Social Security Disability RC

How to file for disability, Filing for SSI
Disability Requirements, Disability Status
How long is the wait?, Disability Application
Social Security Disability list of impairments
How to Qualify for Disability, Mental Disability
Disability Lawyers FAQ, Disability Back Pay

Social Security Disability SSI Criteria and the Evaluation Process



 
The Social Security Disability and SSI evaluation process is fairly rigorous in a variety of ways. First, there's the sheer amount of time that a claim can take. True, some claimants will be approved for SSDI (Social Security Disability insurance) or SSI disability just within a few months of filing an initial claim. But the majority of claimants will not be so lucky.

For most applicants, the initial claim, or disability application, will result in a denial of benefits. This by itself (for claimants who do not give up on their claim) will necessitate the filing of appeals that will take additional months. And if a disability hearing (the second appeal) is required, then the total amount of time required for a claim can stretch beyond two years. It is not unusual, in fact, for a claim to extend beyond three years before a person is finally awarded disability benefits.

Time makes the disability evaluation process rigorous because, in addition to causing anxiety about one's situation, it also results in financial chaos for claimants. The time factor also, for many claimants, means that while they wait for the claim to resolve, they will go without needed medical coverage (Social Security Disability beneficiaries are eligible to receive medicare while SSI beneficiaries are eligible to receive medicaid).

Another way in which the process is rigorous has to do with the criteria for SSDI and SSI. To be approved for either type of disability benefit (both programs use the exact same criteria), a person's condition must be severe. And it must last for at least one full year. And it must further be severe enough to prevent a person from working at one of their past jobs while earning a substantial and gainful income.

However, while many claimants can surmount these criteria, social security has one criteria that often results in a denial of a claim, particularly at the levels of the system that precede a hearing before a federal judge.

And that criteria is this: a claimant's condition must be severe enough to prevent them from being able to perform "other work" that they have never even done before. Other work is a concept used by SSA and it basically states that if a person can be expected to transfer their job skills to another job (one they have not even done), they can be denied for disability benefits.

Other work is the single step of the five step sequential evaluation process used by SSA that makes it most difficult for individuals to get their claims approved. However, whether or not a claimant can actually transfer their existing job skills to another type of work...is something of a subjective issue.

The "other work" step of the process is also highly dependent on a proper identification of a claimant's past work (for example, there is a substantial difference between being a small truck driver and a tractor-trailer-truck driver, both in terms of skills and exertional requirements).

Unfortunately, depending on disability examiners (the individuals who make decisions on disability applications and request for reconsideration appeals, whereas administrative law judges are the individuals who make decisions on claims at the hearing level) to make subjective judgements that lie in a claimant's favor is usually asking for too much. And this ties into what may be the most rigorous part of the disability criteria evaluation process which is that disability examiners tend to work in a culture of denial.

This can be clearly seen in the fact that seventy percent of all SSDI and SSI claims are denied by disability examiners. Yet, those same claims if they are taken to the level of a hearing before an ALJ (administrative law judge) will stand a better-than-not chance of being approved, particularly when able representation is involved.








Essential Questions

What is the Social Security Disability SSI list of impairments?

Can you work while getting or applying for Disability?

How Often Does Social Security Approve Disability The First Time You Apply?

Tips for getting Social Security Disability or SSI benefits approved

What medical conditions will get you approved for disability?

What kind of Mental Problems Qualify for Disability?

Receiving a Disability Award Letter

Conditions Social Security will recognize as a disability

Previously answered questions regarding SSD and SSI

Applying for disability in your state



Most popular topics on SSDRC.com

Social Security Disability SSI Questions

The listings, list of disabling impairments

Can a mental illness qualify you for disability?

Disability Lawyers prevent unnecessary denials

How much Social Security Disability SSI back pay?

How to apply for disability for a child or children

Filing a Social Security Disability SSI application

Filing for disability - when to file

How to apply for disability - where to apply

Qualifications for disability benefits

How to Prove you are disabled and Win your Disability Benefits

Qualifying for Disability - The Process

How to get disability for depression

Getting disability for fibromyalgia

SSI disability for children with ADHD

What is the Application Process for Social Security Disability and SSI?

Common Mistakes to avoid after being denied for Disability

Social Security Disability SSI Exam tips

More Social Security Disability SSI Questions

Social Security Disability SSI definitions

What makes you eligible for Social Security Disability or SSI?



New and featured pages on SSDRC.com

Who can help me file for disability?




Related pages:

What if you become disabled and are not insured for SSD?
Will I automatically get disability on the third try?
What are my chances of getting disability at age 45?
When does social security consider you eligible for disability benefits?
Who is eligible for SSI Disability?
Disability Criteria - Eligibility For Social Security and SSI Disability
Can I Be Eligible For SSI And Social Security Disability At The Same Time?
Social Security Disability and SSI Mental Claims and Criteria
Can you apply for disability on the basis of multiple health problems?
What makes a person eligible to receive disability benefits?
Inability to Work and Eligibility for Social Security Disability and SSI Benefits
What makes you eligible for Social Security Disability or SSI?
If You Are Currently Working Are You Eligible To Receive Social Security Disability Benefits?
Will Being A Veteran Affect Your Eligibility And Chances For Social Security Disability?
Are SSD and SSI disability cases decided the same way in terms of Eligibility?
Is the Medical Criteria to Get Social Security Disability or SSI Benefits hard?
Criteria for how Social Security Disability is Awarded
Social Security Disability SSI Criteria and the Evaluation Process



These pages answer some of the most basic questions for individuals who are considering filing a claim.

Can you get temporary Social Security Disability or SSI benefits?

Permanent Social Security Disability

What is the difference between Social Security Disability and SSI?

Who is eligible for SSI disability?

Can I Be Eligible For SSI And Social Security Disability At The Same Time?

What makes a person eligible to receive disability benefits?

Applying for Disability - How long does it take to get Social Security Disability or SSI benefits?

What happens if I file a disability application and it is denied by a disability examiner or Judge?

Social Security Disability SSI Criteria








For the sake of clarity, SSDRC.com is not the Social Security Administration, nor is it associated or affiliated with SSA. This site is a personal, private website that is published, edited, and maintained by former caseworker and former disability claims examiner, Tim Moore, who was interviewed by the New York Times on the topic of Social Security Disability and SSI benefits in an article entitled "The Disability Mess" and also by the Los Angeles Times on the subject of political attempts to weaken the Social Security Disability system.

The goal of the site is to provide information about how Social Security Disability and SSI work, the idea being that qualified information may help claimants pursue their claims and appeals, potentially avoiding time-consuming mistakes. If you find the information on this site helpful and believe it would be helpful to others, feel free to share links to its homepage or other pages on website resource pages, blogs, or social media. Copying of this material, however, is prohibited.

To learn more about the author, please visit the SSDRC.com homepage and view the "about this site" link near the bottom of the page.