How will I know whether my application for Social Security Disability benefits has been approved?

By / March 3, 2016 / After You’re Approved for Social Security Disability & SSI / 2,792 Comments

Learn how you will find out whether your application for Social Security disability benefits has been approved, and what to do if you are denied.

Disability Approval Letters and Other Indications of Approval
The Social Security Administration will send you a letter telling you whether your application for Social Security disability benefits has been approved or denied; however, an approval letter may not be the first indication that you have been approved. If you gave Social Security your banking information for direct deposit, you are likely to receive a deposit to your bank account before you receive a letter. So, if you think that it’s about time for you to get a decision, check your accounts every few days for a deposit from the U.S. Treasury.

If you get a payment before you receive a letter, you can either wait for the explanatory approval letter, which may come up to two weeks later, or you can call the Social Security Administration at (800) 772-1213 for an explanation of the deposit and information about your ongoing benefits or back pay.

Another way you may find out about your approval is by a phone call from the Social Security Administration. If some additional information or documentation, such as proof of your date of birth, is needed to start disability payments, Social Security will call you. Also, if you have eligible dependents, Social Security may call you or your spouse to make application for the children. For additional information about dependents benefits, visit our article Can My Spouse and Children Get Benefits If I Am Approved for Social Security Disability?

What If I Get A Denial Letter or a Partial Approval Letter?
If you receive an approval letter that is only partially favorable or you receive a denial letter, review the letter carefully. If you disagree with the reasons for denial or limitation of your claim, you have the right to appeal or have an attorney appeal your application for Social Security Disability benefits. For information about how to appeal and the deadline for appealing, see our article I Was Denied Social Security Disability. What Can I Do?

How will I know whether my application for Social Security Disability benefits has been approved?
3.8 (75.76%) 33 votes

  • Dear Aleine,
    Usually Social Security does not issue the direct express card unless you are approved, but I have heard of some cases that were denied and the card was issued. You can contact your local Social Security office and ask for status on your case. They may be able to tell you, if you have been approved.
    Sincerely,
    Jane

  • Dear Pedro,
    That just means a medical decision is being made on your application for disability. If you are approved, your local Social Security office will contact you, if more information is needed. If you are denied, you will receive a notice in the mail and you can appeal the decision by using a form SSA-561 (reconsideration). You only have sixty days from the date of notice to file the appeal. Usually Social Security will not contact you, if you have been denied. If you haven’t received a call or notice within thirty days contact your local Social Security office and ask for status on your claim.
    Sincerely,
    Jane

  • Dear Jill,

    Hopefully, they will get it out by the end of September as promised. Although they try to get decisions out within 2 months, it often takes longer.

    Sincerely,
    Disability Adviser

  • Dear Renita,
    The medical decision for Supplemental Security Income (SSI) and Social Security Disability (SSDI) will be the same. You will be denied for both programs.
    Sincerely,
    Jane

  • Dear Cheryl,

    Usually your Social Security Disability (SSDI) claim would not be sent to the Disability Determination Services (DDS) if you were not insured on the date of disability that you claimed and the technical denial should have shown up online around the time the Supplemental Security Income (SSI) claim was sent for a medical decision.

    It is possible that an error was made and both claims were sent to DDS and the technical denial was discovered somehow at DDS and the online denial status was posted. However, it is also possible that if the SSDI claim was sent to DDS in error that they simply proceeded with the medical review on both claims. If that is the case then the only way the SSI could be a medical approval with an SSDI denial would be that your were found to be disabled after the date you were last insured for SSDI. In any event, it seems common that one claim will be updated online before the other. Of course, this discussion is all about supposition and you cannot really know until you receive the formal decisions.

    Sincerely,
    Kay

  • Dear Lisa,

    This particular language has been given as an online status for both approved and denied hearing decisions.

    Sincerely,
    Kay

  • Dear David,

    I suggest that you check with your local office to double check that your claim is in the payment center awaiting review and payment. If so and it has been there since early May, you can ask that they send an inquiry for status to the payment center. It will not speed things up, but a reply would give you some information. As to the reason for the processing time, the payment center, like most branches of the agency, is understaffed and there are substantial processing backlogs.

    Sincerely,
    Kay

    • David Stalder

      Thank you, Kay. I’ll do that.

      • Dear David,
        Kay said you are welcome.
        Sincerely,
        Jane

  • Dear Christina,

    Social Security has a policy of not revealing decisions over the phone, so this time the representative is following the rules. I suggest that you check the online status again in a couple of business days. If your claim was denied, you should have a letter within a week or a little more.

    Sincerely,
    Kay

  • Dear Teedy,

    Without more specific information about what was said about SSI (Supplemental Security Income) I can’t offer any insight about. You do not say who you called for a status. If you called your local Social Security office and it has been sixty days or more since the hearing, I suggest that you call the hearing office, which can provide more detailed information about where your claim is in the post-hearing appeals process.

    Sincerely,
    Kay

  • Dear Cheryl,
    See previous post.
    Sincerely,
    Jane

  • Dear Cheryl,
    The medical decision will be the same for both Social Security Disability (SSDI) and Supplemental Security Income (SSI). If you were denied SSDI because you did not have enough work credits a medical decision will still be made on the SSI program. Medical decisions can take up to six months to make.
    Sincerely,
    jane

  • Dear Deona,
    Usually Social Security will not request bank account information unless you have been approved for disability benefits. You can’t be sure what the decision is until you receive your official notice.
    Sincerely,
    Jane

  • Dear Janice,

    From what you say, I think a medical decision has been made on your claim and then it was randomly selected for a quality assurance (QA) review, which can take from a couple weeks to a month or more. The QA review can result in the decision (approval or denial) being upheld or it can result in your claim being returned to the Disability Determination Services (DDS) for more investigation or more complete documentation. Occasionally QA will overturn the initial decision.

    Sincerely,
    Kay

  • Krysheila M Trujillo

    hi !! I have a question I checked my SSDI application online and it says disability determination decision under review your benefit application is currently under review for processing accuracy once the review is complete we will continue processing your benefit application how long after this will I know if I was denied or approved I had a stroke over a year ago and my right side is hemiparesis I use a walker to walk I have a transfer chair to take showers I can’t not not stand a long. Of time I am unable to step up on sidewalks I cannot pick the right leg up and I cannot pick my right arm up only to my ear I cannot pick up even a Downy bottle with my right arm I also have complex partial seizures I now need glasses due to my vision I am unable to drive I have mild cognitive due my stroke I also have adjustment disorder I stress a lot I overthink things that I never had would then before chronic pyelonephritis also edema also high blood pressure continuous chest pains sleep apnea what do you think my chances are of being approved for SSDI

    • Dear Krysheila,
      Social Security reviews a sample of the Disability Determination Services (DDS) determinations and this is call a disability quality review. These reviews are used to ensure that DDS determinations are made correctly and consistently, and that examiners follow all policies and producers when making the decision to approve to deny a claim. After the review is completed the case is sent back to the DDS to make the final medical determination. It may take a couple months for the review to be completed and it is difficult to determine if your claim will be approved or denied.
      Sincerely,
      Jane

      • Krysheila M Trujillo

        Thank you for your time . I actually called the 1-800 number and they said I will be having a decision in a week and a half due to it will be 3 months that I applied the guy was really really nice and said it was under review making sure that the right decision was made and that I would have the answer the week to week and a half I’m keeping my fingers crossed thank you very much for your time

        • Dear Krysheila,
          You are welcome.
          Sincerely,
          Jane

  • Dear Debb,

    With a January 20, 2017 disability onset, you are first eligible for Social Security Disability (SSDI) for July 2017 because there is a five full calendar-month waiting period (February through June). Your August benefit will be paid in September; September paid in October and so on.

    Sincerely,
    Kay

    • debb

      Okay so there will be no back pay right? Thanks for all your reply

  • Dear Debb,

    In your various posts to our site, you have not provided your established disability onset date, so I can’t tell whether or not you are due any back pay other than the July payment, which you previously said was being held. From that I inferred that the July payment was not paid on time, which could make it part of the back pay. If all you have received so far is monthly benefits and you were disabled at least six full calendar months before the first monthly benefit, you have back pay coming. If it is not received within sixty days, I suggest that you follow up to your local office.

    Sincerely,
    Kay

  • Dear Ezio,

    Yes, this is a good thing. It indicates that your claim has been medically approved and that your child is also eligible.

    Sincerely,
    Kay

  • Dear Pedro,

    The independent medical examination (IME), also called consultative examination (CE) will be conducted for the purpose of getting an opinion as to whether you have the condition that has been diagnosed and as to what your physical limitations are. You will not be offered treatment of any kind and the examining physician is not asked to determine whether or not you are disabled.

    Sincerely,
    Kay

  • Dear Debb,

    You can appeal the SSI denial, but before you do, I suggest that you look at the denial to see whether the income they have listed for you each month is correct. If it is correct, the denial is probably correct. One-half of gross earnings above $65 ($85 if you have no other income) count to reduce SSI benefits. So, any month that your gross earnings were $1,555 or more, you would not be eligible for a federal SSI benefit. In months that you receive SSDI, if the SSDI is $755 or more, you would be ineligible for federal SSI benefits. If your SSDI is below $755, then the SSDI plus one-half of your gross wages above $65 would count against the $735 that is paid if you have no other income.

    The July Social Security benefit is due to be paid in August; August’s is paid in September and so on. The SSDI back pay has typically been taking a couple months after the monthly benefits start, but it can take less or more time.

    Sincerely,
    Kay

  • Dear Debb,

    You can not get SSI and SSD at the same time if your SSD is over $735, which is the maximum amount you can get under SSI. The SSI program is a means based program. It depends on how much money you have coming into your household and what assets you own. It is really a program of last resort. People living on SSI are living below the federal poverty level. And if they happen to go into a facility that takes care of their food and board (like a nursing home), the facility gets the money, not the disabled person. SSI is just meant to cover basic living expenses every month as it is only $735 a month. If your SSD payment is more then $735 per month, you can not get SSI.

    Sincerely,
    Disability Adviser

  • Dear Tina,

    I suggest that you try to contact the local office for more information about the status of your claim. Online it will show as processing until all the work on the claim has been completed. Also if you have a trusted relative or friend who can serve as your payee, you and that person could go to the office from which you received the call for the friend or relative to file the payee application.

    Sincerely,
    Kay

  • Dear Debb,

    The “one-time payment” refers to the next payment, which is apparently back pay. After that is paid, if you were also approved for ongoing benefits, you will then see a monthly payment amount. The one-time payment should show a date. I would expect you to receive payment within about five days of that date.

    Sincerely,
    Kay

    • debb

      Thanks,but it dont show no other payment amount.so i guess i was not approve for Ssi.well i am approved for Ssdi my benefit startnext month so do i get back pay from SSDI?

      • Dear Debb,
        Social Security Disability ( SSDI), benefits begin to accrue the later of twelve months before the month you applied or the sixth full calendar month of disability as established by Social Security and you will receive back pay for any benefits due within this period.
        You can contact your local Social Security Office and ask them if you were approved for both programs.
        Sincerely,
        Jane

  • Dear Pedro,

    As you describe the results of your stroke, it is possible that your claim will be approved. However, for approval you have to have been or be expected to be disabled for twelve months or more. Stroke victims often improve a great deal in the first year after the stroke. Therefore, if you became disabled in May, Social Security may delay their decision until more time has passed and they can determine whether or not you will be disabled for twelve months.

    Sincerely,
    Kay

  • Dear Tina,

    Yes, request for a representative payee is usually a sign of medical approval for benefits.

    Sincerely,
    Kay

  • Dear Ron,

    The status report you received is neither a sign or approval or denial. You can call the hearing office and ask to speak to the judge’s assistant to find out what additional evidence has been requested after the hearing. When it is received, the judge should send it to you or to your attorney if you have an attorney, for your possible comment.

    Sincerely,
    Kay

  • Dear Jody,

    Yes, your monthly payment schedule will be the same as if the claim were not expedited. Your back pa, if any, could be paid on any date; however, it is typically issued after monthly benefits start and it can be a couple months or more after the monthly benefits start before the back benefits are paid.

    Sincerely,
    Kay

  • Dear Jody,
    This first check can be issued anytime during the month, but your monthly benefits will be issued based on your birthday.
    Sincerely,
    Jane

  • Dear Marie,

    The interview is likely to be completed entirely on the telephone, but you may be asked to mail in documents to support your statements about your finances.

    Sincerely,
    Kay

  • Dear Marie,
    When you receive your call on August 30th, the claims representative will discuss any income you have received, your living arrangements, and any resources you may own. At that time the claims representative will know exactly what documents are needed to complete the processing of your Supplemental Security Income (SSI) claim. Right now the claims representative is asking for general documents and you may still have to provide additional documents. It takes about thirty days to process your application, after you have submitted any documents the claims representative requested.
    Sincerely,
    Jane

  • Dear Ad,
    I know you have been waiting a long time and your patience is probably very thin. It is still too hard to determine exactly what you are entitled to. Your claims are being handled by several payment centers and they should be consulting with each other before sending the notices. You will just have to wait until all the processing is complete and you receive your official award notice. I am sorry I couldn’t give you a better answer.
    Sincerely,
    Jane

  • Dear Joselin,
    The federal benefit rate for Supplemental Security Income (SSI) is $735.00 (in 2017). If your check has been reduced to $355.00 you have some income that is reducing your benefit. Income can be in the form of cash, in-kind support (non cash) and or wages. You should receive a notice explaining your monthly payment amount and how it was computed. If you have questions after receiving your notice and can provide more information, please let us know and we will try to answer in more detail.
    Sincerely,
    Jane

  • Dear Marie,

    Under normal circumstances, they should not be telling you what the decision is. However, when a claim is approved some of them might feel it’s ok to let you know. They will almost never let you know if it is denied. So let’s hope she read the notes correctly.

    Sincerely,
    Disability Adviser

  • Dear SXD,

    You should feel comfortable with your attorney and not worry about going through a middleman if that makes you anxious. You should find out if an attorney is currently following your file and if that will be the same attorney that will represent you at the hearing. If so, then you can probably relax a little. If not, tell them that is what you want and see if they can accommodate. If they can’t, then shop your claim around to other, small firms where you can work directly with the attorney that will ultimately be representing you at your hearing, or directly with a paralegal that works closely with that attorney. Your fee is still just 25% of your back pay no matter how many attorneys work on your claim. The two attorneys will then work out something between them regarding the fee or else share the 25% fee.

    Sincerely,
    Disability Adviser

  • Dear Debb,
    You are welcome.
    Sincerely,
    Jane

  • Dear Cgh,
    If you claim has been denied, you should receive a denial notice within the next fifteen days. If you have been approved your claim has been sent to the appropriated payment center for processing. It can take up to 60 days to process your claim. If additional information is needed Social Security will contact you.
    If you were denied you only have 60 days from the date of your notice to appeal the decision. If it is your first appeal, you would file a reconsideration (SSA-561) and if it is your second appeal it would be a hearing (SSA-501).
    Sincerely,
    Jane

  • Dear Hopeful2,
    We haven’t gotten any more information about the online status reports. If you have been to two consultative exams (CE), the Disability Determination Services (DDS) will have to review the information from the doctors and, it depends how long doctors take to send reports. I realize it is a lengthy process and hopefully the decision is made soon.
    Sincerely,
    Jane

  • Dear FaithinGod,
    SSI is Supplemental Security Income and SSDI is Social Security Disability Income. You should be receiving your notice soon. You can’t determine if you are approved or denied based the online explanation. If you are denied and want to appeal, make sure you request the appeal within 60 days from the date of your notice.
    Sincerely,
    Jane

  • Dear SXD,

    Hopefully, with an experienced attorney on your side, your claim will go better this time. Make sure to work closely with your attorney so that they have everything they need to make your claim as strong as it can be.

    Sincerely,
    Disability Adviser

  • Dear Becky,

    Michigan does not have a reconsideration stage. So if the claim worker said your claim was lost for a 11 months, that is unfortunate but likely true. Or, it could perhaps have been selected for a quality review which can postpone your claim for months. So when yiur last case worker got it she continued to work it and then would have sent it to the main office for your decision to be sent out. This is a very strange case. You may want to call your local hearing office and if it’s not there then go down to your local Social Security branch office and talk with a supervisor there.

    Sincerely,
    Disability Adviser

  • Dear SXD,

    Did you have that assistance of an attorney on your claim?

    Sincerely,
    Disability Adviser

  • Dear SXD,
    I realize it is very frustrating waiting for a decision. I suggest you contact your local Social Security office and ask them for status. Until you receive your decision notice, it is difficult to determine, if you have been approved or denied.
    Sincerely,
    Jane

  • Dear Debb,
    If you were approved for Social Security Disability (SSDI), your SSDI claim will be sent to a central payment center, where they will double check that you were insured on the date of your established date of disability; calculate your benefit amount applying any offsets you might have,such SSI (see below), workers compensation, or public pension; and authorize payment. This can take two months or more. Back pay is typically paid a month or more after the first monthly benefit. If you were approved for Supplemental Security Income (SSI), your local Social Security office will calculate and authorize SSI payment. Before payment can be calculated, a financial update will be needed from you. The office will contact you for a financial update so that benefits can be calculated for past months. Usually you will be paid within a month of the update interview and submission of any requested documents. If you were approved for both, the SSDI benefit calculation will be deferred until the SSI calculation has been completed and will start a month to two months after SSI processing is complete. SSDI back benefits will be reduced by the amount of SSI benefits payable for the months in which SSDI and SSI eligibility overlaps. Typically SSI back pay is paid in up to three installments six months apart and the first two will not exceed $2,205. However, if after your Social Security starts, you are no longer eligible for SSI due to your ongoing SSDI benefit or another reason for twelve months of ineligibility or your disability is expected to result in death within twelve months, you can request the remaining SSI installments to be released. Also, if you have a compelling need for more than the initial installment, you may also be able to get early partial release of part or all of later installments. For example, if you need the money to pay the down payment on a house or to buy a car for medical transportation, or to catch up past-due rent or mortgage to avoid eviction or foreclosure, or to pay past-due medical bills or to pay for needed medical care, you may be successful in getting additional funds released before the installment due dates. If any of these circumstances apply to you, you can submit a petition for release of funds. Be prepared to provide documentation of the dollar amount needed such as past-due notices and written estimate.
    Sincerely,
    Jane

  • Dear Patricia,
    I am not sure why the message is no longer in your MY SSA account. Usually when you are told they are processing your benefit application, a decision was made. The decision notice may have been sent and you can no longer see the status of your claim on line. It is too hard to determine if your claims was approved or denied. You can contact your local Social Security Office and ask them to give you the status on your claim.
    Sincerely,
    Jane

  • Dear Brianna,

    Under normal circumstances, they assume you receive the letter about 5 days from the day it is postmarked, so the letter should probably state somewhere that you have 7 days from the date you receive the letter to reply. However, it may be hard to collect the information within 7 days so call your DDS examiner and let them know if you need more time and how long. They are normally willing to work with you so long as you keep them regularly updated on the status of whatever they are waiting for you to get for them. You may also want to call your DDS examiner and ask them if they have sent out opinion forms to your child’s teacher’s and gotten them back. If not, figure out which teachers are going to be most honest about your child’s problems (some teachers tend to honeycoat their answers on disability forms) and make sure your DDS examiner is getting forms to those teachers to be filled out. These forms are very detailed and vital in helping DDS determine your child’s severity of disability, especially if they are causing your child problems at school. The evaluators rely heavily on these forms, especially if all the teachers report issues at a similar level of severity. It’s probably in your best interest to talk to all your child’s teachers and make sure they are all on board with having your child found disabled. Since a new school year has just started, if your child had different teachers last year, considering having the same conversations with them and having them fill out these forms as well. You can find a copy of the form here: https://www.ssa.gov/forms/ssa-5665.pdf. You can also just give these to the teachers yourself along with your examiners name and address or fax number so they can get them in faster.

    Sincerely,
    Disability Adviser

  • Dear Patricia,

    If you are going to get a lawyer, it probably makes sense to try to get them before you appeal so that they can do the appeal with you online and make sure nothing is missed that you may have missed while applying on your own. More important is to find the right attorney for you. Once you have checked out a few and found one you like, see if they are going to do the appeal with you online or if you have to do it on your own. If they don’t want to do the appeal with you, ask them why. Is it because they think you have a weak claim and don’t want to spend the time on the appeal? If you are having trouble finding the right attorney, then go ahead and file the appeal on your own so that you do not waste too much time. Don’t forget you have a 60 day deadline to appeal.

    Sincerely,
    Disability Adviser

  • Dear La’Trice,

    There is no reason you can’t put in another application and try looking for work. If you are able to find and keep a job for more then 6 months, you can always drop your application. But if you try to work and are unsuccessful in keeping the job due to your disabilities, you will already have an application going and will not have to start from scratch at that point.

    Sincerely,
    Disability Adviser

  • Dear Melissa,

    That is the status that you will see until you have a hearing and a decision is made and a decision letter has been sent. I have determined that from the questions that have been submitted to this site. To date, I have not found a key to the online status reports and when we contacted a Social Security field office, we were told that the field office employees don’t see those online status reports and they could not interpret the language.

    Sincerely,
    Kay

  • Dear SXD,

    I have been keeping track to a certain degree and I have found that either language can result in an approval or a denial. I attempted to get clarity from a Social Security field office about the meaning of these two similar status reports and was told that they don’t know; when someone inquires, they look up the actual record to see what the status is; but they don’t see the online status language.

    Sincerely,
    Kay

  • Dear Keshia,
    The approval can be reversed when it is being reviewed by the Office of Quality Review, but most of the time the decision isn’t changed.
    Sincerely,
    Jane

  • Dear Lovely,

    Your benefits will be based on your current claim because you did not appeal the judge’s decision on your first claim. If you are approved for Social Security Disability (SSD aka SSDI), benefits begin to accrue the later of twelve months before the month you applied or the sixth full calendar month of disability as established by Social Security. If you are approved for Supplemental Security Income (SSI) and your established disability date is prior or equal to your application month, your benefits will begin the month following the month of application.

    Sincerely,
    Kay

  • Dear Kris,
    Date of onset is the date that Social Security established as the date your husbnad became disabled. Social Security will only pay benefits twelve months retroactive from (before) the date of application, if his date of onset is before that date. Example: If he filed for benefits in December 2016 and his date of onset is 10/1/2014, he would be eligible for benefits beginning December 2015. In the example, the unpaid five-month waiting period would be November 2014 through March 2015 and would not affect the date payment started because it is before the maximum twelve-months of payment before application.
    Sincerely,
    Jane

  • Dear Vickie,
    You filed for disability under two programs, Supplemental Security Income (SSI) and Social Security disability (SSDI). To be eligible for SSI, in addition to being disabled, you must have income and assets below a certain level because SSI is a public assistance benefit, rather than an earned benefit purchased with federal insurance tax payments. The non-medical decision is to determine if you meet these guidelines. If you do not meet the requirements for SSI, you will still be eligible for SSDI benefits assuming the last review of the SSDI non-medical requirements affirms you were insured on your disability date.
    Sincerely,
    Jane

  • Dear Keshia,
    Your case may have been sent to the Office of Quality Review (OQR). They examine a sample of claims after the medical decision has been made to ensure that all determinations comply with federal guidelines. After the review has been completed, your claim will be sent back to the Disability Determination Service (DDS). If OQR agreed with the decision and with how it was documented, your claim will sent for processing. If OQR disagreed with the decision on your claim or found that it was not adequately documented or correctly written up, DDS will have to revise the decision write up or investigate further before reaching a final decision. It can take OQR up to sixty days to complete the review but could take less time.
    Sincerely,
    Jane

  • Dear Becky,

    You might check the average waiting time for a hearing in your area at https://www.ssa.gov/appeals/DataSets/01_NetStat_Report.html.

    Sincerely,
    Kay

  • Dear Kris,
    When you are approved for Social Security Disability (SSD aka SSDI), benefits begin to accrue the later of twelve months before the month you applied or the sixth full calendar month of disability as established by Social Security. Count the number of months from the start date to two months past the month you received the medical approval. This will give you an estimate of back pay months
    Sincerely,
    Jane

  • Dear Samantha,
    You are welcome.
    Sincerely,
    Jane

  • Dear Monica,
    It is too hard to determine at this time. If your Supplemental Security Income (SSI) claim has been processed you should receive a notice within the next 15 days. Your Social Security Disability (SSDI) should be processed soon and you will receive a separate notice explaining the decision. If you haven’t heard anything within 15 days contact your local Social Security office and ask for status.
    Sincerely,
    Jane

  • Dear Samantha,
    You will have to wait until you receive the notice to determine if you were approved or denied. We can’t determine the outcome from the message you received. If you were approved the notice will give you information about your payments. If you were denied you can appeal the decision. If your next step is a reconsideration use form SSA-561 and if your next step is a hearing use form SSA-501. If you receive a hearing denial, the next step will be to decide whether the judge failed to follow the rules. If so, you can request an Appeals Council review. You only have 60 days from the date of your notice to file an appeal.
    Sincerely,
    Jane

  • Dear Kris,

    All indications are that your husband will receive Social Security Disability (SSDI). It can take two months or more after the payee papers were submitted to get payment. In the meantime, if you have not applied for SNAP (formerly called food stamps), you might file an application. If you have gotten an eviction warning or are in foreclosure on your home, you can send in a dire need statement to request expedited handling. If that is the case, attach the documents that show the housing problems to support your statement.

