Social Security Disability RC

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

What makes you eligible for Social Security Disability or SSI?



 
The decision on your disability case--either a disability award or a denial of your claim--will be made on the basis of three types of evidence which may make an applicant eligible for Social Security Disability (SSD) or Supplemental Security income (SSI) benefits: medical evidence, work history or academic performance information (for child applicants), and information about a person's normal daily activities.

1. Medical evidence - This includes all the records that are obtained by the Social security administration from your treatment providers, including admission and discharge summaries, reports of bloodwork, imaging (CT scans, xrays, PET scans, and MRI scans), and the notes made by your specific doctors, particularly the doctor who would be considered your treating physician.

If your claim is based on a mental disorder, of course, your psychiatrist would be considered your treating physician.

Medical evidence, at the disability application and reconsideration appeal levels, is generally confined to just medical records. However, at the social security hearing level, it usually includes (assuming the claimant's disability attorney or disability representative is competent and experienced) a statement from the treating physician on something known as an residual functional capacity form or medical source statement.

2. Work history or Academic performance information - For adults who are attempting to qualify for disability and become eligible for benefits, the second area of information that will come under consideration will be related to their work history. What this essentially means is that a disability examiner will review the claimant's relevant work history (jobs worked in the prior fifteen years) and try to determine if the claimant has the ability to go back to one of those jobs, or perform some type of other work based on their various skills and training.

For children whose parents are filing for SSI disability for them, work history, obviously, is not an issue. But the child's ability to engage in age-appropriate activities is. And, therefore, social security will evaluate how the child is performing in school. This will mean that a disability examiner will try to obtain school records, reports of academic achievement testing and IQ testing, and sometimes questionaires completed by the child's teachers.

3. Information about the claimant's ADLs, or activities of daily living - Normal daily activities are considered by SSA (the social security administration) to provide insight into whether or not a person can engage in work activity (or, for children, age-appropriate activities).

For example, if a person has degenerative disc disease, it would be normal to expect that they might have difficulty remaining in one type of standing or sitting position for very long, or difficult bending or crouching, or lifting objects above a certain weight. If their prior employment required them to engage in these types of physical activities, they may no longer have the ability to return to that type of job, or do any other type of job that utilizes such activities.

The question becomes, how will the social security administration know if an individual has a certain type of limitation, or set of limitations? Simply being diagnosed with a certain impairment is generally not proof, in and of itself. And while medical records provide the bulk of the evidence used on a case, very often the records recorded by physicians do not make mention of specific physical limitations or mental limitations.

For this reason, then, disability examiners will usually contact a claimant and ask them about their normal daily activities. They may do this by sending out a questionaire for the claimant to complete and return, or they may call the claimant directly. They may also (and often do) contact an individual who knows the claimant-called a third-party contact person-and this person is usually supplied at the time the claimant files for disability.



Continued at: Part II: What makes a person eligible to receive disability benefits?








Essential Questions

Can you work on Disability?

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



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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
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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 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.