How to file for disability, Filing for SSI
Disability Requirements, Disability Status
How long is the wait?, Disability Application
The Social Security List of Impairments
Qualifying for Disability, Mental Disability
Disability Lawyer Info, Disability Back Pay
The Steps of The Social Security Disability Determination Process
Social Security uses the same medical determination process for both SSI and SSD. The evaluation process is known as the five-step sequential evaluation process.
The five steps used in the sequential evaluation process are:
Step 1 - Social Security must determine if an individual is working and if they are still working are the working at the SGA limit or over. SGA or substantial gainful activity is a monetary amount of earnings the Social Security sets each year as a self-supporting wage amount.
If an individual is working at the SGA limit or above, their disability claim will be denied prior to being sent for a disability medical decision. It does not matter what their disabling condition or conditions are -- as long as they are earning over the SGA limit with no help from their employer their disability claim will be denied (special help means that special considerations are given to help the individual keep the job).
Step 2 - If an individual is not working at the SGA work level, then their allegation of disability must be evaluated. They must have a medically determinable impairment, which can be physical or mental, that is documented by medically acceptable clinical and/or diagnostic techniques and which is considered to be severe versus non-severe. Signs, symptoms, and lab findings (if applicable) must always document a physical or mental impairment; consequently an individual must make it past this hurdle although there are a few who do not. If they do not, their disability claim will be denied.
Step 3 - Social Security must determine if an individual’s medically determinable mental impairment or physical impairment meets or equals the listing criteria of a Social Security medical impairment listing (listings are in the blue book, which is often called the Social Security Disability list of impairments).
If an individual does meet or equal the severity requirements of an impairment listing, the disability claim will be approved for disability at this level. If not, they must go to levels four and five that deal with their ability to perform work activity when you consider their residual functional capacity (what they are able to do in spite of the limitations of their disabling condition or conditions).
Step 4- Can an individual perform any of their past relevant work? It is relevant if it is any job they performed in the past fifteen years for three months or more, prior to filing for disability, in which the person had time to learn the job, and had SGA level earnings while doing the job.
If their residual functional capacity precludes any of their past work activity, they still have to be evaluated to determine if they could do any other kind of work when their limitations are taken into consideration.
Step 5- Can an individual perform any other kind of work when their residual functional capacity, education, age, and work history are considered? If the individual’s residual functional capacity is restrictive and their job skills do not transfer to any other kind of work, they may qualify for an approval for disability benefits through a medical vocational allowance. This type of allowance is based upon an individual’s residual functional capacity, transferability of their skills, their age, and their education.
The sequential evaluation process ensures that all disability claimants have an equal chance of being medically approved for disability benefits because the evaluation is done with no regard to which disability program an individual is filing for.
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?
The Steps of The Social Security Disability Determination Process
How is the Determination for Disability made by Social Security?
Appealing A Social Security Disability Determination
Who makes the Determination of a Social Security Disability Claim?
Getting a Social Security Disability Determination After Seeing a Psychologist at a Mental Evaluation
Disability determination services in North Carolina
How does the North Carolina Social Security Disability determination process work?
Why does a Veteran's Spouse lose SSI after a service connected disability is approved?
Can a disability lawyer charge an hourly fee for helping to file the claim?
If you apply for disability in Maryland
Will I qualify for disability benefits in Maryland?
Getting a Disability Lawyer in Maryland
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?
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.