    Sincerely,
    Kay

  • Dear Courtney,

    The status report is generic and doesn’t reveal whether you have been approved or not. As you describe the hearing and the judge’s eye rolling, I would say it’s reasonable to retain hope for an approval.

    Sincerely,
    Kay

  • Dear Amanda,

    Please see my reply to your first post. The local office (for SSI) and the payment center (for SSDI) are notified simultaneously with the letter sent to you if your claim is approved. It either or both of the claims are denied, they are sent to another facility and ultimately to storage.

    Sincerely,
    Kay

  • Dear Judy,
    Supplemental Security Income (SSI) back pay will start the month following the month of application unless you applied on the first of the month in which case, benefits would begin the month of application. Your Social Security Disability (SSDI) benefits will begin the later of the sixth full-calendar month of disability or twelve months prior to the date of your application. SSDI back pay will be reduced by SSI already paid to you for the same months.
    It can take up to five months to make the medical decision on your case and if approved a month to get SSI and often two to four months to get SSDI
    If this doesn’t answer your question give me more information about your situation and I will try to answer your question.
    Sincerely,
    Jane

  • Dear Monica,

    If they believe that the work you did indicates that your disability was not as severe as they thought, there is the possibility you could have to continue to fight for your benefits. However, if your disability is so sever that you were approved at the the initial application stage, more likely then not, they will just pay you less during the time you worked or will start your payments after the date you stopped working.

    Sincerely,
    Disability Adviser

  • Dear Vickie,

    That does sound strange but if they said all they are doing is reviewing the disability start date, or onset date as they call it, then it means that they are likely still going to approve you but maybe not from the date you claimed you became disabled. Perhaps they think your disability started later then you claim it did. You could contact them and ask them for more information. Perhaps you’ll be able to find out what start date they are considering and why and then submit more evidence to prove that it started when you claim it started so that you can get the maximum amount of benefits you are entitled to. If they won’t give you information over the phone, then once you get the decision, review it to make sure the start date they chose makes sense to you. Finally, if they give you a start date later then the one you claimed, try to ask for a copy of the Disability Determination Evaluation in your claim which could better explain why they picked the onset date they picked. If you feel your onset date should have been earlier and you should be getting more backpay, you will have to take a number of issues into consideration before deciding whether or not to appeal.

    Sincerely,
    Disability Adviser

  • Dear David,

    If you are at the initial application level and have both an SSI and SSD application going, it could be that your SSI application was denied for excessive resources but your SSD claim is still pending. I suggest you call and speak to someone as SSA to get more detailed information and to make sure you are not missing any deadlines.

    Sincerely,
    Disability Adviser

  • Hi Debb,

    Claims are being moved around the country from places with high waiting periods to those with shorter waiting periods just to try to get them processes as quickly as possible. If you are concerned, you can call the number you have and ask them for a more detailed explanation.

    Sincerely,
    Disability Adviser

  • Dear Kathy,

    There may be good reason why that attorney did not send in the records. Even if you are no longer working with them, you can still ask them why they chose not to send in those records. And keep in mind there are thousands of attorneys and qualified Non-Attorney Representatives out there and some of them will be willing to take the claim and split the fee with your attorney. (Attorneys also have other ways they can convince your old attorney to withdraw from your claim.) If you still want help from an attorney, keep calling around to those that specialize in Social Security Disability claims and eventually you will find one that will take your claim. You can get referrals to attorneys at your local bar association or from NOSSCR (National Organization of Social Security Claimants’ Representatives). /custom.asp?id=1689. You can also consider using a Non-Attorney representative. NADR (National Association of Disability Representatives) has an online referral system here: http://www.nadr.org/search

    Sincerely,
    Disability Adviser

    • Kathy Armstrong

      Thank you. I am still working with my attorney. The judge is the one that did not send the correct medical records. We will see.

  • ear Tina,
    It is hard to tell if you have been approved or denied.
    Usually Supplemental Security Income (SSI) payments can ‘t be made before your local Social Security completes a non-medical update. If you have not been contacted yet, I doubt he will receive any money by August 10.
    You will have to wait for the notice and if, he is denied you can appeal the decision (using form SSA-561). You only have 60 days from the date of your notice to file an appeal.
    Sincerely,
    Jane

  • Dear Tina,
    It is hard to tell if you have been approved or denied.
    Usually Supplemental Security Income (SSI) payments can ‘t be made before your local Social Security completes a non-medical update. If you have not been contacted yet, I doubt he will receive any money by August 10.
    You will have to wait for the notice and if, he is denied you can appeal the decision (using form SSA-561). You only have 60 days from the date of your notice to file an appeal.
    Sincerely,
    Jane

  • Dear Pamela,
    Kay said you are welcome.
    Sincerely,
    Jane

  • Hi Leticia,

    To find out the average time (in months) from the hearing request date until a hearing will be held for your specific hearing office, see Social Security’s statistics here: https://www.ssa.gov/appeals/DataSets/01_NetStat_Report.html. There is no information about chances of approval or time it takes to process a claim at the “prehearing review” stage of the hearing process. You could call the hearing office to inquire whether they have a processing time estimate for their specific office.

    Sincerely,
    Disability Adviser

  • Hi Robert,

    Although judges like to get decisions out within 60 days, they do not have any set time by which they must return their decisions. If you have not gotten a decision within 90 days, check back in with the hearing office. If you are experiencing extreme financial hardship, such as a vehicle being repossessed, electricity being disconnected or a possible eviction, speak to your lawyer and/or hearing office about getting this information to the judge to try to speed up the writing process. The process you describe is typical and so it is not an indication of either approval or denial.

    Sincerely,
    Disability Adviser

  • Dear Linda,
    It is good that you qualify for presumptive payments. Although it is likely that the formal final decision will be an approval, your approval for benefits is not final until the full medical review has been completed. The medical requirements are the same for SSI and SSDI, so the online SSI status may only be giving you information about the presumptive status. If a final decision is not made within six months, the presumptive benefits will stop and benefits will resume only when you are formally approved. In some cases the process can be very fast.
    Sincerely,
    Jane

  • Dear Tim,

    I suggest that you request a copy of your claim for to review the exact reasons for the denial and to see what evidence was in file and that you review the claim and denial with an experienced Social Security attorney. If you then think that you are disabled as defined by Social Security law, be sure that you file the appeal withing the sixty-day appeals period preferably with the assistance of an attorney.

    When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from your back pay. The only possible cost in case of an unsuccessful claim or appeal is possibly having to reimburse the attorney for his or her out-of-pocket costs, for example, amounts the attorney paid to obtain your medical records.

    Sincerely,
    Kay

  • Dear Pamela,

    Unfortunately, in many cases it does not. The main advantage to a bench decision is that you know what the outcome of the hearing is.

    Sincerely,
    Kay

  • Dear Chef,

    The status report is the standard status for the whole time that your claim is under medical review. It will not change until a decision has been made.

    Sincerely,
    Kay

  • Dear Marsha,

    After the judge makes a decision, a letter is written up to explain the decision to you. Then the letter is sent back to the judge to review for accuracy and to sign. Once it is signed, it will be sent to you and to the Social Security office responsible for reviewing the non-medical parts of your claim and authorizing payment.

    Sincerely,
    Kay

  • Dear Florence,

    If the benefit is a Social Security Disability (SSDI) benefit, a central payment center reviews the claim and sets up and authorizes payment. The local office has no control over how long it takes. Processing times vary and are not predictable. A representative payee application would be taken because if a payee is required, the payee has to be in place for payment to be made.

    If the approval is for Supplemental Security Income (SSI), payment is authorized locally but not necessarily by the person you spoke to for the payee application. If the claim is SSI, however, the representative should have been to give you a rough time estimate.

    Sincerely,
    Kay

  • Dear Tim,

    You are being told that your claim has come out of the accuracy review and has been medically approved or medically denied and that they are finishing up processing the claim. This involves either sending you a denial letter or reviewing the non-medical eligibility criteria to be sure you meet those requirements and, if so, calculating and releasing payment.

    Sincerely,
    Kay

  • Dear Benjamin,

    The changes you describe are puzzling. Perhaps there were some erroneous inputs–entries to the wrong record. To find out the actual status of your appeal, I suggest that you call the hearing office.

    Sincerely,
    Kay

  • Dear Kayla,

    I am not able to give you an estimated time frame. You might try asking the hearing office for an estimate based on their office’s usual practices. Your claim will have to be assigned to a judge before the on-the-record (OTR) review is done. and they might be able to give you a time frame for assignment if it is not already assigned.

    Sincerely,
    Kay

  • Dear Pamela,

    From the time you receive the judge’s written approval letter, which can take a couple months or more after the hearing, it will take another one to two months for the monthly benefit to start and often any back pay due arrives a couple months or more after the first monthly benefit is paid.

    Sincerely,
    Kay

  • Dear Rocio,
    Your daughter must have her own social security number to receive payments and cannot use her mother’s or father’s numbers. She won’t be denied for not having a social security number, as long as it has been applied for, but she will likely have to continue to wait for payment.
    Sincerely,
    Jane

  • Dear Florence,
    Thank you for the update.
    The actual claim and the representative answering the phone, are located in different offices. The representative only has access to the information shown in the computer system, which will show the location of the claim and status of the claim. If the status is “under review” that is all the information the representative had. To get a more substantive status report, try contacting the local office.
    Sincerely,
    Jane

  • Hi Antoinette,

    Your son’s claim is being reviewed back to 2010 most likely because that is when you claimed he became disabled. But SSi only goes back to the next full month after the month you apply. If you have previous applications that may be reopened, you may be able to get paid back further then the the next full month after the application date of your current claim.

    As to the Medical Experts (ME) statements, what I think he was referring to were different categories of functioning that are evaluated for children. Categories like “Acquiring and Using Information” and “Health and Well Being.” In order to be found disabled, children need to be markedly impaired in two categories or extremely impaired in one category of functioning. Sounds like the ME might have said your son was markedly impaired in 5 categories. If so, you have a good chance of winning. But even if you win, sometimes it can take many months to get the decision written and sent out because the hearing office is just that busy. You can call the hearing office and ask them what the status of your claim is and how long do they think it will be before your decision is mailed.

    Sincerely,
    Disability Adviser

  • Dear Rocio,

    If the money is to be paid to you for your daughter, you will likely have to have a Social security number before the funds will be released. It is more likely that the person who called you and collected your bank information knew the medical status of the claim. The approval or denial letter the second person referred to may be the formal final decision that considers financial and medical eligibility.

    Sincerely,
    Kay

  • Dear Kayla,

    You have been notified that the hearing office will allow an on-the-record (OTR) review of your claim for possible approval without a hearing. Be sure to submit everything that has been requested and any other evidence you might have to support your claim. When they receive the requested information, the OTR will begin.

    Sincerely,
    Kay

  • Dear Kathy,

    Your physician will not make the decision on your claim; however, lack of your own doctor’s support does make supporting your claim harder. Your attorney will be able to provide some guidance regarding your next step.

    Sincerely,
    Kay

  • Dear Florence,

    The updated status that says “a medical decision has been made” and the fact that the claim file is at the payment center is an indication that the claim has been approved medically.

    Sincerely,
    Kay

  • Dear DE,

    As I indicated in response to your first post, if you have a question, please let us know and we will try to respond.

    Sincerely,
    Kay

  • Dear Kenneth,

    Decisions cannot be given out until they are finalized. Once it has gone through the “evaluation board,” which might be a quality assurance department, and the decision is finalized, you will be notified.

    Sincerely,
    Kay

    • Kenneth Baldwin

      Thanks Kay.

      • Dear Kenneth,
        Kay said you are welcome.
        Sincerely,
        Jane

  • Dear Chef,

    If you have a question and post it, we will try to respond.

    Sincerely,
    Kay

  • You are welcome, Ad. Thanks for the update.

  • You are welcome, Kathy.

  • Dear Linda,
    I am glad you received a favorable decision.
    Sincerely,
    Jane

  • Dear Linda,
    You have probably qualified for presumptive disability benefits. That means you will be paid benefits for up to six months. At the end of six month if Social Security hasn’t made a medical decision.your benefits will stop until a decision is made,
    Sincerely,
    Jane

  • Dear Josh,
    It is possible that you claim has been denied because the reappearance of estimated benefits, indicated the claim was denied You should receive a formal notification soon. Please let us know if you are approved.
    Sincerely,
    Jane

  • Dear Kathy,

    The information from the paralegal is likely to be the situation unless you can get the appeal expedited. Discuss with the paralegal sending in a dire-need letter based on how far behind you are in your rent. If you do this, submit any letter you have or can get from the landlord about how far in arrears you are to support the need for an expedited decision. I suggest also that you ask the paralegal to ask the attorney to review the partially completed questionnaire quickly and to respond quickly because of your precarious financial situation and that your housing is becoming endangerd. Also, if you haven’t let them know you were hospitalized, do so; so that they can report that to the judge.

    Sincerely,
    Kay

  • Dear Linda,

    I do not know what to make of the call you received. Supplemental Security Income (SSI) pays presumptive disability benefits to people who have certain medical conditions of certain severity. Even though you describe many illnesses, I don’t recognize the illnesses as qualifying for presumptive benefits or a compassionate approval. The only other thing I can think of is that your claim was approved and then pulled for quality assurance review, but payments usually aren’t started until the QA review has been completed. So, I suggest that when you get the call, you ask how it is they can pay you before a decision is finalized.

    Sincerely,
    Kay

  • Dear Ad,

    I don’t think I have much additional information I can give you. Right now, basically, you just have to wait to have the payment center do the review and calculate benefits. The local office had no control over how long it takes. The Trial Work Period work incentive comes into play after approval typically.

    Sincerely,
    Kay

  • Dear Kim,

    I didn’t see this second post when I responded to the first. Thank you for the date correction.

    I am guessing that the decision was an approval and for some reason the non-medical review and calculation and release of benefits has fallen through the cracks. Based on this guess, I suggest that your sister contact the local office and ask to have an inquiry made to the payment center regarding the reason for the long delay. She could ask for a manager-to-manager call from the local office to the payment center. If that is declined, she might ask her congressperson to follow up on the status.

    Sincerely,
    Kay

  • Dear Kim,

    It appears you typed either the wrong month or the wrong year. Please tell us the correct date and whether the appeal is a hearing request or a reconsideration, and we will try to respond.

    Sincerely,
    Kay

  • Hi Penny,

    This is a standard form sent to everyone when they appeal to the hearing level. You have been sent your CD so you can review the medical information Social Security has on file for you to make sure it is complete and correct. There is no time limit for them to make a decision before you go to hearing, and such decisions are rare, even when you provide them with new evidence. It may take up to a year or longer for you to have your hearing scheduled. Nonetheless, I recommend that you submit as soon as possible everything that was requested and/or anything that you recognize as missing from your claim file records, which you were sent on the CD.

    Sincerely,
    Disability Adviser

  • Dear DarkGuardian,

    VE’s get their job descriptions out of a publication called the Dictionary of Occupational Titles. It can be found online here: http://www.occupationalinfo.org/. The judge can not accept descriptions from other sources. But keep in mind not all jobs are done the same way. While some parking lot attendants may have to park cars, others just sit in a booth all day and maybe walk around the lot at times. And while some ushers may need to clean, others don’t. Usher and Parking Lot attendant are commonly used by VE’s as jobs that can be done by people who are limited to using only one arm or hand. As to getting an updated doctors report about your disabled hand, if it offers new and updated information for the judge that is not already in your medical records, you should discuss this with your attorney as it may be helpful.

    Sincerely,
    Disability Adviser

  • Dear Tai,

    If you have another question–I answered another by you earlier today–just post it on our site.

    Sincerely,
    Kay

  • Dear Darlene,

    An attorney can make an educated guess about the outcome of a hearing, but even they cannot know for sure what the decision will be until it is rendered. In your case, your attorney is saying that she doesn’t know. Her not knowing does not mean you will be denied; it just means she doesn’t know.

    Sincerely,
    Kay

  • You are welcome, Kathy.

  • Dear Becky,

    “Closed your case” means that a medical decision has been made. When you have requested a hearing, you cannot be denied without a hearing, so cautiously I suggest that your appeal has been approved. However, the referral to DHS (presumably your state’s Department of Human Services) is confusing unless they are saying if you need interim assistance while you wait for your Social Security or SSI benefits to start, DHS can help.

    Sincerely,
    Kay

  • Dear Debb,

    Please see my reply to your first post. The details you have provided indicate basically the same thing. Your work activity is being reviewed to see whether you have worked to much to be considered disabled or whether the work is an indication that you could have worked more. If you can any problems on the job because of your health, be sure to mention them, such as frequent absences, leaving early, arriving late, trouble completing tasks, etc.

    Sincerely,
    Kay

  • Dear Kathy,

    A judge getting a medical expert opinion on information in the claim file is not uncommon, but you are right about having to wait.

    Sincerely,
    Kay

  • Dear Elizabeth,

    Your attorney was letting you know that the hearing supported your claim and that you have a possibility of being approved.

    Sincerely,
    Kay

  • Dear Debb,

    Usually If the Disability Determination Service (DDS) still needs information the medical decision hasn’t been made. You will need to wait for the official notification before you can be sure you are approved. I am not sure why you were told the local office will be calling you unless the examiner from DDS did not get the work information from you. In that case, the local office will contact you to collect the information.

    Sincerely,
    Jane

  • Dear Kelly,
    The Disability Determination Services should have given you the 10 days to completer the paperwork. After a decision is made your only recourse is to appeal the decision. You will have 60 days from the date of your notice to file the appeal. Complete an SSA-561 (link to form https://www.ssa.gov/forms/ssa-561.pdf) for a reconsideration request or a SSA-501(link to form https://www.ssa.gov/forms/ha-501.pdf) for a hearing request if the recent denial was a reconsideration denial or you live in a state that skips reconsiderations and makes the first appeal a hearing.. Make sure to include the paperwork that you were working on. They will also need to update any new medical information you may have.
    Sincerely,
    Jane

  • Dear Rocio,
    If she was approved for Social Security Disability (SSDI), her SSDI claim will be sent to a central payment center, where they will compute her benefit amount. If she was approved for Supplemental Security Income (SSI), her local Social Security office will calculate and authorize SSI payment. Before payment can be calculated, a financial update will be needed from her. The office will contact her for a financial update so that benefits can be calculated for past months. Usually you will be paid within a month of the update interview and submission of any requested documents.
    If she was approved for both, the SSDI benefit calculation will be deferred until the SSI calculation has been completed and will start a month to two months after SSI processing is complete.
    Sincerely,
    Jane

  • Dear JB,
    During the phone interview Social Security asked questions about you and your husband’s income, resources and the household expenses. This is needed to determine the amount you will be paid under the Supplemental Security Income (SSI )program. They will use your husband’s wages to determine your payment amount. One car can be excluded from resources, if used for transportation. The child you have legal guardianship for will be considered to be living in your household, but no allotment of your husband’s income will be made for the child. Be sure to submit proof of your husband’s earnings as soon as possible. Based on no minor biological, adopted, or stepchildren in the home, I estimate that your SSI benefit will be about $24. If you are approved for Social Security Disability (SSDI), your SSI will stop. Social Security will use your earnings to determine your SSDI benefit amount.also. As far as what the coding of Step 2 out 3 Steps means, neither Kay nor I know exactly what spot in the process that represents, but we can say you are close to the end of the SSI process.
    Sincerely,
    Jane

  • Dear Becky ,
    Kay said you are welcome.
    Sincerely,
    Jane

  • Dear JB,
    Kay said you are welcome.
    Sincerely,
    Jane

  • Dear Becky,

    How long it takes to get a decision and to have it written up is not related to whether the decision is an approval or denial. It is more related to how the judge handles his or her work and how clear the reasons for the decision are.

    Sincerely,
    Kay

  • Dear Kathy,

    If your attorney is saying that all you can do is wait until the judge gets the records review by a neurologist, then that is really all you can do at this point. You can, of course, ask whether anything can be done if that has not already been addressed.

    Sincerely,
    Kay

  • Dear DarkerGuardian,

    Your hearing is supposed to be your opportunity to tell your whole story. If you are representing yourself, judges should at some point in the hearing ask you if there is anything else you would like them to know that was not brought out during questioning. If your judge didn’t give you the opportunity to present your whole claim and ends up denying you, you may very well have a good case for appeal. Also, was there a vocational expert at the hearing? Did the judge ask the expert questions and give you a chance to ask the expert questions? If not, that may also be a very good argument on appeal.

    However, usually if a judge just suddenly stops a hearing and says something along the lines of “I’ve heard enough” and doesn’t give you or your attorney a chance to say anything else, it’s usually a great sign. Because he knows that at that point he really must approve your whole claim or else that case will be sent back to him on appeal because he kept you from presenting your full case.

    Sincerely,
    Disability Adviser

  • Dear JB,

    Hopefully you will be able to find this answer. If you register when you sign in you will get a notification when an answer is posted. Otherwise, look at the informational article you posted the question under. That may help you find it again.

    To answer your question, the judge’s decision was the medical approval. You are now waiting to have the non-medical criteria for eligibility reviewed a final time and documented as needed. This happens in two different ways–one for Social Security Disability (SSDI) and one for Supplemental Security Income (SSI).

    Your SSDI claim will be sent to a central payment center, where they will double check that you were insured on the date of your established date of disability; calculate your benefit amount applying any offsets you might have, such SSI (see below), workers compensation, or public pension; and authorize payment. This can take two months or more. Back pay is typically paid a month or more after the first monthly benefit.

    SSI is typically paid before SSDI. Your local Social Security office will calculate and authorize your SSI payment. Before payment can be calculated, a financial update will be needed from you. The local office should contact you within a week to ten days of the hearing for the update interview. Usually you will be paid within a month of the update interview and submission of any requested documents. Typically SSI back pay is paid in up to three installments six months apart and the first two will not exceed $2,205. If you have a compelling need for more than the initial installment, you may also be able to get early partial release of part or all of later installments.

    Because you were approved for both, the SSDI benefit calculation will be deferred until the SSI calculation has been completed and will start a month to two months after SSI processing is complete. SSDI back benefits will be reduced by the amount of SSI benefits payable for the months in which SSDI and SSI eligibility overlaps. If after your Social Security starts, you are no longer eligible for SSI due to your ongoing SSDI benefit, you can request the remaining SSI installments to be released.

    Sincerely,
    Kay

  • You are welcome, Vickie.

  • Dear Vickie,

    You may not get a written award letter until shortly before or soon after the first payment is issued. If your claim is for Supplemental Security Income (SSI) and the payment is not received by the indicated date, contact the local office to follow up. If the claim is for Social Security, you can follow up through the local office if you don’t receive payment by the end of August.

    Sincerely,
    Kay

  • Dear Rocio,

    Now that the deadline has passed for payment of the July benefit on July 1, July’s benefit will be included int he back pay payment, which could come some time in July depending on when the representative gets the work done to issue it. (When the work gets done is not predictable.) If you do not receive the back pay in July and get the August check on time, I suggest following up with the local office.

    Sincerely,
    Kay

  • Dear Becky,
    The decision letter comes after the decision is posted to the Social Security Account.
    Sincerely,
    Jane

  • Dear Sweepette,

    Without more information I can’t say for certain what is going on. However, if you already got determination that your disability began in November 2016, it may be that the payment center, which reviews all aspects of your claim before payment is made, may be questioning the DDS’s determination for some reason. Another possibility is that your claim was selected for a quality assurance review, which raised an issue about the documentation needed for your onset date. To know more, you may need to ask your attorney to explain the situation further.

    Sincerely,
    Kay

  • Dear Isaac,
    The information you have provided indicates they are processing your disability application, but the decision isn’t final until you receive an award notice. You should receive this notice within 60 days from the date a medical decision was made on your claim.
    If you had to stop work again due to the same or a related medical condition and you worked less than six months, I suggest that you request reopening of your denied claim on the basis that your return to work was an unsuccessful work attempt. Make the request in writing and claim the same previously approved date of disability onset.
    Sincerely,
    Jane

  • Dear Debb,
    Initial claim means the claim you filed, not the appeals. Under review means people are looking at it to see if you quality for benefits. In an initial disability claim ,Disability Determination (DDS) claims examiner, who is trained in Social Security Disability law and to a degree in medical conditions, reviews all the information and makes a decision recommendation. That decision is then reviewed by a physician trained in Social Security Disability law. The physician reviews to be sure that nothing has been overlooked medically and that the medical issues have been understood correctly. Once the claim is medically approved, other employees review the non-medical factors of your claim and, if you meet them, authorizes payment. While this is being done, your claim is still “under review/ in process.”

    Sincerely,
    Jane

  • Dear David,

    Both programs are disability programs. If Social Security has decided you are not disabled, then in almost all cases you will be denied for both programs. Here are the exceptions: If it is determined that your disability ended before you filed the SSI claim, then SSDI could be the only claim approved and it would be paid for a limited period of time in the past. Conversely, you could be eligible for SSI only if it is determined that your disability began after you were last insured for SSDI.

