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Submitting a Social Security Disability Appeal in Ohio



 
If you have filed a claim for Social Security Disability (SSD) or Supplemental Security Income disability (SSI) in Ohio only to have it denied, your best bet, in most circumstances is to appeal the decision.

Claimants who are not represented by a disability attorney or a non-attorney disability representative at the time of their denial should contact Social Security immediately to request an appeal. SSA allows claimants 60 days, plus an additional five days for mailing time of documents, to file an appeal.

However, many claimants mistakenly assume that they may mail their appeal forms by the 60th or 65th day. In actuality, the appeal forms must be received by a Social Security office by the 65th day, or it will be considered untimely.

Claimants who submit their own appeals should, of course, keep a copy of the forms they submit in the event that their paperwork is lost or not received by SSA.



Claimants who do have representation at the time they are denied should simply contact their representative to advise them that a denial notice has been received. In all likelihood, the representative will receive a copy of the notice, but this does not always occur.

Therefore, it is good practice for a claimant to always contact their representative when correspondence of any kind is received from the Social Security Administration, if for no other reason than to keep all parties "on the same page".

When a claimant has representation, typically the representative will file the appropriate appeal, keep a copy for their file, and send one copy to their client for their personal records.

When an appeal is filed, the claimant and/or their attorney or representative should use the "appeal disability report form" to notify Social Security of any changes such as a) new medical treatment sources, b) newly diagnosed conditions, c) any changes in symptoms or functional capacity.

Appeals

The first appeal in Ohio is known as a request for reconsideration. Reconsiderations are processed in the same manner as disability applications, meaning that a reconsideration will be determined at Ohio DDS (disability determination services) by a disability examiner who will review the available medical and vocational evidence.

Since the reconsideration process is practically identical to the initial claim process (the only substantial difference is that a different level disability examiner evaluates the claim), it should not be surprising that a reconsideration is likely to be denied as well.

In fact, the denial rate at this level in Ohio, which is the first appeal level, is 89 percent (by contrast, at the application level in Ohio 72 percent of claims are denied).

Individuals who receive a reconsideration denial should immediately file a request for a hearing before an ALJ, or administrative law judge. Again, the process for requesting this appeal is the same as with the reconsideration appeal, and the same deadline period applies (60 days from the date of the most recent denial, plus an added five days for mailing time).

A new claim versus an appeal

Claimants very often make the mistake of filing a new disability claim instead of filing an appeal. Why is this a mistake? A compelling reason for not starting over with a new claim is the fact that a new filing date may potentially result in the loss of thousands of dollars in disability back pay.

However, there are two other main reasons why it is generally advisable to request a hearing before a judge rather than file a new SSD claim:

1) If you file a new claim, you will have to go through the entire initial claims process again, including being assigned a claims representative (CR). And, in all likelihood, a new claim will simply be denied again.

2) A judge is statistically more likely to approve a Social Security Disability or SSI claim than the state disability agency (DDS). In other words, it is in your best interest, if your claim has been denied, to appear in front of a judge at the first opportunity.

There is one exception to this rule, and that is in a case in which a disability application has been denied on “technical” grounds, i.e., your annual income/earnings were too much to qualify you for disability, and you were therefore disqualified from the outset.

In this scenario, no time is lost by filing a new claim, since the claim never really got to the point in which medical records and/or work history was considered.

To sum up, if your claim and request for reconsideration have been denied by DDS, your next best step is almost always to request a hearing before an administrative judge. Not only will you save yourself months, perhaps even years, of time, but you are also more likely to receive a favorable outcome on your case.








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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.