for at least that long. The disability does not need to be permanent in order to receive benefits.

For example, you may have an injury which will prevent you from working for over a year, but your doctor expects that you will eventually make a full recovery. As long as the projected time that you will be unable to work is at least 12 months, you may still be eligible for benefits. Your impairment must be the primary reason for your inability to work.

This requirement is outlined in the SSA Handbook:. SSA Handbook Impairment must be the primary reason for inability to work If your condition is determined to be "severe", the Analyst will proceed to step 3. If not, your claim will be denied. If your condition meets the impairments found in the "Listings of Impairments", a list of impairments that SSA has determined automatically meet the qualifications for disability , your application will be approved. If your condition is not listed, you must show that your symptoms are equal in severity to those in the Listings, or that you have a combination of disabilities that matches a specific set of requirements in the Listings.

However, it is not enough to just have the same diagnosis as an impairment in the listing. According to SSA, "We will not consider your impairment to be one listed in appendix 1 solely because it has the diagnosis of a listed impairment.

Social Security (United States)

It must also have the findings shown in the Listing of that impairment. This means that you must have the same symptoms, clinical signs, and laboratory functions listed—not just the same diagnosis. For example, you may be diagnosed with multiple sclerosis, which appears in the listings, but your symptoms must meet the criteria specified in the listings in order to be considered disabled. Therefore, you must show that your symptoms are equal in severity to the requirements in the listings.

If not, the Analyst will continue to step 4.

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At this step, the analyst will determine whether your condition interferes with your ability to perform your previous or "past relevant" work. The criteria is whether you could perform the job if you had it, not whether or not you have a job. Your "past relevant work" is defined as any work you performed on a substantial basis during the past 15 years. The Analyst will assess your Residual Functional Capacity RFC , which indicates what functions you are able to perform despite your disability. You will be classified as to whether you are capable of doing sedentary, light, medium, heavy, or very heavy work.

Your RFC will then be compared to the requirements of your past jobs. This is why it is very important to list all of the physical and mental requirements of jobs on your Work History that you are no longer able to perform. If the analyst determines that you can still perform your past relevant work, your claim will be denied. If not, the analyst will move on to step 5. The SSA Handbook outlines provisions that may establish disability for people who are unable to perform past relevant work:.

SSA Handbook Evaluation considering age, education, and work experience. Even if you are not capable of performing your previous work, the Analyst will also take into consideration whether you are capable of performing other reasonable jobs. They will take into consideration your RFC, age, education, and previous work experience. If the Analyst determines that there are jobs that "exist in significant numbers in the national economy" that you can do based on your limitations, your claim will be denied.

For example, if your previous work history consisted of jobs that required heavy lifting or long periods of standing, the Analyst may determine that there are other jobs you are capable of performing that do not require that activity. If the analyst determines that you CAN adjust to other work, your claim will be denied. If not, your claim will be approved.

Once a decision has been made to approve or deny a claim, the file will be returned to the Social Security District Office and you will be notified of the results. If your claim is approved, you will be asked to return to the office and verify the non-medical eligibility requirements, such as income, living arrangements, and any other items not already verified.

If your claim is denied, you will receive a notice from Social Security indicating that your claim was not approved, the reasons for the decision, and that you have the right to file for reconsideration. The majority of claims are initially denied. Only about a third of cases are approved in the initial determination stage. In some cases, of course, the applicant truly does not meet the requirements. But in many other cases, the applicant may meet the conditions, but simply did not provide enough information for the analyst and doctor to justify approval according to the steps outlined above.

Update! Social Security's Online Wage Reporting Service - Ticket to Work - Social Security

You can greatly increase your odds of being approved at the initial stage by understanding how the determination process works, understanding what information needs to be included with your application, and providing complete, detailed, and accurate information. About half of the people whose claims are denied appeal the decision. Of those appeals, about half are later approved, usually at the Administrative Hearing stage of appeals.