    I cannot see the online status reports, so I am unsure whether there is some secondary indicator that tells you which benefit is being referred to. You will, however, get the status on the other claim fairily soon.

    Social Security law defines disability as the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted, or can be expected to last, for a continuous period of not less than twelve months.

    Sincerely,
    Jane

  • Dear Ardaisha,

    See previous reply.

    Sincerely,
    Jane

  • Dear David,

    Both programs are disability programs. If Social Security has decided you are not disabled, then in almost all cases you will be denied for both programs. Here are the exceptions: If it is determined that your disability ended before you filed the SSI claim, then SSDI could be the only claim approved and it would be paid for a limited period of time in the past. Conversely, you could be eligible for SSI only if it is determined that your disability began after you were last insured for SSDI.

    I cannot see the online status reports, so I am unsure whether there is some secondary indicator that tells you which benefit is being referred to. You will, however, get the status on the other claim fairily soon.

    Sincerely,
    Jane

  • Dear Mickele,

    If you have provided all the necessary information his checks should be reinstated within 30 days. Any benefits that were not received should be sent when the checks are reinstated. If you haven’t received a notice about his reinstatement I don’t think you will receive a check on July 1, 2017. If 30 days have passed and you haven’t heard anything I would ask to talk to a supervisor to determine if anything else is needed or how long until the checks are reinstated.

    Sincerely,
    Jane

  • Dear Broken908,
    It is possible to get Social Security Disability after having two hip replacements but a lot depends on:
    1) Your response to treatment
    2) Your signs, symptoms and laboratory findings
    3) Your residual functional capacity after treatment
    4) Your age, education and past work experience

    As you can see, it’s hard to give a yes or no answer or to predict the chances of your being approved for disability without knowing your particular situation.

    Sincerely, Ruth Dobbins

  • You are welcome, Leisha.

  • Dear Broken11C20,

    Please see my response to your last post. It means that a medical decision letter has not been issued and if the decision is an approval, the final review of non-medical eligibility factors has not occurred.

    Sincerely,
    Kay

  • Dear Broken11C20,

    A medical approval or denial decision has been made. This online status has preceded both approvals and denials so it is not possible to tell what the decision is. It does indicate that processing is moving toward your being informed of the decision.

    Sincerely,
    Kay

  • Dear Amanda,

    The judge may have had a decision in mind, but the decision would not have been made until the last requested information was received. Then, typically some delay to a lot of delay will occur depending on how long it takes the judge to get back to your case. Once the decision is made, the decision goes to the decision letter writers, which takes another length of time. Last the letter goes back to the judge for review and signature. So, if you have not heard anything in a month, I suggest calling the hearing office to find our where the claim is in the process.

    Sincerely,
    Kay

  • Dear Tired,

    You might try to leave the questions with the attorney’s secretary or paralegal if he has one to see if the staff can get the questions answered or send an email. You can also ask Disability Advisor to see whether we can answer them.

    Sincerely,
    Kay

  • Dear Pilar,

    To be disabled according to Social Security law, you have to be disabled from all occupations that you could perform if you did not have medical limitations. Your transferable skills from past work, your education and medical conditions. Your age is also considered and the criteria for being unable to work in a new occupation are eased at age fifty and more so at age fifty-five. That is the reason that you were approved with a disability onset date equal to your birthday month. You have the right to appeal the onset date if you so choose.

    Sincerely,
    Kay

  • Dear Meaca,

    If the CD is just a transcript of the hearing, yes, now it is a matter of waiting to get a decision. If your son has not received a decision within two months of the hearing, you can call the hearing office to get information about where his claim is in the post-hearing appeal process.

    Sincerely,
    Kay

  • Dear Meaca,

    You will be notified in writing after a medical decision is made on the disability application. This process can take up six months.

    Sincerely,
    Jane

  • Dear Ieisha,

    If your case is pending medical records the Disability Determination Services (DDS) is either waiting for your doctor to respond or needs to review the medical information in the file.
    The DDS does not always require you go to a consultative exam or see one of their doctors. They will use the medical records from your own doctor first. If the doctor doesn’t respond to their request or if the information is incomplete you will be scheduled to go to a CE. The consultative examination (CE) doctor does not decide whether your claim will be approved or denied. The Disability Determination Services (DDS) claims examiner, who is trained in Social Security disability law, will review all the information in your claim file including the information provided by the CE physician and make a decision. That decision is reviewed for accuracy by a DDS physician, who is also trained in Social Security disability law.

    Sincerely,
    Jane

  • Christina Balleza

    I was denied 3 times last on being in front if a judge. They sent me to a licensed physcoligist, she stated she has 10 days to get the report finished. My question is how long after the social security office receives the report should I receiv a letter on a decision?

    • Dear Christina,

      In an initial disability claim or reconsideration review, Disability Determination (DDS) claims examiner, who is trained in Social Security Disability law and to a degree in medical conditions, reviews all the information and makes a decision recommendation. That decision is then reviewed by a physician trained in Social Security Disability law. The physician reviews to be sure that nothing has been overlooked medically and that the medical issues have been understood correctly. If so, the examiner’s decision becomes final. How long this will take depends on the volume of claims and amount of backlogged claims your DDS has.

      Sincerely,
      Jane

  • You are welcome, Renee.

  • Dear Dennis,

    Your three months of work in 2014 will likely be treated as an unsuccessful work attempt. This means that there is the potential for being approved with an established onset date of April 2013. The online status of your claim indicates that you will be receiving the decision letter soon.

    Sincerely,
    Kay

  • Dear Brenda,

    The guideline for a hearing decision is sixty days but it often takes longer. If you haven’t gotten the decision in sixty days, you can call the hearing office for a status.

    Sincerely,
    Kay

  • You are welcome, Flo, and thank you for sharing the information from your son-in-law.

    Sincerely,
    Kay

  • Dear Cindy,

    If you appealed without providing any new evidence, the review could be done quickly. Another possibility is that somehow the status of the claim, not the appeal, got posted online after the appeal was filed. You might call the DDS to find out whether they have in fact completed the appeal or whether it is still pending.

    Sincerely,
    Kay

  • Good news! You are welcome, Anthony.

  • Dear Wynett,

    All of your conditions would have been considered. You can request a copy of your claim file to read the determination file memo. I belief you have a right to a copy under the Freedom of Information Act even though you have already been approved.

    Sincerely,
    Kay

  • Dear Tired,

    You agreed to be approved with a disability date later than the one you claimed. It means that the judge could approve you with that date and not earlier either because there was not enough evidence earlier or you turned fifty or fifty-five on the later date when the evaluation of ability to work in a new occupation is not so strict. The effect is two-fold: you got your claim approved and you will get less back pay.

    Sincerely,
    Kay

  • Dear Cindy,

    A decision was made on your appeal and then it was randomly selected for a quality assurance review. If the review confirms correct processing, the decision will be finalized and a letter issued. If the review finds an error or shortcoming in the processing, it will be returned to the claims examiner for more investigation and/or documentation. Usually these reviews take less than a month.

    Sincerely,
    Kay

  • Dear Anthony,

    You are right that you do not know what the outcome of your claim is. People have reported both approvals and denials after receiving that status report.

    Sincerely,
    Kay

  • Dear Renee,

    I would say that you probably have been medically approved for benefits.

    Sincerely,
    Kay

  • Dear Lori,

    I don’t know what was meant by “faxed it in.” He may have meant that he notified the local office and/or the payment center of an approval. Your husband can call the examiner for a clarification or call the local office to find out what kind of claim(s) were medically approved.

    If he was approved for Supplemental Security Income (SSI), the local office is responsible for calculating and approving benefits. If the approval is for Social Security Disability (SSDI), a central payment center is responsible for authorizing payment. If the claim is for SSI, ask the local office what if anything is needed from him to start payment. If the claim is for SSDI, allow at least two months for benefits to start and back pay to be released before following up.

    Sincerely,
    Kay

  • Dear Wynett,

    Thank you for the update and you are welcome.

    Sincerely,
    Kay

  • You are welcome.

  • Dear Lisa,

    The judge has made a decision and your appeal has been sent to the decision letter writing department. Once it is assigned to a writer and the letter has been written up, it will be returned to the judge for him or her to review for accuracy and signature. Then the letter will be sent to you. If you haven’t received the letter by the end of June, you can call the hearing office to check on the status.

    Sincerely,
    Kay

  • Dear Katherin,

    It is possible that you are being told the same thing in different ways. Maybe you can expect to receive payment by June 25. At this point, because you have not been asked for any additional information, all you can really do is wait. Then if you haven’t receive benefits and no payment is set up for a specific date, I suggest going to your local office to find out what is still needed to get payment issued.

    Sincerely,
    Kay

  • Dear Jasmine,

    The status report means that a decision has been made regarding whether or not you are disabled as defined by Social Security law. Once the referred-to processing has been completed, you will be notified of the decision.

    Sincerely,
    Kay

  • Dear Linda,

    Your claim has been randomly selected for a quality assurance review to be sure that the decision made was correct and correctly documented. Usually the reviews are done within a couple weeks, but occasionally someone reports waiting much longer. The review can result in agreeing with the decision made or can result in the claim being sent back to the claims examiner for more investigation and/or documentation.

    Sincerely,
    Kay

  • Dear Cindy,

    I do not have statistics on the wait time you are inquiring about. It would vary from one Disability Determination Services to the next and could vary from time to time. It could be more than a week, but it is unlikely to be months.

    Sincerely,
    Kay

  • Dear Anthony,

    You may be disabled as defined by Social Security law, but I can’t say for certain. You might qualify based on not being to work on your feet and not being able to get other jobs due to your speech impediment.

    You need to show that you cannot work in any occupation. I suggest that you request a copy of your claim file so you can see the evidence in file and the exact reasons for denial. I assume that you listed your worsening speech impediment as on limiting factor when you filed your claim, but if you did not, you need to.

    You might also consider hiring an experienced Social Security attorney to assist you. When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from your back pay.

    Sincerely,
    Kay

  • Dear Keona,

    The wording of the information you were given doesn’t reveal to me whether your child’s claim was approved or denied medically.

    Sincerely,
    Kay

  • Dear Cindy,

    Given that the examiner is declining to hold your claim to get the most recent information about your up-coming surgery, it should be an indication that she has recommended an approval and is confident enough of her recommendation that she feels she doesn’t need the surgical plans to support the decision. However, this is all conjecture on my part; you won’t know for sure until you get the decision.

    Sincerely,
    Kay

  • Dear Disabled Veteran,

    Every decision, approval or denial, has to be documented correctly. Apparently, the claims examiner’s decision was reviewed and it was found that she needed to explain the decision more fully. Once that is done the decision will be released to you.

    Sincerely,
    Kay

  • Dear Beth,

    Being approved on a current claim does not assure approval of the claim pending in federal court because you are claiming different dates of disability onset on each.

    Sincerely,
    Kay

  • Dear Linda,

    It can easily take two months after the examination report is received to get a decision and the examining psychologist has three weeks to submit a report. You can call the DDS to ask whether the report has been received and whether anything else is needed from you. That might draw attention to your claim among the many that are awaiting processing.

    Sincerely,
    Kay

  • Dear Robin,

    My guess is that the status should say that the letter that has been sent tells you the dates you were found to be disabled and the date benefits will start if all non-medical factors of eligibility are met. The letter likely will not include any payment amounts and will not be a final approval of the claim. This is because your claim must also be reviewed to double-check you meet the non-medical eligibility criteria. The criteria was reviewed before the medical review was requested, but it has to be re-reviewed and finally approved before payment starts. That is why the Benefit Verification Letter says it is unknown whether benefits are payable. They probably are because you passed the preliminary review, but it is not official until all the work is done on the claim.

    Sincerely,
    Kay

  • Dear Eric,

    The status is that no decision has been made on your claim. If you have in danger of having no place to live, you can submit a statement of dire need, which might speed things up a little. You can also call and ask what, if anything, they are waiting for from your physicians, so that you can contact your doctors to get the letters submitted.

    Sincerely,
    Kay

  • Dear Nikki,

    If the call is to come from the Disability Determination Services (DDS), your claim is still pending a medical decision. If the call is to come from the local office either DDS has asked the local office to get some additional non-medical information from you or your claim has been approved and more information is needed to set up payment. You might be able to get a hint by calling DDS and asking for the status of your claim. If they say it was sent back to the local office, that together with the scheduled call would be indicative of an approval.

    Sincerely,
    Kay

  • You are welcome, Wynett.

  • Dear Angela,

    The income is your child’s, not yours, so it should not count as your income and should not affect your SSI.

    Sincerely,
    Kay

  • Dear Dave,

    You are moving closer to being notified regarding whether your claim has been medically approved or denied.

    Sincerely,
    Kay

  • Dear Robin,

    Your husband’s vocational background and medical conditions are being reviewed to determine first whether he can return to his past occupation and, if not, whether he has the necessary transferable skills, education, and medical ability to work in a new occupation.

    Sincerely,
    Kay

  • Dear Mrs. Bell,

    I suggest that you follow up with the local office about the SSI benefits, which should have started by now. The SSI benefits will not be reduced by any Social Security Disability (SSDI) until the month in which you actually receive your first SSDI payment. Note that SSDI is paid in the month following the month for which it is due.

    Sincerely,
    Kay

  • Dear Susan,

    The absence of information about the SSDI back pay is because the SSI benefits have not been calculated. This is because the SSDI back pay will be reduced by SSI payable for any months of overlapping SSDI and SSI eligibility. You will receive a letter when the back pay has been calculated.

    Sincerely,
    Kay

  • Dear Wynett,

    Your reasoning is completely logical; however, I have had people report both approvals and denials after both “processing decision” and “processing benefit application” language.

    Sincerely,
    Kay

  • Dear Amanda,

    I can offer opinions and answer questions about the law if you would like to briefly explain your situation and ask your question.

    Sincerely,
    Kay

  • Dear Wayne,

    The language you cite has been followed by both approvals and denials. I don’t know why the status reports have been set up the way they are. You should find out the decision in about a week to ten-days.

    Sincerely,
    Kay

  • Dear Cynthia,

    Based on what people have reported back here online, the status you got could be an approval or a denial. You should get an update within a week to ten days that tells you the decision.

    Sincerely,
    Kay

  • Dear Deneena,

    Because of the design of our site, I am not easily able to find where you and Mr. Smith posted your questions. Please tell me what status you are referring to Mr. Smith’s having received and I will try to reply.

    Thank you,
    Kay

  • You are welcome, Carol.

  • Dear Jacob,

    It is likely that your SSDI will be denied because the same medical criteria apply to both programs. The only way the SSDI would be medically approved with an SSI medical denial is for a closed (limited) period of disability that ended before you filed your SSI application.

    Sincerely,
    Kay

  • Dear Melinda,

    There are various forms of “fast tracking.” One is a compassionate allowance and is applicable to individuals who are terminally ill. Another type allows quicker processing if a claim is thought to require only a small amount of evidence to be able to approve the claim. Perhaps the first person you spoke to thought that the Disability Determination Services (DDS) would classify your son’s benefits that way. I suggest that you request the DDS phone number and that you talk with the claims examiner to find out whether they have received your son’s records. If not, you can follow up with the doctor to get them sent.

    Sincerely,
    Kay

  • Dear Keith,

    It is not uncommon for hearing decision to be written up by a different office. That is done when one office is very busy and backlogged and the letter can be prepared quicker in another hearing office.

    Sincerely,
    Kay

  • Carol

    My husband is almost 62 and is awaiting a hearing on his disability claim. Currently, his file is with a SS lawyer to see if it meets the requirements for approval before hearing. (I hope I’m writing this correctly). We were given 10 days to update records etc which we did. When he went online today it says Starus : HEARING and “Your appeal for Disability benefits is currently processing”
    What does this mean and how long does it usually take for the pre-hearing review?

    • Dear Carol,

      The online status just means that your husband’s claim is at the hearing appeals level and that no decision has been made. Processing times vary greatly, so I am not able to give you an estimated time. Your attorney, who has experience with your particular hearing office, might be able to project a time frame.

      Sincerely,
      Kay

  • You are welcome, Kim.

  • Dear Humble Dee,

    If the payment center is involved, your claim has been approved.

    Sincerely,
    Kay

  • Dear So Out of Luck,

    You are correct, the benefits of receiving Social Security Disability (SSDI) are that you become eligible for Medicare after twenty-four months of benefits are paid and the benefit is based on your earnings record, not on family income and assets so marriage would not affect your benefits. SSI currently offers Medicaid insurance for free so that is an SSI advantage, but there is discussion of Medicaid cuts in the future so who knows.

    I can’t calculate your Social Security benefits. I suggest that you contact the Social Security Administration and ask them the date you were last insured and the estimated benefit you would receive if you pursued a claim with a disability date of 2009 (or 2008, whichever is correct; you have mentioned both years).

    Sincerely,
    Kay

  • Dear Kim,

    The information the representative provided is correct. Your husband can apply for benefits if one of your daughter is under age sixteen. However, if he is working and earning more than $16,920 gross wages or net self-employment, his annual benefits will be reduced one dollar for each two dollars he is over the limit. If he wishes to apply, contact the representative who helped with your daughter’s claim.

    Sincerely,
    Kay

  • Dear Angela,

    Please see my response to your first posting of the question.

    Sincerely,
    Kay

  • Dear Pita,

    It is likely to take a couple months for the Social Security to start. If you are still eligible for SSI when it starts, your SSI will be reduced two months after you start getting SSDI.

    Sincerely,
    Kay

  • Dear Keith,

    A decision has been made on your appeal and it is in the letter writing department (not underwriting). It can me a matter of a couple week or as much as a couple of months to get the letter written and signed off by the judge. Right now, it is just a matter of waiting.

    Sincerely,
    Kay

  • Dear So Out of Luck,

    I don’t think that is likely to happen because you are trying to prove that you were disabled in 2009, not 2010. If your condition worsened between when you ceased work in 2009 and the approved onset date in 2010, that happening would be less likely. However, it is possible even if not probable. No guarantees.

  • Dear So Out of Luck,

    Based on the information that you were denied Social Security Disability (SSDI) a long time ago before getting a medical decision on SSI, I’d say that the denial was an insured status denial based on claiming a 2010 date of onset. You should be able to file a new claim and claim 2009 because you never got a medical denial saying you were not disabled in 2009. Given that you were never denied medically, you can’t be denied res judicata (already decided). Also, you are not appealing so there is no problem with the appeals period having expired.

    You can either file the claim on your own or with the attorney you had before or a new attorney if the prior one doesn’t want to assist. If you use an attorney and are approved, the attorney will receive 25% of your back pay up to $6,000 because that fee structure applies to each approved benefit. On the application indicate that you had a prior claim denied for insured status without a medical review because the attorney’s office put down the wrong date of onset. Again list the 2010 as an unsuccessful work attempt.

    Sincerely,
    Kay

    • so out of luck

      Thank you kay. How will I prove my onset date was 2008? Do I go to my doctors from 2008 and ask for medical records from that time? That was so long ago I dont even think they keep records that old. And the employer I had at that time who fired me is out of business and I dont even know how to find her to ask her to write a letter. How will I prove it?? My problems actually began in my teenage years but I know those records are gone, that was 15 yrs ago. I feel hopeless at this point.

      • Dear So Out of Luck,

        Yes, you would get your medical records for the period of time in question from 2008 up through 2010. Your W-2 for 2010 should be enough proof to show that you worked a very short period of time. If you don’t still have it, you may be able to get a copy from the IRS. Otherwise, Social Security has access to IRS records and will be able to confirm how little you earned.

        Sincerely,
        Kay

  • Dear So Out of Luck,

    If your Social Security denial letter was less than sixty-five days ago, you may be able to appeal the denial of the Social Security claim. The basis of the appeal would be that the wrong date of disability was entered on your application by your attorney’s office and that your disability began on your last day of work on (whatever date) in 2009 and that the job in 2010 was one week and you lost the job because of your health.

    On the other hand, if your SSDI claim was denied from the get go and never went before the judge (i.e. the hearing denial letter talks only about SSI), then it could be construed that you never got a medical decision on your SSDI claim and you might be able to file a new claim claiming the date in 2009. You could make an appointment with your attorney, not the paralegal, about pursuing this. (Note that if you win either on appeal or a new claim, the attorney does get another fee off the SSDI win.)

    Sincerely,
    Kay

  • Dear Humble Dee,

    If the judge approves the claim, there is no problem with not being contacted to respond to the medical expert’s report. If your claim is denied, that omission could be grounds for appeal.

    Sincerely,
    Kay

  • Dear Sharon,

    Anything is possible because people make mistakes.

    Sincerely,
    Kay

  • Dear John,

    You may receive an award letter and first monthly payment within as little as a month, but more likely it will be two. Back pay is typically paid one to two months or even longer after monthly benefits start. The farthest back retroactive benefits can be paid is limited to twelve months before the date of your application.

    Sincerely,
    Kay

  • Dear Sharon,

    The office staff have access to the status of a claim; however, the staff are not supposed to give out the decision over the phone.

    Sincerely,
    Kay

  • Dear Humble Dee,

    You would not necessarily have another hearing if all the post-hearing communications were sufficient to document your condition. I am not understanding exactly what went on between November and May; however, your attorney could better explain whether or not correct procedures were followed. If they were not and you are denied, you would have grounds for appeal.

    Sincerely,
    Kay

  • You are welcome, La’Trice.

  • Dear La’Trice,

    I suggest that you call the hearing office. They will be able to give you more information about where your claim is in the post-hearing appeal process.

    Sincerely,
    Kay

  • Dear Eli,

    Please see my response to your first post.

    Sincerely,
    Kay

  • Dear Mrs. Bell,

    Your claim may have been medically approved with the quality assurance review upholding the decision and the call may be able going over non-medical factors of your claim.

    Sincerely,
    Kay

  • Dear Angela,

    Whether or not you are eligible for retroactive benefits, which are benefits paid before the month of application depends on the type of claim you filed and your established disability date. If you applied for Supplemental Security Income (SSI), there is no retroactivity. If you applied for Social Security Disability (SSDI), benefits begin to accrue the later of twelve months before the month you applied or the sixth full calendar month of disability, as established by Social Security.

    Sincerely,
    Kay

  • Dear Eli,

    I suggest calling the hearing office because the hearing office will provide more detailed and reliable information about the status. Specifically, they will tell you whether the appeal is still awaiting the judge’s decision or the decision has been made and it is in the letter writing department. If it has passed to letter writing, you could ask whether your dire-need letters could be directed to the letter writing department for possibly expediting.

    Sincerely,
    Kay

  • Dear Tonya,

    Your claim has pended nearly double the average range. I suggest that you call the claims examiner who asked you to attend the examinations to be sure the decision is still pending. If so, you might mention how long it has pended and ask what else is needed to get to a decision.

    If you are told a decision was made quite some time ago and you’ve received no notification, contact your local office to find out whether it was an approval sent to the payment center or a denial and the letter was sent some time ago. If it was a denial, go on record that you did not get notification and request a duplicate notice so that you will have an appeals period starting now should you wish to appeal.

    Sincerely,
    Kay

  • Dear Angela,

    Your payment will be backed on your current application only. If you are approved for Social Security Disability (SSD aka SSDI), benefits begin to accrue the later of twelve months before the month you applied or the sixth full calendar month of disability, as established by Social Security. If you are approved for Supplemental Security Income (SSI) and your established disability date is prior to your application date, your benefits will begin the month following the month of application unless you applied on the first of the month in which case benefits begin with the month of application.

    Sincerely,
    Kay

  • Dear Sara,

    The referral to being able to file an appeal and the appearance of estimated benefits indicate that your claim has been denied.

    Sincerely,
    Kay

  • Dear Zoe,

    It is likely that the request for medical information was sent to you in error. It may have been planned and then a favorable decision was arrived at without needing the completion of the form. However, you need to confirm this with the Social Security Administration. If you can get into an office, visit the office and take the two letter with you, the continuing disability review approval and the request for more medical information and ask for an explanation.

    Sincerely,
    Kay

  • Dear Missyme,

    The benefits letter will continue to show no payment until the benefits are calculated and authorized for payment. Yes, the correspondence you reference could be related to the amended date of onset.

    Sincerely,
    Kay

  • Dear Cindy,

    I assume you are referring to the prohibition against serving as a representative payee for a Social Security or SSI beneficiary. If so and the person eligible for benefits is your child or spouse with whom you live, you might be able to obtain an exception.

    Sincerely,
    Kay

  • Dear Angela,

    The big hurdle has been passed. The information you received means that you were found to be disabled and were medically approved for benefits. The claim approval will not be finalized until all the non-medical factors such as insured status for Social Security or financial qualifications for Supplemental Security Income are reviewed and approved.

    Sincerely,
    Kay

  • Dear Zoe,

    Usually the state agency contracted with Social Security to make disability decisions is the Disability Determination Services, which is typically part of the state’s Department of Vocational Rehabilitation.

    I suggest that you take the letter form the Florida Dept. of Health to the Social Security Administration and ask whether it has anything to do with your disability claim and/or contact Florida Dept. of Health and ask which benefit the medical update was requested for. If it is related to your Social Security claim, it is possible that the request for more information was in error.

    Sincerely,
    Kay

  • Dear Sara Lynn,

    Sometimes the notice of not being able to provide information at a given time is followed by an approval, so don’t give up hope yet.

    Sincerely,
    Kay

  • Dear Jason,

    Wait times for a hearing date vary from one hearing office to another. You can look up your hearing office and check for average wait times at https://www.ssa.gov/appeals/DataSets/01_NetStat_Report.html.

    Sincerely,
    Kay

  • Dear Jeanua,

    Yes, your claim has been medically approved and is going through the final review to make sure all the non-medical evidence is in order and then payment will be calculated and released.

    Sincerely,
    Kay

  • Dear Lisa,

    If you truly believe you cannot work, you have the right to appeal. To help you decide whether or not to appeal, you can request and review the contents of your claim file to see the exact reasons for denial. You could also review the file with an experienced Social Security attorney to see if you have a viable appeal.

    Most attorneys provide a free consultation; and when you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from your back pay.

    Sincerely,
    Kay

  • Dear Katherin,

    The date you were given is probably the internal guideline date for getting the claim processed to payment. It does not necessarily mean that it will take that long. If the local office has said there is nothing else you need to submit, then there is nothing to do at the moment. If benefits are not received by June 25, of course, follow up.

    Sincerely,
    Kay

  • Dear Lisa,

    Based on reports by other claimants, the status report you received could be either an approval or a denial.

    Sincerely,
    Kay

  • Dear Jeanua,

    “Sending it through” means that the local claims representative sent your selection of collecting the higher amount of widows benefits at age sixty-six and collecting only your own disability now to the payment center for processing and payment. It will likely be a month or two before benefits start. Also, your current choice may mean that you need to file a separate claim for widows three months before your sixty-sixth birthday to receive those benefits.

    Sincerely,
    Kay

  • Dear Judy,

    The claim has been either medically approved or denied. If denied, you should have a letter within about two weeks. If approved for Social Security Disability, it can take a couple of months for the claim’s non-medical factors to be checked and to have benefits authorized. If the claim is medically approved for Supplemental Security Income (SSI), the local office processes the non-medical factors and authorizes payment, which usually takes a shorter period of time.

    Sincerely,
    Kay

  • Dear Daniela,

    Your fiance’s claim may be either approved or denied medically. If he has been denied, he should have a letter within two weeks. If he has been approved for SSI (Supplemental Security Income), he should be contacted by the local office within two to three weeks to provide an update of financial information so that his claim can be paid.

    Sincerely,
    Kay

  • Dear Jeanua,

    You apparently have a choice to take reduced widow’s benefits now or take a lower disability benefit on your own record and leave the widow’s benefit to take a full unreduced rate when you reach full retirement age. If you can tell me the two benefit choices and the current dollar amounts of the choices and the entitlement date for each, I can give you information you can can use to help make your decision. You could then take the information to a Certified Public Accountant to help you make the decision in the context of your full financial picture including your assets.

    Sincerely,
    Kay

  • Dear Susan,

    Your benefits will be calculated based on the date of your second application and the disability onset date established by Social Security. (I think you may have mixed up the acronyms for the two benefits.

    Sincerely,
    Kay

  • Dear Ann,

    When your SSI stops because your SSD starts, you can request the local office to release now the rest of your SSI back pay that is usually paid out in three installments six months apart. Your SSDI back pay will be reduced by the SSI benefits you have been paid and are due for months overlapping with SSDI eligibility. You will not have to pay back SSI. If the $34,000 is after attorney fees, you will get about $10,000 SSDI ($34,000 – $24,000). The full $24,000 will be used to reduce the SSDI even though your debts for welfare assistance and attorney’s fees will be paid out of the SSI.

    Sincerely,
    Kay

  • Dear Melanie,

    If you were still insured for Social Security Disability when you turned fifty, you were probably approved for both Social Security Disability and Supplemental Security Income (SSI) . If not you might have been approved for SSI only.

    If you were approved for Social Security Disability (SSDI), your SSDI claim will be sent to a central payment center, where they will double check that you were insured on the date of your established date of disability, apply any offsets you might have for SSI (see below), workers compensation, or public pension. They will calculate and authorize payment. This can take two months or more, plus another couple months for back pay to be released afte th monthly benefits start.

    If you were approved for Supplemental Security Income (SSI), your local Social Security office will calculate and authorize SSI payment. They will contact you for a financial update so that benefits can be calculated for past months. Usually you will be paid within a month of the update interview and submission of any requested documents.
    Typically SSI back pay is paid in up to three installments six months apart and the first two will not exceed $2,205.

    If you were approved for both, SSDI benefit calculation will not be completed until SSI calculation has been completed. SSDI back benefits will be reduced by the amount of SSI benefits payable for the months in which SSDI and SSI eligibility overlap. If after your Social Security starts you are no longer eligible for SSI, you can request the remaining SSI installments to be released.

    Sincerely,
    Kay

  • You are welcome, Susan.

  • Dear Laquita,

    I estimate that your child would be eligible for about $125 a month and Medicaid health insurance.

    Sincerely,
    Kay

  • Dear Chelsea,

    I suggest going to Social Security and applying to be representative payee for your children’s dependents benefits on your ex-husband’s Social Security number. Take the children’s and your ex’s Social Security numbers and the children’s birth certificates. That is a way to indirectly finding out whether he was approved for Social Security Disability (SSDI).

    He may have been approved with the children eligible for benefits or without the children eligible because he didn’t have enough earnings for dependent benefits. If he is eligible for SSDI and has a child support enforcement order against him, back child support will be withheld from his own Social Security benefit whether or not the children are eligible for a benefit. If the children are eligible for dependent benefits, he can petition the court to reduce child support.

    Note that if he was approved only for Supplemental Security Income [SSI], there are no dependent benefits payable and SSI cannot be garnished for child support.

    Sincerely,
    Kay

  • Dear Denise,

    Your claim probably is still being processed. Try calling the 800 number and choose the option to speak to a representative or call the local office so you can talk with someone about the status to find out whether the appeal is still in Disability Determination Services (DDS) or has been forwarded to the local office or the payment center.

    Sincerely,
    Kay

  • Dear Susan,

    Your claim has been medically approved. If your income and assets are within the Supplemental Security Income (SSI) limits as reported in the upcoming interview, your claim will be approved and paid.

    Sincerely,
    Kay

  • Dear McShan,

    If not a lot of time has elapsed since you filed your claims, an SSI update interview may not have been needed, so benefits could be calculated and paid without your having to provide more information in a visit to the office.

    Please see my previous response for an explanation of the figures. Also, note that both benefits are disability benefits–one is paid from the Social Security disability program and one is paid from the Supplemental Security Income disability program.

    Sincerely,
    Kay

  • Dear Ann,

    You will be paid SSI back pay first. It will likely take a couple of months or more to get the SSDI back pay after the SSI back pay has been calculated. The SSDI back pay will be reduced by SSI paid for the same period of time.

    If you have not received your first installment of SSI back pay by the end of May, I suggest following up with the local office. With regard to following up on Social Security back pay, the payment center is not staffed to take calls; inquiries if needed should be done through the local office.

    Sincerely,
    Kay

  • You are welcome, McShan.

  • Dear Amj,

    Your claim for disability has been approved and part of the approval is a determination that you need assistance in managing your benefits to make sure your housing, utilities, and food are paid for first each month before other purchases. You are being asked to bring a trusted friend or relative to be set up as your representative payee to receive your benefits and help with budgeting and bill payment.

    Sincerely,
    Kay

  • Dear Greg,

    I think that you can depend on the information the representative gave you.

    Sincerely,
    Kay

  • Dear Marie,

    Your claim is still being processed and no decision has been made. I suggest that you make sure that all the medical records and reports that you want considered for the evaluation of your claim have been submitted.

    Sincerely,
    Kay

  • Dear Teelady,

    It is most likely that your SSDI claim will be denied as well because the medical criteria are the same for both benefit programs. The only way that the SSDI could be approved with an SSI denial would be for a close (limited) period of disability that ended before you filed the SSI application.

    Sincerely,
    Kay

  • Dear Gloria,

    If the office does not contact you within two weeks of the approval, I suggest that you call and request an appointment to update your financial information as will be needed before payment begins and also to provide your banking information. (You can just go in, but there may not be claims representative available to talk to you because a lot of interviews are done by appointment.)

    Sincerely,
    Kay

  • Dear McShan,

    Some people have received approvals an some have received denials after getting this status report. The online status is likely to change before your receive formal notice.

    Sincerely,
    Kay

  • Pedro

    Kay, I applied on 01/11/17 and yesterday I notice the status changed to Decision made but when I click view decision under more info it says A Decision Has Been Made On Your Benefit Application Your claim for Disability benefits has been processed. A notice has been sent to you with a detailed explanation of the decision.If you disagree with the decision, you may request an appeal within 60 days of the date on the “Notice of Decision” you receive. so it doesn’t say approved or denied but I’m curious to know what it most likely could mean since it isn’t with a straight answer any thoughts?

    • Dear Pedro,

      The status is telling you indirectly that your claim has been denied. The clue is the reference to appeal rights. If you disagree with the decision when you get it, I suggest requesting a copy of your claim file so that you can see the exact reasons for the denial and whether all the pertinent medical records and reports are in file.

      Then if you decide to appeal, it may be helpful to hire an experienced Social Security attorney to assist with the appeal. When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from your back pay.

      Sincerely,
      Kay

  • Dear Monty,

    Processing times vary greatly. I suggest calling the hearing office to see if the decision has been made and the appeal is waiting for the decision letter to be written.

    Sincerely,
    Kay

  • You are welcome, Earl.

  • Dear Jai,

    Your claim has been sent to DDS for a review to determine whether you are disabled as defined by Social Security law. All disability claims undergo this review. New claims can take from two to five months to process, thus, the suggested call back date in August. All of this is routine, so there is nothing to indicate either denial or approval.

    Sincerely,
    Kay

  • Dear Jay,

    This status can be either an approval or a denial. Given that the SSI was denied, it is very likely that in a few days it will show that the Social Security Disability (SSDI) will be denied also.

    Sincerely,
    Kay

  • Dear Patrick,

    If both the SSI and Childhood Disability Benefit (CDB) survivor claim were sent for a medical review and the SSI denial was posted after the medical review commenced, then the SSI denial is likely a medical denial. If so, the only way your Social Security survivor claim would be approved would be for a limited period of time ending before you filed the SSI application.

    If the CDB is also denied and you decide to appeal, I recommend requesting a copy of your claim file to see the exact reasons for the denials and the evidence they were based on. I also recommend that you hire an experienced Social Security attorney to help with the appeal. When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from your back pay.

    Sincerely,
    Kay

  • Dear Earl,

    Well, it means pretty much what it says: you have been approved for both Social Security Disability benefits and Medicare health insurance. Because Medicare entitlement begins after twenty-four months of benefits, you have been approved with benefits starting at least for April 2015 and following. You may be getting an approval letter fairly soon given that your Medicare entitlement date has been established.

    Sincerely,
    Kay

  • Dear Ruby,

    Everything is probably fine despite the two status reports being posted the same day. However, just to be sure, I suggest that you double check with your local office that your appeal is still pending.

    Sincerely,
    Kay

  • Dear Rach,

    The order of the status reports you listed seems scrambled, but it is likely that a decision has been made. If the status that said you were being sent a letter with payment amounts is correct, that would be the letter you were told about when you call; and clearly it would mean your claim was approved. However, you will not know for sure until you actually have the letter in hand.

    Sincerely,
    Kay

  • You are welcome, CJ.

  • Dear Allen,

    Back pay is sometimes withheld until it is determined how much a garnishment will be and then released all or in part after that information has been obtained. I’d say that the second letter with the notification regarding the monthly withholding was in the pipeline before they determined the $40,000 could be paid to you and that the release of funds processed faster than the letter going out. If you do not get another letter within about a week telling you the $40,000 is not being withheld and can be paid to you, I suggest that you ask your local office to contact the payment center requesting some confirming correspondence just for your records and peace of mind, although you can always prove that you were not in arrears if the payment is questioned.

    Sincerely,
    Kay

  • Dear Miaann,

    To meet many of the listings, you must not only have a diagnosis but also have test or clinical findings that show an advanced stage of severity. Those conditions are listed as part of the listing. I assume that your attorney got a copy of your claim file and reviewed to be sure that the medical evidence that supports your meeting the listings is actually in file or was identified as missing and will be submitted for the appeal.

    Sincerely,
    Kay

  • Dear McShan,

    If the information that calculations are being done is correct, that means that the claim has been medically approved. Benefits are only calculated on approvals.

    Sincerely,
    Kay

  • Dear CJ,

    It is good news that your judge and hearing office are not backlogged and you are getting a decision quickly. The decision could be either an approval or a denial. There is no way to know.

    Sincerely,
    Kay

  • Dear CJ,

    The notice is saying that the judge has ruled on your hearing. You should get notification fairly soon as to the decision. Some people have reported approvals and some have reported denials after receiving this report.

    Sincerely,
    Kay

  • Dear CJ,

    The status is telling you that your claim has been either medically approved or medically denied. The rest is saying that you will get a letter with the decision; and if it is an approval, additional work will be done to get the benefits started.

    Sincerely,
    Kay

  • Dear J.,

    If the paperwork has to do with your medical condition, your claim is undergoing a continuing disability review (CDR) to determine whether or not you are still disabled. If the request is for something else, let me know what is being requested and I’ll try to explain.

    Sincerely,
    Kay

  • Dear Tee,

    In the past, this notification has meant that the claim has been selected for a quality assurance review. However, more recently others have reported that this just means that the claims examiner has made a decision on your claim and the claim has been sent to a reviewing physician for final approval or denial.

    Sincerely,
    Kay

  • Dear Tony,

    In the past, this notification has meant that the claim has been selected for a quality assurance review. However, more recently others have reported that this just means that the claims examiner has made a decision on your claim and the claim has been sent to a reviewing physician for final approval or denial.

    Sincerely,
    Kay

  • Dear Powersystems1961,

    As you describe your wife’s health, I’d say that she may be disabled and eligible for benefits.

    Sincerely,
    Kay

  • Dear Bill,

    Some people have reported approvals after this status.

    Sincerely,
    Kay

  • Dear Flo,

    Workloads are heavy, so it might have taken the examiner longer to write up the decision than she estimated. Once written, in most cases the decision goes to a reviewing physician, which can result in another wait. The reason for the delays is underfunding of the agency, which results in understaffing and subsequent backlogs.

    Sincerely,
    Kay

  • Dear Michael,

    The review is done by an attorney trained in Social Security Disability law and to a degree in medical conditions. The attorney has physician resources to call upon for assistance in understanding medical records if needed.

    It is good that your attorney is going to try to submit additional information about why the claim should be approved; however, you do not have a right, as such, to a decision prior to the hearing, so whatever actions your attorney assesses can be taken before a hearing is your only recourse at the moment.

    Sincerely,
    Kay

  • Dear Genna,

    If your claim is an initial claim or a reconsideration appeal, you should have a decision by the end of this month for your claim to be in the typical time frame (two to five months) to get a decision. If you are waiting for a hearing, the wait would likely be one to two years for the hearing date.

    In general, the letter you reference is about how much the company that is representing you will get paid out of your back pay if you are approved. For an understanding of the specific content of the letter, I suggest that you have the company or the Social Security Administration explain the specific points covered in the letter.

    Sincerely,
    Kay

  • Dear Richard,

    Usually quality assurance reviews take a couple weeks, but it can be longer. Claims are randomly selected for review, so it is not an indicator of approval or denial.

    Sincerely,
    Kay

  • Dear Chase,

    Hang in there; there are good things for you still.

    Kay

  • Dear Chase,

    It is hard to know whether your claim will be approved or not, but it sounds like he might be waiting for Social Security to tell him the date that you were last insured. If that is the case and you are still insured or were still insured when your records first documented disability, your claim will be approved.

    Sincerely,
    Kay

  • Dear Constance,

    It just means that all the remaining work that has to be done on your claim iis being taken care of and your will be notified when the work is completed.

    Sincerely,
    Kay

  • Dear Chase,

    Please explain a bit more about what you mean when you say that disability determination is waiting on your field office. What are they waiting for? Also, please explain what you are asking about when you ask if “this” is good news. With more information, I may be able to respond.

    Not all claimants are sent to consultative examinations, only those for whom there is insufficient information in the medical records. SSA does not adopt VA disability decisions because the criteria used to define disability is different for the two programs. If you can submit the medical records on which your VA decision was based, those records could be helpful to your claim.

    Sincerely,
    Kay

  • Dear Lisa,

    What online status are you referring to that you are interpreting as a denial? As an aside, Social Security is not under any obligation to send you to a specialist. If your claim is denied, it will be important for you to submit medical documentation of your diagnosis and the severity of symptoms when you appeal. And, it would be a good idea to request a copy of your claim file so that you can see which of your records are in file and see the exact reasons for the denial.

    Sincerely,
    Kay

  • Dear Michael,

    The largest portion of the waiting time for a hearing is waiting for your claim’s turn to come up. The information and requests that your attorney has sent will eventually be reviewed, but reviews are done mostly in chronological order of receipt. There is no communication unless information is needed for you. You can look online to see the average wait time for a hearing date in your area by going to https://www.ssa.gov/appeals/DataSets/01_NetStat_Report.html.

    Sincerely,
    Kay

  • Dear Valerie,

    You should receive the letter within a week to ten days. You might also watch online to see if the decision shows up online as well.

    Sincerely,
    Kay

  • Dear Constance,

    The status means not all the work has been completed that is needed to decide whether or not you are disabled.

    Sincerely,
    Kay

  • Dear Rosalinda,

    It is hard to tell what is happening with the online status. I suggest you call the hearing office to find out why the supplemental hearing was cancelled. It could be a problem with the judge’s scheduling or it could be that an approval is in the works without a second hearing.

    Sincerely,
    Kay

  • You are welcome, Coco.

  • Dear Ashjoscott,

    If your finances get to the point that housing is threatened, you can submit a statement of dire need to try to get the claim expedited.

    Sincerely,
    Kay

  • Dear BlessedGlamMa,

    The decision is apparently in the mail so you can either wait for it to arrive or accept the offer to pick it up. Some hearing offices prepare and mail their letters. Others, depending on their workload, may send them to another location for preparation and mailing; so I cannot say where yours will be coming from.

    Sincerely,
    Kay

  • Dear Carrie,

    Please see my reply to your first post. The doctor’s appointment is part of the investigation of your SSI claim.

    Sincerely,
    Kay

  • Dear Carrie,

    Please see my reply to your first post.

    Sincerely,
    Kay

  • Dear Carrie,

    The Social Security Administration (SSA) has to investigate your eligibility for all benefits you might qualify for when you apply for any benefit. This means that they looked at your earnings record and saw that you are not insured for Social Security Disability (SDI) and sent you a denial letter. Your Supplemental Security Income (SSI) claim will still be reviewed to determine whether you are disabled according to Social Security law and eligible for benefits.

    Sincerely,
    Kay

  • Dear Dawna,

    You will not have to wait five months for a letter; however, your Social Security benefits will first be switched from early retirement to disability with the benefit for July, 2017.

    Sincerely,
    Kay

  • Dear Stephanie,

    Yes, the type of benefit you were receiving prior to benefits being terminated will be the type that is reinstated.

    Sincerely,
    Kay

  • Dear Tray,

    This status can be followed by notification of either an approval or a denial, so all it tells you is that a decision has been made regarding whether or not you are disabled. You can expect more specific information within a week or ten days.

    Sincerely,
    Kay

  • You are welcome, Betty.

  • You are welcome, Richard.

  • Dear Vivian,

    What you describe sounds unusual. Are you referring to letters arriving in the mail that ask you for non-medical and non-vocational information? If so, the claim may have been approved and the other information is being gathered so payment can be made.

    Sincerely,
    Kay

  • Dear Ann,

    Medical decisions have been made on your two claims. The status does not indicate whether the decisions were approvals or denials. (People have reported both approvals and denials after getting this status report.) You should be getting more information within a week to ten days.

    Sincerely,
    Kay

  • Dear Stephanie,

    If you were approved for Social Security Disability (SSDI), your SSDI claim will be sent to a central payment center, where they will double check that you were insured on the date of your established date of disability, apply any offsets you might have for SSI (see below), workers compensation, or public pension. They will calculate and authorize payment. this can take two months or more.

    If you were approved for Supplemental Security Income (SSI), your local Social Security office will calculate and authorize SSI payment. They will contact you for a financial update so that benefits can be calculated for past months. Usually you will be paid within a month of the update interview and submission of any requested documents.

    If you were approved for both, SSDI benefit calculation will not be completed until SSI calculation has been completed. SSDI back benefits will be reduced by the amount of SSI benefits payable for the months in which SSDI and SSI eligibility overlap. Typically SSI back pay is paid in up to three installments six months apart and the first two will not exceed $2,205. However, if after your Social Security starts you are no longer eligible for SSI, you can request the remaining SSI installments to be released.

    SSI is paid on the first of the month; Social Security benefits are paid on the third of the month or the second, third, or fourth Wednesday depending on the day of the month you were born. Back pay can be issued on any date.

    Sincerely,
    Kay

  • Dear Ann,

    Some people receiving this status have reported approvals and some have reported denials. Basically the status is just telling you a medical decision has been made. You should get notification of the actual decision before long.

    Sincerely,
    Kay

  • Richard

    Hi, Applied for disability 9/16, did phone interview with local SS office. Did not hear anything until 1/17 and was sent to two different doctors for evaluation first part of March. Have checked numerous times on SS website and see that medical portion of my claim is being reviewed. Have not received any type of denial letter as of 4/12/17. Did fax in a payment voucher for miles travelled to one of SS doctor appts, have since received that payment 3 days ago. What would you recommend that I do to find out anything further about the status of my case. Have leveraged all I can to keep myself and family in acceptable living conditions but all my resources have been used. Thanks for any advice. Richard

    • Dear Richard,

      I suggest that you file a dire-need statement based on being out of funds to pay rent or mortgage. Submit it to the local office and request that it be sent to the Disability Determination Services (DDS). Hopefully, that will move your claim to a decision a bit faster than it is now moving.

      Sincerely,
      Kay

  • Christie Harris Millican

    Hi I received this message online,your application has been processed. A notice has been sent to you with a detailed explanation of the decision.

    If you disagree with the decision, you may request an appeal within 60 days of the date on the “Notice of Decision” you receive. It doesn’t say if approved or denied. Do they send they send this statement on all or does this mean it was denied?

    • Dear Christie,

      The online status is an indication that either your claim has been denied or you have received a partially favorable approval. A partially favorable decision is one in which it is determined that either you became disabled later than you claimed or your disability has ended. In the first circumstance, benefits will begin later ,and in the second circumstance you would be paid only for a limited period of time.

      Sincerely,
      Kay

  • Betty

    I’m 61 and have worked every year since I was 15. I applied 9/6/2016 for disability and I had all my up-to-date medical records. I was sent for an evaluation and then a test on my hearing the disability doctor had noted. My adjudicator contacted me in 3/10/2017 with a few questions and said to contact her if I had not heard anything in 3 weeks. I talked to her on 4/3 and was told a decision had been made and it had been returned to the local office and to contact them. I went the next day but was told they had not received it. I was checking my banking account online on 4/10/2017 and a large check had been deposited by SS. Today 4/11 I received a letter that stated I was medically approved but a decision was still being made on the non-medical. They had set my disability date as 7/1/2016. I was told by the local office when I applied that I only qualified for SSDI and that if they found I had made too much working 2-3 days a week for the past 2 years that my case would not proceed to the state office and would end there. My question is why would a back payment already be made if I’m not approved completely? The letter also stated not to contact the local office as it could take 60 days then I can contact them if I’ve not heard anything. Also was the 5 months holding taken out of the back payment and when might the payments start and how much a month? Thanks so much for any info!
    Betty

    • Dear Betty,

      The information you have provided indicates that you were medically approved, which means that your part-time work was evaluated and determined to be below substantial gainful activity (SGA). Despite the timing of the letters regarding the claim being reviewed for non-medical eligibility factors, you would not be paid if that review had not been completed.

      The back payment would represent payments beginning December 2016, which is the sixth full calendar-month of disability. As such the benefits have begun after the unpaid five-month waiting period. You should get an award letter with amounts payable and the dates they cover within a week or ten days.

      Sincerely,
      Kay

  • Dear Blazersnut,

    Every hearing decision is communicated with a detailed letter that explains the decision. This is true whether the decision is an approval or a denial. The letter addresses only the medical decision. You should receive the letter within a week. An award letter is a different letter that comes later and tells you the amount you will receive in back pay and ongoing benefits.

    Sincerely,
    Kay

    • Blazersnut

      Thank you, Kay! Yes, I received the letter of the Judges fully favorable decision around March 16th and am now waiting for my award letter. Is it your impression that, “A detailed notice has been sent to you with your benefit information” is an indication of my award letter being sent?

      Thanks!

      • Dear Blazernuts,

        Yes, I’d say the status report is referring to the award letter.

        Sincerely,
        Kay

  • You are welcome, Jessica.

  • Dear Jessica,

    A medical decision has been made and direct deposit has been set up to your bank account. If you called the local office and they have not received the medical decision, then the two actions were independent of each other. If you called the call center at the 800 number rather than the local office, I suggest that you call the local office to see whether they have received notification of the decision, although usually they get notification about the same time as the claimant does.

    Sincerely,
    Kay

  • Dear Julie,

    The decision could be either an approval or a denial.

    Sincerely,
    Kay

  • Dear Wesley,

    You won your appeal in district court and your claim will be paid.

    Sincerely,
    Kay

  • You are welcome, Logan.

  • Dear Jacob,

    It is likely that if one of your concurrent Supplemental Security Income (SSI) and Social Security Disability (SSDI) claims has been medically denied the other one will be denied also because the medical requirements are the same for the two benefits

    Sincerely,
    Kay

  • Dear Logan,

    The amount of Supplemental Security Income (SSI) you will receive depends on your income (and your spouse’s income if you are married) including in-kind income in the form of free or reduced-cost shelter that is not provided by the government. The maximum federal benefit is $735. The typical benefit if you are receiving free housing and no other income is $490.

    Sincerely,
    Kay

  • Dear Michelle,

    It depends on how where you are in the claims process. If it is an initial claim or a request for reconsideration, you should know about the medical decision within a week or ten days. If it is a hearing decision, it can take longer because an extensive decision letter has to be prepared and signed off on by the judge. This can take a month or longer.

    Sincerely,
    Kay

  • Dear Jacob,

    If your SSI claim was medically denied, the only Social Security Disability approval you could get would be for a closed period of disability (a limited period of time) ending prior to the date you filed the SSI claim.

    Sincerely,
    Kay

  • Dear Michelle,

    Yes, both physical and mental illnesses are subject to a medical review and decision.

    Sincerely,
    Kay

  • Dear Shay,

    It sounds as if your claim was randomly selected for a quality assurance review. The review can find that all correct procedures were followed, which would finalize the approval, or the review could result in the claim being sent back to the examiner for additional investigation and/or documentation

    Sincerely,
    Kay

  • Dear Logan,

    The amount of your Social Security benefit will depend on your earnings record, so I cannot estimate it.

    Sincerely,
    Kay

  • Dear Megan,

    The reference to expecting a call is an indication that your claim has been medically approved.

    Sincerely,
    Kay

  • Dear Megan,

    Please see my response of earlier today to your last post.

    Sincerely,
    Kay

  • Dear Medical Issues Galore,

    For whatever reason, the decisions on concurrent Social Security and SSI claims usually are posted at different times. If your current SSI claim has been medically denied, it is likely that your Social Security claim will be denied as well because the medical requirements are the same for both benefits. The only way the Social Security could be approved would be if it was a partially favorable decision for a limited period of time ending before you filed your SSI application.

    Sincerely,
    Kay

  • Dear Nick,

    It is my impression that hearing decision reference the letter and will not post either an approval or a denial.

    Sincerely,
    Kay

  • Dear Noelia,

    It is likely that your claim has been medically approved and is moving into the phase when non-medical factors are re-reviewed and/or documented as a preliminary for calculation and authorization of payment.

    Sincerely,
    Kay

  • Dear CubsFan1966,

    The key is in the Presumptive Approval. That means that your medical condition is such that it is being presumed that you are disabled and because of this you will be paid up to six months of benefits while evidence is collected for your claim to show that the presumption of disability is correct. It is not a quality assurance review; it is a full medical review that all claims go through.

    And, yes, you are receiving a reduced benefit because your parents were providing you with free housing (and maybe food) when you applied.

    To receive the maximum SSI of $735 you have to either be a renter in your parents’ home and pay room rent that is fair market value (FMV) for the type of room you rent and buy your own food or pay FMV for room and board (shelter and food) or pay your share of of shelter expenses and buy your own food or pay your share of shelter and food expenses.

    Your share is the total shelter expenses and food expenses if you share food divided by the number of people in the household. Shelter expenses are shelter utilities (power, heat, water/sewer, and garbage) and rent or mortgage, property tax, and if required by the lender property insurance.

    Fair market value for food would reasonably be the maximum food stamp grant for one person, which is $194.00. FMV for room is the amount such rooms are renting for in your geographic area. Social Security law does not specify an amount required to be paying fair market value because the economy is different in every location. You can figure out a fair market rental rate by looking at ads for room rentals in your area and/or by choosing state and county on the federal HUD website at https://www.huduser.gov/portal/datasets/fmr/fmr_il_history/select_Geography.odn. It will not list rooms, but it will list studio or efficiency (one-room) apartments. A room in a house would probably cost about half of that amount.

    If you do not now have enough income and/or savings to pay either your share as a member of the household or fair market value as a renter, you could stop paying anything for a few months and save up your funds until you have enough to pay FMV or your share for two months. Then you and your brother can report when you start paying the share or FMV and two months later your benefits will be increased to the maximum. You should save in a bank account to prove you have the money available.

    If your share or the FMV is more than you can pay with your ongoing benefit, you can still get a partial increase if what you can pay is within less than $265 of FMV or your share. For example, if your share is $550 and your contribute $450, you would be receiving $100 in-kind (non-cash) support from parents. The $100 would be reduced by the $20 general exclusion and the maximum federal SSI benefit of $735 would be reduced by $80 and your benefit would be $655.

    Sincerely,
    Kay

  • Ashley

    I received the adult function report and work history form so will they send the third party questionnaire also?

    • Dear Ashley,

      Sometimes a third-party adult function questionnaire will be sent. These are used fairly frequently with mental health claims especially, but there is no requirement for them to do so. If you have a relative or friend who can provide information about limitations you have that they have observed, you can request a form for them to complete or they can make a written statement without any special form.

      Sincerely,
      Kay

  • Dear Aubry,

    The medical requirements are the same for Social Security and SSI; so, yes, if you had sufficient work credits on the date Social Security established as your disability onset date and you were found disabled for SSI, your Social Security claim would also be approved.

    Sincerely,
    Kay

  • Dear 1CubsFan1966,

    Your being told you are approved and being paid is inconsistent with your claim being in quality review. If a quality review were pending no benefits could be paid. It it possible that she said the your Social Security Disability (SSD aka SSDI) claim was being reviewed in the payment center or the program center? If so, that would be normal procedure to get your SSDI benefits started.

    SSI is temporary if you are approved for SSDI in a higher amount. If SSDI is scheduled to start in June, May would be the last SSI payment. There is another possibility and that could be that your approval was partially favorable meaning that you were found disabled but have now recovered and so benefits are being stopped. I suggest that you contact your representative and get clarification.

    The rate of $490 is the amount of SSI that is paid when someone is receiving free shelter and/or food.

    Sincerely,
    Kay

  • Dear Yreeka,

    Yes, it could help because the physician case manager will have the total overview. Also having a case manager can indicate a certain degree of severity.

    Sincerely,
    Kay

  • Dear Hannah,

    The date the claim was sent to DDS is the date that their records would show the claim became their responsibility. However, it doesn’t really matter because there are no hard-and-fast rules and deadlines for completing the review.

    Sincerely,
    Kay

  • Dear Sarah,

    Third-party questionnaires are not always sent. If you believe that a third-party statement would help your claim, you can have the third party submit a written statement limitations and symptoms of illness that he or she has observed even if it was solicited.

    Sincerely,
    Kay

  • Dear Stephanie,

    Supplemental Security Income (SSI) payments, if you are eligible for SSI, would likely resume within less than a month. Social Security Disability benefits can take two months or longer.

    Sincerely,
    Kay

  • Dear Stephanie,

    Yes, your benefits will be resumed.

    Sincerely,
    Kay

  • Dear Noelia,

    I would expect you to receive additional information within a week to ten days.

    Sincerely,
    Kay

  • Dear Lissa,

    Medical decisions can take from two to five months. A claim goes through several steps in the medical review process. The “in-house” review could be a review by a staff physician of the claims examiner’s recommendation. Or, if the examiner is new on the job, it could be a routine review by an experienced examiner to be sure the new employee’s decision and documentation is correct.

    Sincerely,
    Kay

  • Dear Yreeka,

    It is good that your sister is getting treatment and that you have reported the treatment changes. If the new case worker doctor can write up a statement regarding your sister’s diagnoses and limitations and the basis for the limitations, it could help her claim further.

    Sincerely,
    Kay

  • Dear Christian Brothers,

    You should notify your attorney both in writing and by phone call that you wish to terminate his or her services. Also, look at the attorney contract to see if there are provisions for termination and anything else listed you need to do. When you notify the attorney of termination, request a letter of withdrawal be sent to you and to the Social Security Administration (SSA). Then be sure that the withdrawal letter and a copy of your notice to the attorney are filed with SSA. (Keep copies for yourself.) If you hire a different attorney, you will also have to complete a new SSA-1696 appointing the new attorney. However, most attorneys will not take over a case until the letter of withdrawal has been filed with SSA.

    Sincerely,
    Kay

  • Dear Steve,

    Initial claims typically take from two to five months.

    Sincerely,
    Kay

  • Dear Christian Brothers,

    I recommend that you appeal the denial with the help of an experienced Social Security attorney. When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from your back pay.

    Sincerely,
    Kay

  • Dear Christian Brothers,

    It is good that a decision has been made and that you will receive the decision soon; it does not tell you what that decision will be.

    Sincerely,
    Kay

  • Dear Noelia,

    According to the Social Security Administration (SSA), claims are chosen randomly for review, so your claim being chosen is not a sign of either approval or denial.

    Sincerely,
    Kay

  • Dear Tracy,

    The status report is indicating that you will either get a denial letter or your claim has been medically approved and will be reviewed for compliance with non-medical eligibility requirements and calculation of benefits.

    Sincerely,
    Kay

  • Dear Nancy,

    Processing times are hard to predict; it could take from a few weeks to a month or two or more. If you have not submitted medical evidence, medical records will be requested and once received they will be reviewed.

    Sincerely,
    Kay

  • Dear Chenetter Lynne,

    From your posts, I think you are saying that the judge approved you verbally at the hearing, but you have not gotten the formal approval letter. It may have takent eh judge a long time to make the formal decision. Additionally, many of the hearing offices have large backlogs and some of those backlogs are in the decision letter writing department. All you can do is wait for the letter.

    Sincerely,
    Kay

    Sincerely,
    Kay

  • Dear Jim,

    You should fill out all sections of the form. If the zero entries are incorrect, you should enter the correct information.

    Sincerely,
    Kay

  • Dear Logan,

    I do not understand your question. Who is “they”? And change their mind about what? If you can clarify for me, I will try to respond.

    Sincerely,
    Kay

  • You are welcome, Noelia.

  • Dear Vinny,

    Based on the financial information you have provided, I doubt that your SSI has been denied for financial ineligibility. It is more likely that the medical decision on your SSI claim is that you are not disables and that your SSDI will be denied as well.

    If you are denied and you really believe that you cannot work in any occupation, I suggest that you request a copy of your claim file to see the exact reasons for the denial and that you hire an experienced Social Security attorney to help with the denial. When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from your back pay.

    Sincerely,
    Kay

  • Dear Mary,

    Please see my response to your first posting of your question.

    Sincerely,
    Kay

  • Dear Jamesdiba,

    I suggest you call the hearing office to see if you can find out why the file was sent back to the hearing office. If you have an attorney also notify the attorney.

    Sincerely,
    Kay

  • Dear Mary,

    If you reported the work, then the approval is probably not a mistake. You can work and be approved for Social Security Disability if you were earning less than the substantial gainful activity (SGA) level of earnings, which in 2015 was monthly gross earnings of $1,090; in 2016, $1,130; and in 2017, $1,170. If you were earning that amount or more, then the off-and-on aspect of your work was due to your health the work might be considered unsuccessful work attempts. If you did not report your work, you need to now if you were earning at the SGA level. Also, save your pay stubs so you can show how much you earned in any given month.

    Sincerely,
    Kay

  • Dear Logan,

    I am not sure what you mean by “did they change their mind.” Please explain.

    Thank you,
    Kay

  • Dear Emily,

    Your fiance needs to appeal the denial of his claim. To do so successfully, he needs to find out what medical information was requested and not received and also find out whether he is aware of records that were not requested and should be submitted. He can do this by requesting a copy of his claim file and reviewing it.

    If he has any trouble doing that, I would encourage him to consider hiring an experienced Social Security attorney to help with the appeal. If he hires a Social Security attorney, he will not have to pay any legal fees up front and will pay attorney fees only if he is approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from his back pay.

    Sincerely,
    Kay

  • Dear Crystal,

    Your daughter may not receive additional benefits because she was determined to have recovered when you got the first termination notice before any of the appeals. If she is allowed payment after the judge’s decision it will probably be for two months. I suggest that you check with Social Security for information about the final termination date.

    You now have the choice of appealing the judge’s decision if you think your daughter is disabled. The basis of the appeal has to be errors that you think the judge made in how he evaluated the information and the appeal would be an Appeals Council review. Another option is to accept the decision that your daughter’s health has improved enough that she is no longer a disabled child.

    Sincerely,
    Kay

  • Dear Ann,

    The status means that your claim has either been approved or denied medically, that is, either you were or were not found to be disabled. If you were denied, SSA is working to send a denial letter. If you were approved for Social Security Disability (SSD), the claim will be sent to a central payment center for review and payment, which can take two months or more. If you were approved for Supplemental Security Income (SSI), the local office will be working to calculate and authorize our SSI payments, which can be done in as little as a month.

    Sincerely,
    Kay

  • Dear Stacey,

    You will either get a medical denial letter in the mail in about a week or ten days or the local office will either pay the benefits and trigger an approval award letter or the local office will call you to request documentation of your income, assets, or living arrangements before payment can be made on a medically approved claim. If the claim was medically approved, it could take longer, more in the range of a month to get the decision.

    Sincerely,
    Kay

  • Dear Noelia,

    The online status means that a decision was made on your claim and then your claim has been randomly selected for a quality assurance (QA) review to see whether the examiner in the Disability Determination Services correctly investigated and document your claim to arrive at the decision. If the QA review results in a finding that the processing was done correctly, the decision will be communicated to you. It could be an approval or a denial.If not, more investigation will be completed. There’s probably no advantage in getting an attorney at this point. If you are denied and want to appeal, I recommend getting a copy of your claim file and hiring an attorney.

    Sincerely,
    Kay

  • Dear Logan,

    For me to offer an opinion I need information about your medical or mental condition for which you are claiming disablilty, your age, and what kind of jobs you have done in the past.

    Sincerely,
    Kay

  • Dear Michelle,

    Beginning with the first month your SSDI is paid, you will not be eligible for a federal SSI payment. If you live in a state with an SSI state supplement and $774 is within the state supplement income limits, you will be eligible for a small state supplement. Your local Social Security office and perhaps the call center at 1-800-772-1213 can tell you whether your state has an SSI state supplement and if so where to apply for it.

    Sincerely,
    Kay

  • Dear Jamesdiba,

    Your claim has been medically approved and is being reviewed to set up and authorize payment and to pay your attorney from back pay due to you. This process can take a couple months or more from the time the claim was sent to the payment processing center.

    Sincerely,
    Kay

  • Dear Chef Eric,

    Your claim has been randomly selected for a quality assurance review to be sure that the decision was correctly documented and determined. It is not possible to know whether that decision was an approval or denial although there are some statistics that suggest that more approvals are reviewed than denials.

    Sincerely,
    Kay

  • Dear Emily,

    It is common to defer decisions on strokes, head injuries, and some other traumatic injuries to see whether the person might improve before twelve months have passed, so delayed consultative examination would not be abnormal. However, you do not say why your fiance’s claim was denied. If it was denied because he is not expected to be disabled for twelve months, he can wait for about six weeks and if he doesn’t have a future date for being released to return to work, he can appeal based on still being disabled without a projected recovery date. If he was denied for other reasons, he can appeal now.

    If he wishes to appeal, I recommend that he request a copy of his claim file so that he can see the exact reasons for the denial and the evidence on which it was based. It could also be helpful to hire an experienced Social Security attorney to assist him. When he hires a Social Security attorney, he does not have to pay any legal fees up front and he will pay attorney fees only if he is approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from his back pay.

    Sincerely,
    Kay

  • Dear Getty,

    Claims decisions are selected randomly for a quality assurance (QA) review to check that the decision was correct and correctly documented. The review can result in confirmation of the original decision or in the claim being sent back for additional investigation and/or documentation.

    Sincerely,
    Kay

  • Dear Vitani,

    If your daughter is approved for Supplemental Security Income (SSI), the purpose of the payments is to provide her with shelter and food first, followed by personal care items such as diapers and basic clothing, and medical care. It would be appropriate to purchase a bed because her well-being is affected by sleeping on the floor. You can keep a log to show how much of her money you use for rent and shelter utilities not included in the rent, such as electricity. Keep the utility bills.

    You will have to set up a separate account for your daughter; the SSI benefits will not be sent to your account.. As soon as her benefits are to be reinstated, you should get a letter or you may already have a letter that shows you are her payee. Use that and the first funds you get for her to open an account. Or, you could request a DirectExpress card for her, which would not require a bank account. What is important is to let Social Security know now that her prior account has been closed so they don’t send money to that old account number.

    If a large amount of back pay is due, $4,410 or more, it may have to be paid into a Dedicated Account. Funds in Dedicated Accounts are restricted in how you can use them. The primary uses that are allowed are rehabilitation, education, or items related to your daughter’s disability. To use the money from a Dedicated Account to catch up the back rent, you would have to request permission on the basis that it would be detrimental to her health to become homeless and that the rent got behind while her benefits were suspended. Permission would probably be granted.

    Sincerely,
    Kay

  • Dear Meeshwallflower,

    The online status report you received is indicating that the notice that has been sent to you is likely a denial or an only partially favorable approval.

    Sincerely,
    Kay

  • Dear Alice,

    You are correct, if you are found to have become disabled three years ago, the maximum retroactivity for Social Security Disability (SSDI) benefits for months before application is twelve months. The determination of disability at an earlier date makes it more likely that a person is insured on the established date of disability.

    Sincerely,
    Kay

  • Dear Beth,

    You do not say what kind of information is being requested, medical or non-medical. If it is medical, I recommend asking for a clarification because calculation of payment with a payment date would indicate that your claim has been approved. If the requested information is non-medical and your have not responded, perhaps the payment is for one benefit, SSI or SSDI, and the other is still pending review for payment. I recommend trying to sort this out as soon as possible and responding to the request if it is still needed.

    Sincerely,
    Kay

  • Dear Emily,

    It looks as if you posted your question twice. Please see my response to your first post.

    Thank you,
    Kay

  • Dear Emily,

    Closed means a medical decision was made on the claim. It is possible that your fiance’s claim could have been approved without the mental examination and they overlooked notifying him. He can go online at http://www.ssa.gov and set up a My Social Security account to check the online status. It might show whether the claim was approved or denied sooner than his getting a letter.

    Sincerely,
    Kay

  • You are welcome, Becky.

  • Dear Larico,

    I suggest that you clarify with the office what is meant by “review.” They may have been saying that the claim was sent to the payment center, where the claim would routinely be reviewed for non-medical eligibility factors and calculation and authorization of benefits. This process has been taking two months or more.

    On the other hand, if they meant the claim had been selected for a quality assurance (QA) review, I would not expect that to take two months. If it is in QA review, you could ask for the local office to check a status to be sure it is on track.

    Sincerely,
    Kay

  • Dear Jon,

    Yes, your claim has been approved.

    Sincerely,
    Kay

  • Dear Stephanie,

    It could be a good idea to hire an attorney to review the issues to see if anything else should be submitted for the appeal. When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from your back pay.

    Sincerely,
    Kay

  • Dear Dennis,

    If the payment is the monthly benefit, it will be paid on your usual monthly pay schedule. (See below.) If it is back pay, allow about a week.

    Pay days if you were. . .
    Born on the 1st to 10th = second Wednesday of the month
    Born on the 11th to 20th = third Wednesday of the month
    Born on the 21st to 31st = fourth Wednesday of the month
    Both SS and SSI eligibility = SS the third of the month

    Sincerely,
    Kay

  • Dear Dennis,

    It means that you have been approved for benefits and the first payment has been set up to be sent out to you.

    Sincerely,
    Kay

  • Dear Jamila,

    It does not matter the condition on which you were approved, if the attorney was your representative of record, he is probably eligible for compensation per your agreement with him. He can, however, only charge an amount approved by Social Security, which would be 25% of your back pay up to a maximum of $6,000.

    Sincerely,
    Kay

  • Dear Becky,

    Your letter of explanation will help them understand the reason for no supporting statements from your doctors, but the claim will still lack those statements. If the medical records are very clear, it may not matter much.

    Sincerely,
    Kay

  • Dear Noelia,

    It is good that there is an attempt to get additional information to evaluate your appeal. It could take another month or two after the consulting physician’s report is received.

    Sincerely,
    Kay

  • You are welcome, Marie.

  • Dear Constance,

    It means that no decision has been made and you have to wait until your claim is looked over, your medical records are obtained and reviewed and a decision is made as to whether you are disabled or not.

    Sincerely,
    Kay

  • Dear Stephanie,

    I don’t know whether you are appealing on your own or have an attorney, but proving that your condition has not worsened would be the basis for a successful appeal.

    Sincerely,
    Kay

  • Dear Barbara,

    People have reported both approvals and denials after receiving that online status report, so it is hard to tell.

    Sincerely,
    Kay

  • Dear Marie,

    I have tried to get a clarification from the Social Security Administration and as yet have not gotten a clear answer. I am currently keeping a record of what people who visit the site report. So far, people have reported approvals and denials under both sets of language.

    Sincerely,
    Kay

  • Dear Constance,

    Please see my answer to your last post.

    Thank you,
    Kay

  • Dear Gary,

    I suggest that you get a copy of your claim file if you haven’t and a copy of the trial transcript and go over both with an attorney to see whether you should appeal the denial.

    Sincerely,
    Kay

  • Dear Constance,

    “Being processed” means that the claim is either waiting to be reviewed or is being reviewed to decide whether or not you are disabled.

    Sincerely,
    Kay

  • Dear Stephanie,

    The consulting physician has three weeks to submit his or her report. How long the review of the report and other evidence in file takes varies a great deal from one geographic area to another. It could be a matter or weeks or a month or two or more.

    Sincerely,
    Kay

  • Dear SoraRyda,

    Are you inquiring about either Social Security Disability (SSDI) or Supplemental Security Income (SSI)? The reason I ask is that SSDI and SSI checks are sent from the Treasury Department and don’t typically come with a cover letter. If the claim is SSI, SSI back pay is paid in up to three installments six months apart with the first two installments not exceeding $2,205 each. If you remain unclear about the payment, I suggest contacting your local office or calling 1-800-772-1213 for an explanation because your attorney likely will not be able to explain.

    Sincerely,
    Kay

  • Dear Becky,

    It is good that the clinics will send all your records. I suggest that you submit a letter explaining why the doctors are not writing supporting letters–that it is because of clinic policy, not their personal choice.

    Sincerely,
    Kay

  • Dear Tai,

    It is correct that the attorney will not be able to get any more information than you. The decision the judge made is not finalized until it is written up in a letter, the letter is reviewed by the judge for any errors, and signed if everything is correct. The remark about the judge changing his mind although true is uncommon. It is possible that when the judge reviewed the letter, he realized he had overlooked some factor that need to be considered. This could change an approval to a denial or a denial to an approval, but, again, this would be quite uncommon.

    Sincerely,
    Kay

  • Dear Jodie,

    If you were approved for Social Security Disability (SSDI), your SSDI claim will be sent to a central payment center, where they will double check that you were insured on the date of your established date of disability, apply any offsets you might have for SSI (see below), workers compensation, or public pension. They will calculate and authorize payment. this can take two months or more.

    If you were approved for Supplemental Security Income (SSI), your local Social Security office will calculate and authorize SSI payment. They will contact you for a financial update so that benefits can be calculated for past months. Usually you will be paid within a month of the update interview and submission of any requested documents.

    If you were approved for both, SSDI benefit calculation will not be completed until SSI calculation has been completed. SSDI back benefits will be reduced by the amount of SSI benefits payable for the months in which SSDI and SSI eligibility overlap. Typically SSI back pay is paid in up to three installments six months apart and the first two will not exceed $2,205. However, if after your Social Security starts you are no longer eligible for SSI, you can request the remaining SSI installments to be released.

    Sincerely,
    Kay

  • You are welcome, Coco.

  • Dear Ashjoscott,

    Just respond to requests for more information, if any. Otherwise, it is a waiting game.

    Sincerely,
    Kay

  • Dear Coco,

    I suggest submitting a letter of dire need based on not having money to pay your rent, which puts you at risk for being homeless. Submit the letter to both your local office and DDS. Otherwise, communicate with your landlord/lady letting him or her know that you were told you were approved for benefits and then they decided they had to do more work on the claim before they finalized the approval. Maybe you will be given more time to get the rent payment together. Contact utility companies and explain the situation and ask to be given more time to pay.

    Sincerely,
    Kay

  • Dear Levetta,

    It means that the initial review of your claim indicated that it qualified for faster processing. Various situations will allow a claim to be fast-tracked. One is that the information in the application indicates that less investigation will be needed to establish disability.

    Sincerely,
    Kay

  • You are welcome, Cheryl.

  • Dear Ashjoscott,

    Usually a card is not issued until a claim is medically approved; however, depending on the medical condition your child has, there may be an expectation of approval. In any event, the claim has to be approved medically or presumptively before any payment can be made. If the claim pends for a long time, you will also be asked to provide a financial update before payment is issued.

    Sincerely,
    Kay

  • Dear Virginia,

    Now that your application has been completed, your claim has been or soon will be sent to the Disability Determination Services (DDS) office for a medical and vocational review to determine whether you are disabled. The summary you received is for you to review to be sure that everything on the application is correct. If it is, you don’t have to do anything. If there are errors, contact your Social Security office to have corrections made.

    Sincerely,
    Kay

  • You are welcome, Jerry.

  • Dear Jerry,

    Your claim being identified as a Quick Disability Determination (QDD) claim raises the likelihood of being approved above average. I can’t say how quickly you will get the decision; it depends a great deal on the work loads of the Disability Determination Services (DDS) in your area.

    Sincerely,
    Kay

  • Thank you, Eric.

  • Dear Coco,

    I don’t have anything to add to my reply of five days ago. My guess is that there was a quality assurance review that found insufficient investigation was done, so the approval was never finalized and your claim is still undecided.

    Sincerely,
    Kay

  • Dear Karen,

    It could mean that your claim will be approved based on a mental or cognitive disability. If you are approved, you will need a representative payee to receive and manage your benefits including paying your rent and utilities and other basic needs before more discretionary spending.

    Sincerely,
    Kay

  • Dear Eric,

    It means that the quality assurance review agreed with the decision that had been made on your claim. I am getting reports that the wording in the online status report can be followed by either an approval or a denial.

    Sincerely,
    Kay

  • Dear BB,

    It is likely that your claim has been denied. Unless the claims examiner already had your counselor’s records in file, the decision should not have been made until the records or a report from the counselor was received and evaluated. If you are denied, I suggest that you request a copy of your claim file to see what evidence is in file or what may be missing and the exact reasons for denial.

    If you decide to appeal. I recommend hiring an experienced Social Security attorney. When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from your back pay.

    Sincerely,
    Kay

  • Dear Sheena,

    Apparently, the Determination Services (DDS) requested information about your work activity and asked the local office to get it for them. That could be an indication that they are considering approval; however, you will not know for sure until you get the notice of decision.

    Sincerely,
    Kay

  • Dear Mike,

    I suggest that you file a dire need letter based on your getting close to being evicted and at the same time request release of the provisional payments. (Expedited Reinstatement with provisional payments applies if you applied for it within five years of when your claim closed.)

    Sincerely,
    Kay

  • Dear Yreeka,

    Given that your sister has been hospitalized twice, it would seem that either her condition has worsened or it will be better documented. Accordingly, it is possible that she may approved on this application.

    Sincerely,
    Kay

  • Dear Dora,

    Apparently you posted your question twice. Please see my answer to your first post.

    Sincerely,
    Kay

  • Dear Dora,

    If your claim is for Social Security Disability (SSDI), the letter is likely a denial letter in that it is coming quickly. There is, however, a chance that the claim has been approved and that the letter is asking you to apply for dependents or provide banking information even though those requests are often made by phone.

    Sincerely,
    Kay

  • Dear Dominga,

    Try looking at the status in a few days. The claim should not disappear entirely; it should show processing or a decision. Alternatively, you could call the local office to request a status.

    Sincerely,
    Kay

  • Dear Markita,

    In general yes, but if you go to the link that I provided you will get more detailed information. Also, sometimes things that are indirectly related to health are approved.

    Sincerely,
    Kay

  • Dear Joanne,

    Monthly benefits can start in four to eight weeks. Back pay, if any, could take a couple months longer.

    Sincerely,
    Kay

  • Dear Coco,

    Please see my response, which I posted two days ago, to your first posting of this question.

    Sincerely,
    Kay

  • Dear Markita,

    The law requires large sums of back benefits paid to a minor child to be paid into a Dedicated Account and to used only for certain things, such as therapy or job training. You can read about the allowed uses, the uses that requrie special approval and prohibited uses at https://secure.ssa.gov/poms.nsf/lnx/0200602140.

    Sincerely,
    Kay

  • Dear Mrs. Felder,

    It looks like you posted your question twice. Please see my answer to your first post.

    Sincerely,
    Kay

  • Dear Mrs. Felder,

    It is unlikely that a decision has already been made on your claim even though disappearance of an estimate has sometimes been associated with an approval. It is more likely that the claim is still under review. You can, however, check the online status, if you wish, every week to see if it changes.

    Sincerely,
    Kay

  • Dear Cheryl,

    The request could be indication of approval or it could be that your local office gathers this information as part of the application and before a decision is rendered.

    Sincerely,
    Kay

  • Dear Darin,

    I don’t know the reason, but when there are two concurrent claims, one always seems to be updated with a decision a few days before the other. With the SSI denied medically, the SSDI is likely to be denied as well because the two programs have the same definition of disability. The only way the SSDI would be approved would be for a closed (limited) period ending before the SSI claim was filed. You should receive letters within about ten days that give information about the decisions and appeal rights.

    Sincerely,
    Kay

  • Dear Lani,

    You can report the change in banking information now; however, keep the prior account open if it is still open just in case there is a processing error and the older information is picked up and used.

    Sincerely,
    Kay

  • Dear Nick,

    It is possible that the Supplemental Security Income (SSI) claim could be approved medically because for SSI proof of disability only has to exist at the time of application or later. It is possible that your mother’s medical records were insufficient to prove she was disabled while she was still insured by her work that ended in 2007. No need to prepare her for the worst now, but it is also possible that both claims have been medically denied.

    Sincerely,
    Kay

  • Dear Stallion,

    It appears that the judge thinks that you might be disabled, but the medical information in file doesn’t fully support that determination. For that reason, he requested that you and your attorney submit additional documents.

    Sincerely,
    Kay

  • Dear Darin,

    I have had people report both approvals and denials after getting that status report.

    Sincerely,
    Kay

  • Dear Markita,

    You should get the back pay within a month; sometimes it is paid before the monthly benefit, but usually after.

    Sincerely,
    Kay

  • Dear Coco,

    You should start to receive payment in less than a month. If you do not, I suggest that you follow up with the local office.

    Sincerely,
    Kay

  • Dear Markita,

    On the thirteenth you will be asked to provide an financial update; then the local office will calculate benefits and release them. You should receive the first payment at least within a month of the interview.

    Sincerely,
    Kay

  • Dear Coco,

    What may have happened is that your claim was approved and then randomly selected for a quality assurance (QA) review that resulted in more evidence being required. The need for more evidence resulted in your being asked to see a doctor.

    If it has been the couple weeks you reference, I suggest that you call the DDS for a status on the claim. At that time you might ask whether what I have described occurred on your claim.

    Sincerely,
    Kay

  • Dear Kelebro,

    It is likely that your claim has been approved. The supervisor likely looked at the work information already in file and provided information about the law to the claims examiner, which allowed her to approve the claim without more information. “The final approval” probably refers to the need for a final review of non-medical eligibility that would have been screened earlier as well. Also, the disappearance of estimated benefits seems to be a sign of approval. I suggest that you wait about a week and then if the local office hasn’t called you, you call them.

    Sincerely,
    Kay

  • You are welcome, Rick.

  • Dear Tammy,

    Some people who receive that status online report that their claims have been approved. I suggest that you file a dire need statement at the local office to see whether you can get the decision more quickly. Also the local office can tell you whether you claim has been forwarded to the payment center; if it has, your claim has been medically approved. Another suggestion is to file an SSI application now if you have no income now. That way, if you are approved you will get SSI payments faster than payments will come from the Social Security payment center.

    Sincerely,
    Kay

  • Dear Rick,

    It can be a couple months before an approval is processed to payment.

    Sincerely,
    Kay

  • Dear Rick,

    The status together with no benefit amount may be an indication that your claim has been approved; however, you will not know for sure until you get a decision.

    Sincerely,
    Kay

  • Dear GWV90-91,

    The quick turn around may speak to the office being caught up in its reviews. The status change may not have been put into the computer because of the quick turnaround. I don’t think you can draw any conclusions as to whether the decision on your claim is an approval or denial.

    Sincerely,
    Kay

  • Dear Jte,

    Sorry to say, if the denial did not come within a couple weeks of your filing the SSI claim, it probably was a medical denial.

    Sincerely,
    Kay

  • Dear Jte212006,

    If the SSI is a medical denial and not an excess-income or excess-asset denial, which would have occurred right after you filed your claim, in all likelihood the Social Security claim will be denied also. The only way it would be an approval would be if you were found to be disabled for a closed (limited) period that ended before your filed the SSI claim.

    Sincerely,
    Kay

  • Dear Dee,

    The status you have shared with me is not saying that your claim is undergoing a quality assurance review. It is just telling you that a decision has been made on your claim. People have reported both approvals and denials after this status, but I think the fact that they cancelled one of the consultative examinations is an indication of approval.

    Sincerely,
    Kay

  • Hooptie

    A medical decision has been made and we are working to process your benefit application. A social security representative may contact you directly if we need any additional documentation. What does this mean? Am I approved or denied?

    • Dear Hooptie,

      People have been reporting both approvals and denials after receiving this status. Keep watching for status updates and your mailbox for any notices.

      Sincerely,
      Kay

  • Randall

    The ALJ denied my claim for benefits. Now, we are appealing to Federal Court. Does anyone know how long that may take? Thanks again. 🙂

    • Dear Randall,

      A federal court suit can take a year or more.

      Sincerely,
      Kay

  • Dear Fdee,

    It appears you accidentally posted your question twice. Please see my reply of a few minutes ago to your first post.

    Sincerely,
    Kay

  • Dear Fdee,

    The online status does seem to indicate that you claim has been denied. You should receive the letter very soon. If you think you want to appeal, I suggest that you get a copy of your claim file so you can see the exact reasons for the denial and see the evidence was in file on which the decision was made.

    Sincerely,
    Kay

  • Dear Latatashia,

    I think you meant to write “buy a house.” If so, I suggest that you check with your county to see whether they have a home buyer education course and/or information about low interest loans or other assistance in buying a home for those with limited income. Also, if you identify that you can buy a house and how much you need for a down payment, inspections, and closing costs, you can ask to have all your back pay if it is more than $2,205 released all at one time so you can make the purchase.

    Sincerely,
    Kay

  • Dear Robert,

    Right now, all you can do is wait for the hearing date, continue to follow any treatment your physician recommends, and keep your attorney advised of your medical condition by giving him an update if anything about your condition or treatment changes. You have a chance of approval or the attorney would not have taken your case.

    Sincerely,
    Kay

  • Dear Randall,

    The online status report is telling you that the judge has made a decision and that you should be getting a letter soon with that decision.

    Sincerely,
    Kay

    • Randall

      Thank you, and God bless 🙂

  • Dear Geegee,

    What was sent to New York? When I know that, I might be able to comment.

    Sincerely,
    Kay

  • Dear Geegee,

    The online status will stay the same until the decision letter has been prepared and sent to you. For more detailed information, you have to contact the hearing office.

    Sincerely,
    Kay

  • Dear Audrey,

    You need to respond saying that you will attend the examination and then be sure to attend.

    Sincerely,
    Kay

    • Audrey

      Hey Kay, I want to DR appointment. What next?

      • Dear Audrey,

        The consulting physician will send a report to the claims examiner, who will consider the report together with the other information in your claim file to make a decision about whether or not you are disabled as defined by Social Security law. Most initial claim decisions take from two to five months.

        Sincerely,
        Kay

  • Dear Trish,

    I do not have specific information about the payment center processing steps. I can tell you that five years of back pay likely amounts to a large enough sum of money to require multiple reviews and approvals. I suggest that you ask the local office to tell you what step seven is and whether their are more steps.

    Sincerely,
    Kay

  • Dear Dominique,

    The claims examiner has made a recommendation to either approve or deny your claim, but a staff physician needs to review the medical information in file to be sure it supports the decision.

    Sincerely,
    Kay

  • Dear Lynne,

    Yes, the benefit verification letter is an indication you have been approved.

    Sincerely,
    Kay

  • Dear FearTheBlitz,

    Posting of claim decisions in concurrent claims seems to happen at different times. It is likely that your SSDI claim has also been denied because the medical criteria are the same for SSI and SSDI. You would be approved for SSDI with an SSI medical denial only if you were approved for a close period of disability that ended before you filed the SSI application.

    Sincerely,
    Kay

  • Dear ARK,

    If the judge determines that the information in your claim file supports that you have the limitations mentioned in the hypothetical questions, your claim will be approved.

    Sincerely,
    Kay

  • Dear Tim,

    A request for reconsideration takes from two to five months. A request for hearing and pend one to two years before the actual hearing is held and up to another two months or more after the hearing to get a decision.

    Sincerely,
    Kay

  • Dear Monica,

    Attempting to work and failing will not harm your chances of getting approved for Social Security if the unsuccessful work attempts last less than six months. Given that the SSI appeal was denied, it is likely that the SSDI appeal will be denied also. I suggest that if you are denied, that you file a request for hearing and that you hire an experienced Social Security attorney to help with your appeal. Also, I recommend that you request a copy of your claim file so that you and your attorney can review the exact reasons for the denials and the evidence in file on which the decisions were made. That will allow you do identify and submit any missing medical or vocational information or documentation and to formulate an effective appeal addressing any errors or misconceptions.

    When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from your back pay.

    Sincerely,
    Kay

  • Dear Chef Erik Dukes,

    Your claim has been randomly selected for a quality assurance (QA) review of the decision that was made on the claim. The decision could be an approval or a denial. The review can endorse the decision or send the claim back for additional investigation and/or documentation.

    Sincerely,
    Kay

  • Dear Jessica,

    Some people have received notices of approved claims after this status and others have reported denials, so the status is just telling you that a medical decision has been made, but not all work has been completed on the claim.

    Sincerely,
    Kay

  • Dear Tom,

    I cannot predict the outcome. Individuals have reported both approvals and denials after that status.

    Sincerely,
    Kay

  • Alisha

    Hello Kay, my name is Alisha. I’ve applied for ssi/ssdi on 10/13/16 and I was denied for ssi on 2/23/17, but my ssdi application I don’t see online no more. Can you give me some advice as why / what happen to my application?

    Thanks

    • Dear Alisha,

      I would have expected your SSDI claim to either have a decision showing or a status of still being reviewed. I suggest that you call your local office to try to find out the status.

      Sincerely,
      Kay

  • Dear Karen,

    Only a small percentage of hearing level appeals are approved on the record. One advantage of the appeal is a new set of eyes; the other part is for you to be able to explain why you cannot work and to submit any evidence that didn’t get submitted before. Accordingly, if you have not gotten a copy of your claim file to review for errors or omissions, I would recommend getting it so you can address any errors and/or submit any missing medical documentation.

    Sincerely,
    Kay

  • Dear Nickig,

    It seems as if posting of the decisions is not always consistent or timely, but both denials and approvals have been posted.

    Sincerely,
    Kay

  • Dear Dale,

    Your benefits are likely to be paid based on your new application in June 2016 with SSDI benefits starting June 2015.

    Sincerely,
    Kay

  • Dear Dee,

    I am unable to determine whether your claim will be approved. The vocational review is likely to assess whether you can work in a new occupation considering the additional information gathered about your work history.

    Sincerely,
    Kay

  • Dear Terry,

    The combination of “working to process your benefit application” and no estimated benefit could indicate medical approval. I suggest you call the local office to inquire whether the claim has been forwarded to the payment center. If it has, the decision is an approval. On the other hand, if it has been closed out of the Disability Determination Services but not forwarded to the payment center, the decision is most likely a denial.

    Sincerely,
    Kay

  • Dear Karen,

    “Pre-hearing review” means that the information in your claim file is being reviewed before the hearing. The only way you would not have a hearing with a judge would be if the review of your claim file resulted in your claim being approved without need for a hearing.

    Sincerely,
    Kay

  • Dear Caressa,

    If the judge finds that the information in your claim file supports the limitations that you claim you have, your claim is likely to be approved based on the testimony of the vocational expert.

    Sincerely,
    Kay

  • Dear Gary,

    The information is correct as far as it went. If you are approved for Social Security Disability while you are receiving Social Security reduced retirement benefits, you will be switched to the higher disability rate for any months that you received retirement and were also eligible for disability.

    Sincerely,
    Kay

    • Gary Herendeen

      Thank you Kay. Does the writer part only apply to approved claims or do they have to write denied claims as well?

      • Dear Gary,

        All decisions, both approvals and denials, are written up into a detailed letter.

        Sincerely,
        Kay

  • Dear Dale,

    A decision was made on your claim and the it was randomly selected for a quality assurance (QA) review. As you describe your condition, the decision and the consultative examiner’s comments, the decision may have been an approval. The review, which is likely to take in less than a month, will either agree with the decision or send the claim back to the determiner to investigate or document further.

    Sincerely,
    Kay

  • Dear Pamela,

    If you filed the request for hearing recently, the status is just saying that the appeal is in the hearing office actually just sitting until it comes up for review before the hearing. If the review reveals that your claim could be approved without a hearing, you will be notified.

    Sincerely,
    Kay

  • Dear Jennifer,

    It typically takes two to four months before the SSDI back pay is issued, and the SSDI back pay will be offset (reduced) by the amount of Supplemental Security Income (SSI) back benefits paid for the same period.

    Sincerely,
    Kay

  • Dear Kyle,

    For some reason, it seems that the processing of the two claims takes a few days longer for one than the other.

    Because you think that you cannot work and because you have worsened since a prior decision that your condition was severe but not expected to last twelve months, it might be appropriate to appeal.

    I suggest that you request a copy of your claim file and the hearing transcript as soon as you get the second denial. Reviewing the exact reasons for the denial and the evidence on which it was based with an experienced Social Security attorney could help you draft an appeal to the Appeals Council.

    I don’t remember off hand, whether you already have an attorney; but if not, let me say that when you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from your back pay.

    Sincerely,
    Kay

  • Dear Benjamin,

    The quality assurance (QA) review, which is applied randomly to claims, can approve the decision (either an approval or a denial) or send the claim back to the determiner for additional investigation or documentation. Usually the review takes less than a month.

    Sincerely,
    Kay

  • Thank you and you are welcome, Rudy.

  • You are welcome, Karen.

  • Dear Kyle,

    The medical requirements are the same for SSD and SSI, so the only way you could be approved for SSD with a medical denial of SSI would be if you were approved for SSD for a limited period of time that ended because you recovered from your disability before you filed your SSI application.

    Sincerely,
    Kay

  • You are welcome, Rudy.

  • Dear Dee,

    Thank you for sharing the information you were given. I will be checking with Social Security to confirm it.

    Sincerely,
    Kay

  • You are welcome, Pamela.

  • Dear Dee,

    The Disability Advisor website is not set up for conversation between visitors to the site. Both approvals and denials can be selected for a quality review.

    Sincerely,
    Kay

  • Dear Tammy,

    The status is telling you that a decision (approval or denial) was made on your claim; then your claim was randomly selected for a quality assurance (QA) review. The review could approve the decision or send the claim back for additional investigation or better documentation of the decision.

    Sincerely,
    Kay

  • Dear Torri,

    If you have an attorney, I recommend that you talk with your attorney. If not, you can contact the hearing office to find out whether the judge has requested or secured additional documentation or information after the hearing. If so, you have the right to receive a copy of everything he gathers so that you can review it and comment on it if necessary.

    Sincerely,
    Kay

  • Dear Tim,

    To my knowledge there is no offset (reduction of) unemployment for Social Security that is paid for the same period. Also, note that the first five months of disability are not paid. This means that if your disability onset date was in February, your Social Security benefits began to accrue in August 2016.

    Sincerely,
    Kay

  • Dear Latatashia,

    The status means that a decision has been made as to whether or not you are disabled as defined by Social Security law. It is now becoming clear that the wording “working to process your decision” does not reveal whether the claim has been medically approved or denied. People visiting this site are reporting both approvals and denials after seeing this wording. You might be able to get more information by calling your local office. Your attorney will likely contact you if Social Security contacts him for additional information.

    Sincerely,
    Kay

  • Dear Anxious,

    Your husband’s Social Security claim has been approved. You are being asked for the children’s birth certificates to prove their ages and relationship to your husband so that dependent benefits can be paid for them.

    Sincerely,
    Kay

  • Dear Leann,

    If your claims continue to be approved after the quality assurance review, the status will still show processing until benefits are paid.

    Processing times vary from office to office and sometimes Supplemental Security Income (SSI) payment is processed quickly, within less than a month of finalization of medical approval, and other times it will be more than a month. If the SSI back pay exceeds $2,205, it will be paid in three installments six months apart. You should get the first installment less than a month from the first monthly payment.

    It can take one to two months after SSI is paid for Security Disability benefits (SSDI) to start and sometimes as much as a couple months longer to get the SSDI back pay. Factors such as offsets and amount of back pay affect how long it takes the payment center to issue SSDI payments.

    SSDI back benefits will be reduced by the amount of SSI back benefits paid (or due in installments) for the months in which SSDI and SSI eligibility overlap. Note that if after your Social Security starts you are no longer eligible for SSI, you can request the remaining SSI installments to be released.

    Sincerely,
    Kay

  • Dear Rudy,

    It doesn’t take that long to write the letter; the waiting time is the time the decision sits before its turn comes up to be written. Supposedly, the letters are written in the order the decisions are assigned to the writers, but it’s possible that what your attorney says is true. I would say, though, at this point don’t read too much into the delay; many delayed decisions are approvals.

    Sincerely,
    Kay

  • Dear Dee,

    I do not have statistics on this, but my understanding is that the selection is random.

  • Dear Pamela,

    I don’t know whether the configuration of the website has just changed or it is an indication of approval. You might get a hint by calling the hearing office to find out whether an on-the-record approval decision has been made without a hearing. If not, the change in information on the site is not significant.

    Sincerely,
    Kay

  • Thanks for sharing.

  • Dear Pamela,

    The site has been undated in the last couple of months. You cannot be denied without the hearing you requested. You can be approved on the records without a hearing. I suggest that you call the hearing office to find out whether a decision has been made or a hearing date is still pending.

    Sincerely,
    Kay

  • Dear Dominique,

    Pending means no decision has been made; it does not indicate either approval or denial.

    Sincerely,
    Kay

  • Dear Dee,

    A decision has been made on your claim and then it was randomly picked for a quality assurance (QA) review. The review can uphold the decision or send it back to the examiner for revision or additional documentation of the original decision. Usually QA reviews take less than a month.

    Sincerely,
    Kay

  • Dear Pamela,

    Beginning late last year, the Social Security Administration had changed and enhanced the information available online.

    Sincerely,
    Kay

  • Dear Annie,

    The requirements for being eligible for a handicap parking placard are much less strict than for receiving Social Security disability benefits, so getting a placard will probably not have a lot of bearing on your claim.

    Sincerely,
    Kay

  • Dear Tina,

    If the Supplemental Security Income (SSI) denial was a medical denial, the SSDI will also be denied medically or approved as partially favorable with benefits ending some time before you filed your SSI claim.

    Sincerely,
    Kay

  • Dear Tim,

    It is more likely that your claim will be approved, but a denial can’t be ruled out.

    Sincerely,
    Kay

  • Dear Dee,

    The status is telling you that a decision (approval or denial) was made on your claim and then your claim was randomly selected for a quality assurance (QA) review. The review could agree with the decision or send it back to the examiner for more investigation and/or documentation.

    Sincerely,
    Kay

  • Dear Dennis,

    I think your assessment is correct, although it is possible for a fully favorable decision on the record without a hearing.

    Sincerely,
    Kay

  • Dear Daena,

    It sounds as if your child’s claim has been medically approved and that the calculation and release of payment has not yet been done. The representative probably had good intentions in telling you that the payment would be received in early February and then couldn’t get to the work. If you haven’t received payment by the end of February, I suggest visiting the office to follow up.

    Sincerely,
    Kay

  • Dear Rudy,

    Sometimes there is a delay before the judge reviews the letter for accuracy and signs off on it; it depends on the individual judge and the workloads in the hearing office.

    Sincerely,
    Kay

  • Dear Abby,

    I recommend that your husband look at the status of his online application. He may have submitted it accidentally over the Internet. But, regardless of what happened, I recommend that he go to the local Social Security office to see whether the denial can be reversed as a clerical error,. If not, he has sixty days to appeal (sixty-five from the date on the letter) submitting everything that was not originally submitted

    Sincerely,
    Kay

  • Dear BH,

    How long it will take to receive benefits depends on the type of benefits being approved. Processing times for Supplemental Security Income (SSI) vary from office to office and sometimes payment is processed quickly within less than a month and other times it will be more than a month.

    It can take a couple of months or more to get Security Disability benefits (SSDI) started and authorization comes from a central payment center. If approval is for both SSDI and SSI, SSI is paid first and SSDI typically starts from one to three months after the SSI has been paid.

    Sincerely,
    Kay

  • Dear Nancy,

    The benefit verification letters usually only list monthly benefits, so that may be that March 2016 was the last month for which you were eligible. I suggest that you seek clarification from the Social Security Administration.

    Sincerely,
    Kay

  • Dear Harriet,

    No medical review will be made of your husband’s Social Security Disability (SSDI) claim because he has not worked enough or has not worked enough recently to be fully and currently insured for SSDI benefits. If your family has limited income and assets, he can apply for Supplemental Security Income (SSI). Information about SSI is available in the articles under the “SSI” tab on the navigation bar at the top of this webpage.

    Sincerely,
    Kay

  • Dear John,

    You are right that the medical requirements are the same for both programs. Also, if your friend didn’t qualify financially for Supplemental Security Income (SSI), the claim would not have been sent for medical review, and in a couple of cases, people have reported that a second denial posted in a few days after the first.

    Sincerely,
    Kay

  • Dear Darlene,

    A decision was made on your husband’s claim and then the claim was randomly picked for a quality assurance review. The review will either uphold the decision, which could be an approval or denial, or reverse it or send it back to the claims examiner for additional investigation or documentation. The reviews are usually completed in less than a month.

    Sincerely,
    Kay

  • Dear T6119,

    The wording “working to process your benefit application” has been associated with approvals. If you get a denial, please write referencing that language and let us know that it was a denial.

    Sincerely,
    Kay

  • Dear Savannah,

    A decision has been made–either an approval or a denial–and your claim was randomly selected for a quality assurance review. The review can uphold the decision, overturn it, or send the claim back to the DDS for more investigation before finalization of the decision.

    Sincerely,
    Kay

  • Dear Joanne,

    Hopefully, there will be sufficient information to add to support the approval. You might check to see if there is anything you need to submit.

    Sincerely,
    Kay

  • Dear Christine,

    I can see that it would be confusing, but the representative was just telling you what your benefits would be if you are approved and letting you know how the claim would be processed if medically approved.

    Sincerely,
    Kay

  • Dear Darlene,

    Thank you for sharing. Some people are reporting approvals after this status, so it appears to be a neutral status being the decision letter is coming.

    Sincerely,
    Kay

  • Dear Joanne,

    A certain percentage of claims are chosen randomly for a quality assurance (QA) review so the selection of your claim was routine.

    Sincerely,
    Kay

  • Dear Richard,

    Not everyone is sent for a medical examination. If sufficient information is in file to either approve or deny a claim without obtaining more medical information, the claim will be decided based on that evidence. Be sure that you and your mother-in-law carefully and fully complete the questionnaires sent to you.

    Sincerely,
    Kay

  • Dear Karen,

    As the name implies, your claim file will be reviewed before the hearing is held; however, if the hearing was just recently filed, the status just means that your appeal is in the hearing office waiting its turn.

    Sincerely,
    Kay

  • Dear Karen,

    The status means that the judge will review all the information in your claim file before the hearing. You will be sent a notice in the mail when a hearing date has been sent. If you have medical information or evidence that has come up after you filed the hearing request, you should gather the records and submit them for consideration as soon as possible.

    Sincerely,
    Kay

  • Dear Jennifer,

    Social Security is an insurance program; so to get benefits you have to be insured when you become disabled. Insured means having enough work credits and enough in a certain period of time before you became disabled. This is one of the non-medical factors that the benefit authorizer checks for before releasing payment.

    Sincerely,
    Kay

  • Dear Karen,

    If a pre-hearing review of your claim file allows a fully favorable approval, you could be approved without a hearing. If not, you will get a hearing. In the latter situation, you will later get a notice that the claim has been assigned to a judge and after that, about three weeks before the hearing, a notice with the hearing date

    Sincerely,
    Kay

  • Dear Jessie,

    First, if the income tax refund was federal income tax, it is not a countable resource for twelve months. You can read about this in an online pamphlet at https://www.ssa.gov/ssi/text-resources-ussi.htm. If you were not over the resource limit (see below), you can appeal the fact of the overpayment.

    If you were over the limit and are now down below the resource limit for Supplemental Security Income (SSI), your child’s benefits can be reinstated. If not, you can use the money to live on until you drop below the limit. If you are a single parent in the household, you can have $2,000 in countable assets; the excess counts toward your child’s $2,000 limit. If you will have an overpayment, you can either pay it out of the tax refund savings or ask to have withheld in installments from your child’s monthly benefits.

    Whether or not your child is overpaid due to your work earnings depends on whether you reported your work timely while you were working and/or whether you are supporting other children.

    Sincerely,
    Kay

  • Dear Jaime,

    Quality assurance reviews are randomly applied to approved and denied claims. I would expect the review to be expedited due to your 100% disabled VA status, but I can’t translate that into how long it will take. Non-expedited usually runs two to four weeks.

    Sincerely,
    Kay

  • Dear Aidan,

    It is possible that the original posting of a decision made was an error. (There is another status specific to quality assurance reviews.) Or, it could be that you queried at a time that the system was being updated.

    Sincerely,
    Kay

  • A reconsideration medical decision can take up to five months. If the decision has been made and the claim is for Supplemental Security Income (SSI), payment could start within two weeks to a month or more after the decision letter is prepared. If the claim is for Social Security Disability (SSD aka SSDI), the payment center could take from a month to three months to get payment started.

    Sincerely,
    Kay

  • Dear Michelle,

    Different representatives express themselves differently, so it is hard to tell. “Closed” could just mean that the Disability Determination Services (DDS) or hearing office if at the hearing level has completed its work on your claim or it could mean that your claim has been denied and not forwarded to the local office or payment center for processing.

    Sincerely,
    Kay

  • Dear Latatashia,

    The online status will show your appeal being processed until the decision letter has gone out. The hearing office information is a more detailed status. The judge’s decision is in the letter writing department where a letter will be prepared and sent back to the judge for review and signature.

    Sincerely,
    Kay

  • Dear Karen,

    When your appeal is reviewed if additional information is wanted, it may be requested. Your appeal can be approved without a hearing, but it cannot be denied without a hearing.

    Sincerely,
    Kay

  • Dear Karen,

    The speed of the decision is not an indication of outcome; however, the language “working to process your benefit application” may be an indication of medical approval. If within ten days you have not either received a denial letter (or been contacted by your local office if you have a Supplemental Security Income (SSI) claim), I suggest that you contact your local office to find out whether your Social Security Disability (SSD aka SSDI) claim has been forwarded to the payment center as a medical approval. (If you are denied, please let me know by posting a comment and referencing the “benefit application” language as I am still trying to determine for sure the significance of the various language variations in the status reports.

    Sincerely,
    Kay

  • Dear Jennifer,

    With the limited context you have provided, I am assuming that you filed a claim and are looking at your claim status. If so, it would appear that the claim is in final stages of review. As one aspect of the review, the benefit authorizer will double check that the date of disability onset established in the medical approval is before the date you were last insured for benefits.

    Sincerely,
    Kay

  • Dear Joanne,

    It is hard to say. The claim could have been sent back for better documentation of either an approval or a denial.

    Sincerely,
    Kay

  • Dear Julia,

    Many Disability Determination Services (DDS) are backlogged. It could be that your son’s claim is sitting waiting for a review after the consultative examination report was received. Or a decision could have been made and the letter lost in the mail. I suggest that you call the DDS examiner who requested he see a doctor to find out the status of the claim.

    Sincerely,
    Kay

  • Dear Jaime,

    The decision is made thus far on your claim could be an approval or a denial. Your claim was randomly picked for a quality assurance (QA) review. It is neither good or bad except to the extent that it makes you wait longer for the decision.

    Sincerely,
    Kay

  • You are welcome, Ohernan.

  • Dear Tara,

    It would seem that, if you are able to, you need to go to one of the few clinics that does deal with your diagnosis, be evaluated, and get them to write up a report of their findings and complete residual functional capacity questionnaire. They might also have suggestions for your local doctors regarding you care.

    Sincerely,
    Kay

  • Dear Jennifer,

    If you were medically denied for either Social Security Disability (SSDI) or Supplemental Security Income (SSI), the other benefit will be denied also. The only exception would be if the SSDI was denied because you were not found to be disabled before the last date you were insured for SSDI, but became disabled later allowing you to be approved for SSI.

    Sincerely,
    Kay

  • Dear Kimberly,

    Initial claims take from two to five months. However, I suggest that you call the Disability Determination Services (DDS) to see whether they are waiting on anything from your child’s doctors. If so, you can follow up to get them submitted. Also you could provide the new information about the new shots.

    Sincerely,
    Kay

  • Dear Ohernan,

    You are correct.

    Sincerely,
    Kay

  • Dear Keayna,

    Be sure that she attends the appointment. If she does not, her claim could be denied.

    Sincerely,
    Kay

  • Dear Leslie,

    Replies can take a few days. I answered your first question and next one that was different. Posting the same questions multiple times does not speed up the reply.

    Sincerely,
    Kay

  • Dear Leslie,

    I suggest that you call the office to get a status. It is possible that your claim has been approved and the claim is being processed for payment.

    Sincerely,
    Kay

  • Dear LoveofCountry,

    Your onset date will depend on the date you claimed and whether Social Security approved your claimed date. I suggest that you call Social Security at 800-772-1213 and ask what your onset date is. The information should be available in your Master Beneficiary Record (MBR). Social Security benefits will begin to accrue the later of November 2015 (twelve months before your application) or the sixth calendar month after the established date of onset.

    Thank you for sharing your analysis of the language, but I think some people have reported approval after the “processing the decision” language.

    Sincerely,
    Kay

  • Dear Rashad,

    You may be asked to visit the office to provide updated financial information. After that, it can take from a couple weeks to a month or more before the first monthly payment is issued. Usually back pay is paid afterward, but occasionally it is issued first. If it is not issued before the monthly payment, you should receive it within a month after.

    Sincerely,
    Kay

  • You are welcome, Logan.

  • Dear Cathy,

    The system may have had an update going on or technical difficulty or maybe your record was being updated. I suggest trying again tomorrow.

    Sincerely,
    Kay

  • You are welcome, JML. Some clear-cut claims do go through quickly.

  • You are welcome, Jaime.

  • Dear Ann,

    The status means that no decision has been made on your claim. Either it is waiting to be worked on or documentation is being collected or reviewed.

    Sincerely,
    Kay

  • Dear Jaime,

    The benefits estimator will stay unavailable as long as the claim is pending final notification of denial or calculation and release of benefits if an approval. So, the status of a medical decision made can be either an approval or denial. You are getting close to finding out which.

    Sincerely,
    Kay

  • Dear Leslie,

    The status report you reference is just telling you that a medical decision has been made. The decision could be an approval or a denial. (Note that questions are not answered posted on this site are not always answered immediately, so please allow a few days before re-posting.

    Sincerely,
    Kay

  • Dear Donna,

    Be sure to attend the appointment even if it doesn’t make sense to you. Also work with your attorney to be sure that the judge has your recent medical records and if the Residual Functional Capacity (RFC) is old, an updated RFC.

    Sincerely,
    Kay

  • You are welcome, Daena.

  • Dear Tara,

    Apparently you got diagnosed somewhere; you can submit the records from that facility.

    Sincerely,
    Kay

  • Dear Rich,

    VA disability and Social Security disability laws are different; it is possible to be eligible for one and not the other. That said, I suggest that you appeal the denial. Request a copy of your claim file including the report from the quality assurance review. Consider hiring an experienced Social Security attorney to help you craft your appeal. When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from your back pay.

    Sincerely,
    Kay

  • Dear Ohernan,

    You are right; you cannot be denied without a hearing.

    Sincerely,
    Kay

  • Dear Michelle,

    The status report is an indication that your claim either has been denied or is a partially favorable approval. Partially favorable means either that you were determined disabled after the date you claimed or that you have been determined to be recovered from your disability and will be paid one payment for a limited period of time with no ongoing beneifts.

    Sincerely,
    Kay

  • Dear April,

    The status just means that a medical decision has been made. Soon there will be an update that tells what the decision is.

    Sincerely,
    Kay

  • Dear Thin Line,

    No decision has been made on the appeal, so no letter has been sent. If the judge wants your help in gathering the referenced additional evidence, you will be contacted by the Disability Determination Services or your local office.

    Sincerely,
    Kay

  • Dear In Idaho,

    The request for a payee indicates that your claim is being approved. The actual payment amount can vary from the estimate, but the estimate provides some idea. Monthly benefits will be paid first , followed by back pay. How long it takes varies quite a bit, but it could take as much as a couple months before monthly benefits are calculated and released and that much longer before back pay is released.

    Sincerely,
    Kay

  • Dear Guest,

    I can’t say what the employee was trying to convey other than conveying concern for how long it takes to get a decision; however, I would expect you to get a decision letter within about a month.

    Sincerely,
    Kay

  • Dear Curious,

    Approvals have followed this status report.

    Sincerely,
    Kay

  • Dear Peggy,

    The status report is an indication that you will soon be notified of the decision on your claim. Keep looking online because the decision will be posted likely within about a week. Benefit estimates continue to be suppressed as long as your claim is open and being worked on either to denial or payment.

    Sincerely,
    Kay

  • Dear Blaine,

    You have received a status letter telling you that your claim is under review; no decision has been made. Read the letter carefully to see whether you are being asked to do or submit anything. If not, then just wait for the review to be completed.

    Sincerely,
    Kay

  • Dear Les,

    The status report means that you are close to receiving notification of whether or not your claim has been approved. Keep checking online; the decision is likely to be posted within about a week.

    Sincerely,
    Kay

  • Dear Stephanie,

    You can call the Social Security Administration (SSA) at 1-800-772-1213 to confirm that the deposit represents dependent benefits for your daughter. In theory, the wife, now widow, could file a request for reconsideration if your child’s eligibility reduced benefits for other children (her children); however, being successful in such an appeal is unlikely because your child would not be paid if you had not proved relationship.

    Sincerely,
    Kay

  • Dear SLM,

    Unfortunately, great-grandchildren do not qualify as dependents even if their parents are disabled or deceased. You do not have to take the widow’s benefits now; you can leave them until you reach full retirement age.

    Sincerely,
    Kay

  • You are welcome, Victoria.

  • Dear Jaime,

    It is possible that your claim has been approved. Keep watching the online status reports. Within about a week you are likely to see the status updated with the decision. And, as a 100% disabled veteran, you have gotten a medical decision quickly.

    Sincerely,
    Kay

  • Dear Logan,

    It takes two to five months to get a decision. You can follow the progress of the review by periodically checking the status of your claim online. Just set up a “My Social Security” account on http://www.ssa.gov.

    Sincerely,
    Kay

  • Dear Lanetra,

    I don’t have answer to your question. Try checking again every day or so to see whether a status has come back up.

    Sincerely,
    Kay

  • Dear Keayna,

    I don’t know why it was suggested that you wait to follow up with the Disability Determination Services (DDS). I suggest that you call to inquire whether the DDS is waiting for anything from your child’s doctors or school. If so, you can follow up to get the requested information submitted. If not, ask if the examiner can give a rough estimate of when a decision will be made.

    Sincerely,
    Kay

  • Dear RCV,

    All indications are that you have been approved for benefits and that part of the approval is that, due to your illness, the benefits will be paid to another trustworthy person who will pay your rent, utilities, and other basic expenses before giving you cash for other less basic expenses. If you have minor children, your children may be eligible for benefits that are paid in addition to your own.

    Sincerely,
    Kay

  • Dear JML,

    Your husband will not have to go before a judge; his claim has been approved. I cannot determine how much his benefit may be. If he applied for Supplemental Security Income (SSI), the maximum federal payment is $735. If he applied for Social Security Disability (SSD aka SSDI), his benefit will be based on his earnings record.

    Sincerely,
    Kay

  • Dear Mary,

    I suggest calling to find out. If you can’t get through, be sure to go to the appointment.

    Sincerely,
    Kay

  • Dear Love of Country,

    Various visitors have shared their experience and it is becoming clear that the status report that says that a medical decision has been made and that they are”processing your benefit application” can precede either an approval or a denial.

    Sincerely,
    Kay

  • Dear Logan,

    Processing of new claims takes from two to five months.

    Sincerely,
    Kay

  • Thank you, Valerie.

  • Dear Ann,

    The letter preparation is usually completed within a month.

    Sincerely,
    Kay

  • Dear Ann,

    Thank you for sharing. The information that your attorney could get access to the type of decision after the online status said a decision had been made is helpful.

    Sincerely,
    Kay

  • You are welcome, Michelle.

  • Dear Dawn,

    After the judge makes the decision, a letter writer writes a detailed letter explaining the basis of the decision. The decision could be either an approval or a denial; usually the decision will not be given out over the phone. All you and your attorney can do at this point is wait for the letter, which you should receive in less than a month.

    Sincerely,
    Kay

  • Dear Deana,

    Your daughter’s Supplemental Security Income (SSI) benefits will begin to accrue the month after the month of application, January 2017. You should have gotten a letter by now. I suggest that you contact the local office to double-check that SSA has your correct address, to request a replacement letter, and to find out whether they need anything from you to initiate payment.

    Sincerely,
    Kay

  • Dear Lauren,

    You can start looking for a lawyer now and request a copy of your claim file. You can either file the reconsideration as soon as you receive the denial letter saying you will submit more evidence and attorney rep papers. However, it may be better to wait until you have secured an attorney, reviewed the claim file, and met with the attorney to prepare a strategy for the appeal. Just keep an eye on the appeal deadline to be sure you file on time.

    Sincerely,
    Kay

  • Dear Nicki,

    The status is telling you the same thing the hearing employee told you. A decision has been made and you will receive a letter soon.

    Sincerely,
    Kay

  • Dear Nicky,

    It sounds as if the judge made every effort to understand your conditions and limitations and also that your attorney is knowledgeable and has been proactive for you. I can’t predict whether you will be approved, but I can say that the length of time your claim has been under review is not an indication of either approval or denial.

    Sincerely,
    Kay

  • Dear Leslie,

    What kind of help do you need? We will try to assist.

    Sincerely,
    Kay

  • Dear Victoria,

    In determining whether you are disabled as an adult, Social Security looks at a combination of factors including your physical and mental limitations, your ability to perform the duties of any of your past occupations, and considering your age, education, work experience, and physical and mental limitations whether you have the ability to work in a new occupation. The older you are the more heavily age is factor. Specifically, it is given greater weight when and individual turns fifty and again when he or she turns fifty-five.

    Sincerely,
    Kay

  • Dear Brenda,

    More reports have been coming in. Now it is clear that the status in question is just stating that a decision has been made, the application is being processed to either send a denial letter or move the claim toward payment, and contact may be received from a representative. It does not reveal whether the decision is an approval or denial; it could be either.

    Sincerely,
    Kay

  • Dear Shelly,

    Some cross communication may be occurring. The online status may mean that your claim has been medically approved, yet it is still pending because benefits have not been calculated and authorized for release.

    Sincerely,
    Kay

  • Dear Jackson,

    Thank you for sharing your experience with us. I suggest that you get a copy of your claim file and review it with your attorney to help you decide whether or not to appeal.

    Sincerely,
    Kay

  • Dear Jackson,

    The last sentence may imply approval.A couple people have reported approvals after seeing this language in a status report. I have asked people to let me know if they receive a denial; but none has so far that I recall. (The same status without the last sentence has been followed with a denial.)

    Sincerely,
    Kay

  • Dear Megan,

    The payment center is understaffed and has a substantial back log of claims to process. Except for dire need claims, they are usually handled in the order received. Accordingly, the local representative was overly optimistic in citing a few weeks to get payment. If you do not receive payment by the end of January, you might ask the local office to send an inquiry to the payment center. It may not speed anything up; yet there is an off chance that calling the claim to the authorizer’s attention could move it along.

    Sincerely,
    Kay

  • Dear Anita,

    The status means that you are close to learning whether your claim has been approved or denied. The last sentence seems to indicate possible approval. If you claim is denied, please let me know referencing the status language when you post.

    Thank you,
    Kay

  • Dear Mary,

    If your husband’s work earnings are sufficient for him to be insured for dependent benefits, your child will be eligible for benefits. If so, you will be asked to apply to be payee for him after your husband is approved. If you are not contacted regarding the child’s benefits within two weeks of your husband’s medical approval, check with the local office about eligibility.

    Sincerely,
    Kay

  • YellowC4S

    I had my hearing on 21 October 2016. I call the ODAR office and am told a decision was made in November 2016 but they cannot tell me what the decision is. I call BS. Why is this?

    • Dear YellowC45,

      Hearing decisions are not given over the phone. Usually there is not such a long delay between decision and notification. It is possible that the decision letter has not been completed or has not been signed and thus is not finalized. Another possibility is that your claim was randomly selected for a quality assurance (QA) review, which would delay finalization. I suggest that you call back and ask where the appeal is in the process that so much time has passed after the decision with no letter to you. That will give you some clarity.

      Sincerely,
      Kay

  • Dear Nadia,

    A concurrent application means that you applied for both Social Security Disability (SSDI) and Supplemental Security Income (SSI). The disability requirements are the same, so both claims are still pending. Neither has been approved or denied.

    Sincerely,
    Kay

  • Dear Mary,

    I am quite certain your husband has been medically approved. It can take a couple months to get benefits calculated and authorized. You do not say when he ceased work due to his health, but the first five full-calendar months of disability are not paid. The sixth month will be paid in the seventh month because Social Security is always paid a month after the month for which it is due.

    Sincerely,
    Kay

  • Dear Steve,

    To be eligible for Social Security Disability (SSD aka SSDI) you must be both fully and currently insured, which means that you have to have a certain amount of work credits from working and paying Social Security taxes and part of that work has to be in the ten years before disability began. The date of March 31, 2011 is the date you were last insured. In other words that was the last date that you had enough work in the previous ten years to be currently insured.

    To be approved for benefits, you have to prove that you became disabled March 31, 2011 or earlier. If you think that you can do that, then it makes sense to appeal. If you haven’t already, get a copy of your claim file to see what evidence was in file for the decision and then make a list of any other evidence that you have for prior to March 31, 2011.

    In selecting an attorney, to a degree you have to trust your gut. That said, start out by contacting the state bar association for a list of attorneys in your area who focus on Social Security. Pick two or three and ask them for a free consultation regarding your denied claim. At the consultation, ask how the attorney would approach your appeal? Does he think you can win an appeal? Who will complete the forms and collect the evidence, the attorney or you? When can you expect communication from the attorney during the appeal process? When and how? Will he or she review your whole claim file to prepare the filing of the appeal? As you listen to the answers, judge how forthright and patient the attorney is and how comfortable you feel with the person. After you have done this, select one to hire.

    Sincerely,
    Kay

  • Dear Sonia,

    This response is to this post and your next one. A GAF (Global Assessment of Functioning) score of 50 is fairly low, so if the judge accepts that as evidence and accepts your limitations as claimed, I would expect your claim to be approved.

    Sincerely,
    Kay

  • Dear Laura,

    I am still trying to get the answer to your question. Some people have reported approvals after seeing the same language, specifically the last sentence; however, I don’t yet have a reliable source to confirm that is always the case.

    Sincerely,
    Kay

  • You are welcome, Megan.

  • Dear Steve,

    Your military medical retirement undoubtedly makes you ineligible for Supplemental Security Income (SSI) due to excess income. To be approved for Social Security Disability (SSD aka SSDI), you have to prove that you became disabled while still insured for benefits. If you claimed disability back to the time you left the military and proved that date of disability and continuous disability since then, you could be approved for SSDI. Benefit payment would be limited to twelve months before application.

    The status may indicate approval; however, if you are denied, I recommend requesting a copy of your claim file so you can see what evidence is in file. Then appeal claiming a disability date back when you were still insured. Support your appeal by getting the medical records yourself.

    Also consider hiring an experienced Social Security attorney to help your strategize. When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from your back pay.

    Sincerely,
    Kay

  • Dear Matt,

    I don’t know what the difference is in the two sets of language. I can say that the language likely is posted by the employee entering a code to produce set language. Accordingly, if Julius didn’t change the language slightly, the two status annotations likely mean something different from each other.

    Sincerely,
    Kay

  • Dear Katie,

    I think that your claim may have been approved. I suggest calling your local office to inquire if you do not have a letter by about January 16.

    Sincerely,
    Kay

  • Dear Michelle,

    The solicitation of the payee application is an indication your ex-husband has been approved for benefits. His benefits can be garnished for back child support. Ask Social Security where and how to submit proof of the child support that is past due. If it has been under state-administered collection, a report from you might not be necessary, but check just in case.

    Sincerely,
    Kay

  • Dear Tia,

    It could be the decision has been made and the letter is still being prepared. Or, there may be some lag time between the Disability Determination Services (DDS) making the decision and when the decision is conveyed to the Social Security Administration for updating of status.

    Sincerely,
    Kay

  • Dear Sonia,

    Time frames depend on the backlogs and workload of your particular hearing office so there’s no guarantee, but you may receive a letter within a month.

    Sincerely,
    Kay

  • Dear Kevin,

    I’d say that a decision was made on your appeal and it was randomly selected for a quality assurance (QA) review. When the review has been completed, either the decision will be upheld and you will be notified or the examiner will have to do additional investigation and/or documentation.

    Sincerely,
    Kay

  • Amanda Waugh
    • Dear Amanda,

      The judge has made a decision on your claim and you will be getting a letter shortly. The reference to the possibility that someone may contact you could be an indication of approval. If your claim is denied, please let us know.

      Sincerely,
      Kay
      Kay

  • Dear Laura,

    Your claim has been either approved or denied medically and the remainder of the work on the claim is being completed. If it is an approval for SSI, the local office may contact you for a financial update before benefits are calculated. If you are approved for SSD, your claim will be sent to a central payment center for processing, authorization and payment. You will receive award letters or a denial letter by mail.

    Sincerely,
    Kay

  • Dear Kevin,

    I would say that your appeal has been randomly selected for a quality assurance review. Once the review has been completed, either the decision will be finalized or additional review and evaluation will be undertaken following the appropriate guides lines that were previously not followed.

    Sincerely,
    Kay

  • Dear Karen,

    Percentage wise, more appeals are approved at the hearing level than the reconsideration. This could be attributable to the face-to-face interaction or to better preparation of the appeal. I suggest that you get a copy of your claim file and go over it with your attorney to discuss its accuracy and completeness.

    Sincerely,
    Kay

  • Dear Megan,

    It is starting to appear that the language you cite does not reveal the decision, that is, the medical decision could be an approval or denial. The representative saying that the claim was “closed” with a letter coming sounds like a denial. Please let us know what the decision is.

    Sincerely,
    Kay

    • Megan

      Thanks Kay! Two things I forgot to mention in my original post, 1) when I noticed the status change, I started navigating the site a little and where it said you are not currently receiving benefits and gives the option of obtaining a verification letter, when I clicked to get letter, the letter didn’t mention anything about benefits received to date just my date of birth. Is this normal when there is a claim or could it indicate the decision? Also, the reason I called after seeing the status change was to confirm they had the correct contact info because since I started this process in 2014, I have gotten divorced and have moved and have a different phone #. The rep said, let me see if I can see if anything is going on and she said, “it says verify direct deposit info”. She updated my contact info and deleted the original direct deposit info and instructed me that I can call in at any time with the new banking info or just wait. Is it normal to have a note to verify direct deposit info? Thank you

      • Dear Megan,

        A benefit letter becomes available after benefits are calculated and paid or scheduled for payment on a certain date. I do not know whether a skeleton letter appears while a medical decision is pending. Similarly, I don’t know whether the internal processing note to verify direct deposit was populated automatically upon medical approval or automatically when you gave the bank information at application, or is a manual entry indicating approval.

        Sincerely,
        Kay

  • Dear Joanne,

    Your claim has been randomly selected for a quality assurance review. When the review is complete and the medical decision finalized, the claim decision will be finalized. If the medical is an approval, non-medical factors will be reviewed. The status doesn’t reveal whether the decision before QA review was an approval or a denial. Watch the status for a change in wording that might reveal more.

    Sincerely,
    Kay

  • Dear Karen,

    Yes, that is possible, or the denial could be a medical denial. The letter will give you the reason for the denial.

    Sincerely,
    Kay

  • Dear Julius,

    Posts do not appear on the site until they are answered. Your question was posted yesterday.

    Sincerely,
    Kay

  • Dear Julius,

    Yes, the reference to the appeal rights is the sign. I recommend that if you decide to appeal, you request a copy of your claim file so you can see the exact reasons for the denial and the evidence on which the decision was made. Having the information will help you prepare your appeal so it addresses the points you disagree with.

    Sincerely,
    Kay

  • Dear Julius,

    Your claim may have been denied. Please let us know the outcome and when you do, reference the language in the status.

    Thank you,
    Kay

  • Dear Kandice,

    You should not have to file a new claim for your son. I would expect the paperwork to relate to getting benefits started on the approved claim. Payment will start in a range of two weeks to a month or more after the interview and submission of any requested documentation.

    Sincerely,
    Kay

  • Dear Sonia,

    The quality assurance review may have resulted in a determination that the decision made was not fully documented, that is, fully justified with an outline of the facts and the applicable laws.

    Sincerely,
    Kay

  • Dear Whitley,

    The status you have received reveals indirectly that your claim has been denied. The presence of estimated benefits and the reference to appeal rights are the give away. You will receive a letter with the formal decision and appeal rights.

    Sincerely,
    Kay

  • Dear Tim,

    It is more likely that the Social Security claim has been denied because the definition of disability is the same for both SSI and SSD. Or, it could be a partially favorable SSD approval to pay you for a closed period of disability (disabled and then recovered) that ended before you filed your SSI application.

    Sincerely,
    Kay

  • Dear Mz. Jaye,

    To be eligible for Supplemental Security Income (SSI) or Social Security Disability (SSD aka SSDI), you must be disabled for twelve months. During the time that you were legally blind (20/200 or worse corrected vision in both eyes) you were definitely disabled. After recovery from your surgery, you might still be disabled based on low vision. The low vision disability evaluation will be looking at whether there are occupations that you can perform with your low vision.

    Sincerely,
    Kay

  • Dear Karen,

    For Supplemental Security Income (SSI), income, assets, and living arrangement have to be reviewed to determine financial eligibility, followed by computer input to authorize payment. For Social Security Disability (SSD aka SSDI), the reviewer double-checks that you had enough work credits and were insured on the established disability onset date and, if applicable applies workers compensation benefits and any garnishments for back taxes, student debts, or child support. Then payment is authorized.

    Sincerely,
    Kay

  • Dear Jessica,

    Your claim is being reviewed to determine whether your mental and physical conditions limit you enough that you are unable to work and perform substantial gainful activity. This process generally takes from two to five months and is performed by a claims examiner in the Disability Determination Services (DDS).

    Sincerely,
    Kay

  • Dear CCDR,

    What did they say you would not be eligible for? If it was for SSI, that is because you did not file a claim. If the ineligibility was for Social Security Disability (SSD aka SSDI), then the cause of ineligibility would be that you do not have enough work credits or enough in the period before disability began for you to receive SSDI.

    Sincerely,
    Kay

  • Dear Jerr,

    For whatever reason, a medical decision has not been made on your claim.

    Sincerely,
    Kay

  • Dear Sonia,

    You can ask the hearing office what it means. It is possible that your claim was randomly selected for a quality assurance review, which resulted in a requirement for additional investigation or documentation of the decision.

    Sincerely,
    Kay

  • Dear Karen,

    The last sentence in the status may be an indication that your claim has been medically approved. When you get your decision, please let us know what it is, especially if it is a denial.

    Thank you,
    Kay

  • Dear Pamela,

    It is possible that your appeal is being reviewed for an approval decision on the record (OTR) without a hearing.

    Sincerely,
    Kay

  • Dear Ken,

    Your Security Disability (SSD aka SSDI) claim may or may not be approved. The definition of disability is the same for both Supplemental Security Income (SSI) and Social. SSI only requires that you be disabled when you applied. To be eligible for SSD, you have to prove that you became disabled while still insured for SSDI, which could be a point in time before you filed for SSI.

    Sincerely,
    Kay

  • Dear Sonia,

    Please post your question so that I can respond.

    Sincerely,
    Kay

  • Dear Jerr,

    Perhaps your claim was randomly chosen for a quality assurance review and sent back to the Disability Determination Services (DDS) for additional investigation and review. Or, the first report of the decision being made could have been an error.

    Sincerely,
    Kay

  • Dear Sonia,

    I do not have a key to all the new online status reports; however, the way it is worded, I would expect a denial. On the other hand, the claims examiner saying that the local office would notify me seems to imply an approval with additional non-medical information needed. Please let us know what the decision is when you receive it.

    Sincerely,
    Kay

  • Dear Shanta,

    You provided direct deposit information as part of the SSI application. The zero deposit is the way the Treasury Department verifies the account and sets up direct deposit in the event that your son is approved medically.

    Sincerely,
    Kay

  • Dear Brenda,

    You might try pointing out the specific information in doctor’s records that were not used and in the ones you bring that support your claimed limitations. Chiropractic evidence generally will not be requested. If any of the chiropractic notes include functional observations, such as observed “difficulty walking” rather than medical analysis, that could be helpful to point out.

    Sincerely,
    Kay

  • Dear Brenda,

    I suggest that you appeal the denial on the basis that not all the medical evidence that you submitted was considered. Cite which was ignored and how it supports your limitations and restrictions. You can also submit the missing records from the doctor who told you the wrong dates were requested. Request a copy of your claim file so you can see if there is anything else missing from the file and to see the exact reasoning for the denial.

    Also, I recommend hiring an experienced Social Security attorney to assist with the appeal. When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from your back pay.

    Sincerely,
    Kay

    • Brenda Malone-Smithler

      Thank You
      I appealed it for that reason. I had many doctors listed when I applied. I resubmitted everything that I had turned in with my application.
      I am now getting together the other doctors information. The other doctors have extensive records. The ones they chose were from almost ten years ago.
      When you apply, you are supposed to list first and last visit dates. For some reason they chose to use only the oldest records. I have quite a few that are more recent. Even my current MRI’s were within the year (getting more soon).
      If I am denied on recon., I will be getting a lawyer.

      My question still:
      Is there a reason they decided to use my records from way back when all my issues started?

      another question..Is that even legal? I know it’s not ethical =(

      • Dear Brenda,

        It is possible that the claim examiner wanted some test reports from farther back in time; however, more current records should have been requested given that you provided information that they existed. Not requesting them is not illegal and it may just have been an error or oversight.

        Sincerely,
        Kay

  • You are welcome, Marie.

  • Dear Kim,

    For a more specific status, call the hearing office and inquire. The online status for an appeal still in the hearing office is more general. You can check it, however, by setting up a “My Social Security” account on SSA’s website, http://www.ssa.gov.

    Sincerely,
    Kay

  • Dear KSZ,

    It appears that the medical decision on your claim was randomly selected for a quality assurance review, which has now been completed. The last sentence of the most recent status may mean your claim has been approved. If it were not included, the decision could be an approval or denial; but saying that you may be contacted for non-medical information implies approval. Of course, there are no guarantees until you are notified formally.

    Sincerely,
    Kay

  • Dear Marie,

    Technical review probably means that everything you turned in and all other non-medical information is file is being reviewed and the needed information uploaded to your daughter’s computer record so that payment can be authorized. The longest and most unpredictable part of that is how long it will take the claims representative to get to actually working on the claim–stated another way, how much of a backlog of claims are already awaiting completion of the technical review.

    Sincerely,
    Kay

  • Dear Cheryl,

    Yes, visitors to our site are sharing experience that indicates the status of “medical decision made” can be either an approval or a denial. The second status in your daughter’s case indicates that her claim was randomly chosen for a quality assurance review. Such reviews can occur whether the claim was set for either approval or denial.

    Sincerely,
    Kay

  • Dear Martin,

    If you were disabled twelve months before you started to perform substantial gainful activity (SGA), you will be granted a Trial Work Period, assuming you did not recover medically. If it was earlier that you began to perform SGA, your claim could be reopened and the approval changed to a denial because you must be disabled twelve months to receive benefits.

    If you have not reported the work, do so as soon as possible. If you returned to work before being off work for twelve months, I recommend not spending the Social Security benefits until it is clear that your claim will not be reopened and denied as you may have to refund the money.

    Sincerely,
    Kay

    Sincerely,
    Kay

  • Dear Cathy,

    I believe that the judge has made a decision and that the decision is with the letter writing department (not underwriting) for preparation of the decision letter. Once it has been completed, it will go back to the judge for review and signature.

    Sincerely,
    Kay

  • Dear Keke,

    If you wrote the date of the approval and letter correctly, it dates from more than two months ago and you would have received the letter by now. I think you may have meant 12/13/16. The letter could have been either a request for you to provide a financial update or if the claim was filed recently, it could have been an award letter with payment information.

    Sincerely,
    Kay

  • Dear Julie,

    You posted your prior question on this topic under a different article and, therefore, my answer appears under the other article as well. The first notices are just telling you that a medical decision has been made. It could be an approval or a denial. If it is a denial, you will receive a letter fairly soon. If it is an approval the local office may contact you for additional information to authorize SSI or to send to the payment center for SSDI authorization.

    The notification that a status cannot be provided and to check back later probably indicate that the system was having problems or was undergoing maintenance. Perhaps by now, you will have been able to view a more recent status.

    Sincerely,
    Kay

  • Dear Scott,

    A medical SSI denial almost always means that your SSDI claim is also being denied. The only exception would be if you were approved for a closed period of disability that ended before the date of your SSI application.

    If you are denied and think that you cannot work in any occupation and hold down a job, request a copy of your claim file to review the exact reasons for the denial and the evidence on which the decision was based. That will help you and your attorney tailor your appeal to the specific reasons for denial.

    When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount the attorney can charge and the Social Security Administration pays the attorney directly from the back pay.

    Sincerely,
    Kay

  • Dear Gene,

    Usually a request to apply to be payee for your children would mean that your claim had been approved. Based on that, there is a remote chance that the Appeals Council overturned the judge’s decision quickly. I suggest that you go to the local office and ask whether you were approved by the Appeals Council or the request for payee application is a mistake. If you have been approved a letter would be in the mail to you.

    Sincerely,
    Kay

  • Thank you.

  • Dear Mama of 5,

    You are the second person to report an approval so it is clear that the status just means that a medical decision has been made and that the decision could be an approval or denial.

    Sincerely,
    Kay

  • Dear Cynthia,

    A few visitors to this site have reported denials after seeing the status (“medical decision made; benefit application being processed.”) One has reported being notified of an approval, so the status is just saying the decision has been made and does not give away whether the decision is an approval or denial.

    Sincerely,
    Kay

  • Dear Krissy,

    I think that you will now see that the SSI claim is showing up as denied also. Probably the computer updates on the two claims were not made at the same time.

    Sincerely,
    Kay

  • Dear Adela,

    As you describe your son’s condition, I would expect that his claim will be approved.

    Sincerely,
    Kay

  • Dear Brenda,

    Thank you for sharing your experience. So now we know for sure that the status of “a decision has been made and your benefit application is under review” can mean a denial. I am still attempting to find out if it can also mean an approval and will post when I know.

    Sincerely,
    Kay

  • Dear Jeff,

    I suggest that you call the hearing office to see whether a letter has been sent to you. If it has, then routing to the Mid-America Program Service Center (MAMPSC) could mean approval. (Denials are typically sent to a location in Virginia.) On the other hand, if your appeal is in letter writing, the letter for either an approval or a denial is likely being prepared by the service center, as sometimes letters are not prepared in the hearing office.

    Sincerely,
    Kay

  • Dear Brenda,

    Please see my response to your other comment on this category of status.

    Thank you,
    Kay

    • Brenda Malone-Smithler

      Thank you for responding and your assistance to all of us. Can some times help keep the stress levels a little lower. =)

  • Dear Brenda,

    This is indeed new. I will be checking to find out whether this practice is approved throughout the country.

    Sincerely,
    Kay

  • Dear Brenda,

    Thank you for sharing. That is a change. It used to be that the earnings record was not available while a claim was pending.

    Sincerely,
    Kay

  • Dear Brenda,

    This new language seems to be a long way to simply say that the medical decision has been made. It seems that “working to process your benefit application” can refer to either getting a denial letter out or moving to calculation of benefits. I will be researching to see if I can get more definite interpretation of the new language.

    Sincerely,
    Kay

    • Brenda Malone-Smithler

      Thank you for such a quick response. This is my second go-round with them. Long story. I posted an update…the status has changed and now reads ‘Your Benefit Application is under review”, then also the statement “A medical decision has been made………”.
      Trying to find out what this means.

      • Dear Brenda,

        I cannot not say for sure what status means beyond that a medical decision has been made. I will post something when I have more information.

        Sincerely,
        Kay

  • Dear Michael,

    A decision was made on your medical eligibility and then your claim was randomly chosen for a quality assurance (QA) review. The QA review could affirm the decision, reverse it, or send the claim back to the Disability Determination Services (DDS) for additional investigation.

    Sincerely,
    Kay

  • Frank Eubanks

    My daughter has trisomy 21 and we currently make 4500 a month which gives us a little bit of SSI benefit. I am planning on going back to school and using my GI bill they will then pay my college and give me a BAH. The question I have is does the BAH fall under income for the SSI benefit?

    • Kay Derochie

      Dear Frank,

      If you receive the BAH as a cash payment to offset your rent or mortgage, the BAH will count as your unearned income. If it is paid directly to your landlord or mortgage company, it will still count as unearned in-kind (non-cash) income in the form of support and maintenance. The question will be whether it is considered all your income or income to everyone living in the household.

      If it is in-kind and considered to be all yours, it will not affect your daughter’s SSI because in-kind income is not deemable. On the other hand, if it is considered income to the whole household, the BAH will be divided by the number of people in the household and your daughter’s share will count in calculating her benefit. The maximum that can be counted as her in-kind support is $264.34.

      Sincerely,
      Kay

  • Mylinda

    I was told the following and dont know what it means……A medical decision has been made and we are working to process your benefit application. A Social Security Representative may contact you directly if we need any additional documents or information. Any idea what this means for me

    • Kay Derochie

      Dear Mylinda,

      The letter you received is telling you that you have been medically approved for disability benefits and that the non-medical factors of your claim are being reviewed and payment authorized assuming you meet the non-medical factors. If you meet the non-medical factors, your claim will be approved and paid. Preliminary review of the SSI and SSD non-medical factors was done before the medical review and now the final review is being done.

      For Social Security Disability (SSD aka SSDI), this means being insured for Social Security, having a payee appointed if needed, applications for minor children, and/or bank account information. For Supplemental Security Income (SSI) review of non-medical factors means review and documentation of your income, assets, and living arrangements.

      Sincerely,
      Kay

      • Claudia

        Hi Kay, I live in Texas and I started an online application for SSDI SSI in late June however I was unable to finish it due to technical problems. In the beginning of August I finally called the SSA phone number for her. A nice gentleman finished my application over the phone. He scheduled a phone interview for me for a week or two later and explained what information I would be needing. During the interview I was asked for my bank information. About a week or so I noticed a pending transaction from the US Dept of Treas SSDI for 0.00. But it went away the next day. I received two packets with health information and work history to be completed. I immediately faxed those back and confirmed that they were received. I received nothing further. I called in Oct. to check status and was told they had all necessary info. Still have not heard anything and due to the financial struggles I decided to check status again today. I called SSA and was told that I should be hearing something any day now either by phone or mail but more than likely by mail. She said for sure by the end of the month. Any thoughts? They never requested anything further from me so I’m not sure if this is a good sign or not. Thank you for your help.

        • Kay Derochie

          Dear Claudia,

          If the bank direct deposit set up occurred before you submitted the medical and vocational questionnaires, that action was not an indication of approval. The reference to a possible phone call could indicate that you are being medically approved and that the phone call will be to gather non-medical information needed to pay benefits. The reason is that medical denials are not communicated by phone. All that said, you will just have to wait and see; at this point, there’s not enough information to know what the outcome will be.

          Sincerely,
          Kay

      • Mylinda

        Hi Kay thanks for the reply, I thought it meant I was approved also but I got a letter of denial today, leaving me more confused as the ss site still says the above.

        • Kay Derochie

          Dear Mylinda,

          It takes a while for the online record to update. I suggest that you request a copy of your claim file so you can review the exact reasons for the denial and the evidence the denial was based on. If you then think an error has been made, you can appeal.

          If you appeal, I suggest that you hire an experienced Social Security attorney to assist with your appeal. When you hire a Social Security attorney, you do not have to pay any legal fees up front, and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount your attorney can charge and the Social Security Administration pays the attorney directly from the retroactive award before they send your back pay to you.

          Sincerely,
          Kay

          • Diana

            I got the same result Unfavorable over the phone. I have not received my denial. I devastated. Do I have to stay with rep I had, I feel he did not work to my benefit. I called lawyers, they do not do appeals.. Most of them. Can I get any help

            • Kay Derochie

              Dear Diana,

              It is unusual to get a claim decision over the phone. If you receive a written denial letter, I suggest that you get a copy of your claim file so you can see the exact reasons for the denial. You have the right to change representatives if you wish. If you disagree with the reasoning, as you are aware, you can appeal. Social Security attorneys do handle appeals, in fact, they handle more appeals than original claims. I suggest you contact your state’s bar association to get a list of attorneys in your state who specialize in Social Security and Supplemental Security Income disability claims.

              Sincerely,
              Kay

      • Brandon Kachmar

        My status said the same thing yesturday: “A medical decision has been made and we are working to process your benefit application. A Social Security Representative may contact you directly if we need any additional documents or information”. Today it changed to denied. It says: “if you wish to appeal your medical denial ….” So I believe the above information is incorrect and it got my hopes up just to be disappointed.

        • Kay Derochie

          Dear Brandon,

          The online information seems enigmatic at best and at times appears to be inaccurate. It is a reporting mechanism and not your actual claim record; so I suggest that if you do not receive a denial letter within a week that you call your local Social Security office to verify the status of your claim.

          Sincerely,
          Kay

    • Diana

      I had the same thing online when I checked yesterday it was dated Dec 2, 2016 today it says Our records show that an application for benefits has been filed. However, we have not yet finished working on the claim and at this time we cannot tell you whether or not benefits will be payable.What does this mean?

      • Kay Derochie

        Dear Diana,

        From comments received, I think that Social Security has changed the wording of the online status reports to be a bit more detailed. Basically, it is telling you that the claim is pending.

        Sincerely,
        Kay

  • liz

    Hi Kay
    I applied for SSD back in September and it has almost been 90 days and i have not received any notice or letter about a decision. I have checked status online and it says my case is in medical review and according to The List of medical disabilities my disease is on there and i was wondering why i have not heard anything. The last phone call was from a lady at the SSD office and at the end of the phone call asked for my banking information but again that was over a month ago and i am just curious if I should be doing something else or can I contact someone to see where my status stands.
    thank you
    Liz

    • Kay Derochie

      Dear Liz,

      Initial claims take two to five months to process. You have the information that the medical decision has not yet been made. You can call the Disability Determination Services (DDS) and ask the claims examiner whether they are waiting for anything from your medical providers that you can follow up on. If not, ask whether a rough estimate can be given on when the decision might be reached.

      Sincerely,
      Kay

    • Jennifer soto

      How you check status

      • Kay Derochie

        Dear Jennifer,

        If you applied online, you can login in with your claim receipt number to check the status. I do not have detailed instructions for you, so once you are in your claim account, browse around until you see “claim status” or some similar wording.

        Sincerely,
        Kay

  • Jackie

    Hello,

    My son is 6 yrs old and was diagnosed with Autism through an IEP at school and was referred to the South Central Regional Center where he was treated and also diagnosed. I was told to make an appointment at my local SS office to see if he can get help. I called in July and was giving an interview on Sept. 15. I later received a letter asking for more information. I sent them IEP’s, Report Cards, The teacher questionaire and letters from the regional center. I even sent them a letter I wrote explaining how my son is at home and when we go out. The reason I didn’t think it would be fair just to ask the teacher. My son is also home with me. I thought I could give my side of what I see, what he goes through. I called to check on the progress and they told me his paperwork was being seen by the dr. I guess their doctor. I’m scared they will denie him. We are entering December and nothing so far. Does the doctor having the paperwork mean a bad thing, like him getting denied?

    • Kay Derochie

      Dear Jackie,

      Review by a physician occurs in many claims and is not necessarily an indication of future approval or denial.

      Sincerely,
      Kay

  • I was approved for SSI a week ago. That day they got all the info they needed and told me that it would just be a couple of days for my check. They have told me that it was being processed so what exactly does that entail and when should I expect my check?

    • Kay Derochie

      Dear Lori,

      All the non-medical information that has been gathered for your Supplemental Security Income (SSI) claim has to be reviewed and input into your computer record and authorized for payment in the computer system. Usually, this takes longer than a couple days–more like a couple weeks to a month. If you do not have payment or a letter saying when you will receive payment by the end of the month, try following up with the local office.

      Sincerely,
      Kay

      • Anntraneace

        I recieved a email saying I needed to send my medical release form before november 26th 2016 or i will be denied i just received my email today is it too late for me to send it when the office opens Monday?

        • Kay Derochie

          Dear Anntraneace,

          Hopefully you have provided the release by now. The 26th was a Saturday, so submitting it on Monday should not be a problem unless they were saying that they had to receive it on Monday and you were planning to send it via the postal service. If you are unsure about your situation, I suggest calling or emailing to ask whether the release was received and your claim is still being processed.

          Sincerely,
          Kay

      • Carolyn

        Hi,

        It’s been almost 120 days since ALJ hearing for SSI for my child. The judge requested a medical expert opinion. In which the medical expert said that my child medically met a listing or equaled a listing for asthma. Since the hearing my child was hospitalized for pneumonia and had several visits to doctor due to regression/exacerbations. Since medical expert already agreed child met listing does this mean she will be approved for benefits? And will these other records make any difference?

        Thank You,

        Carolyn

        • Kay Derochie

          Dear Carolyn,

          The consultative examination should be enough, but I wouldn’t take any chances; I would submit the admit and discharge summaries from the hospital and the physician visit notes.

          Sincerely,
          Kay

    • Td

      Dear Kay,

      My Husband was approved for ssd and ssi on November 8th. We went to the local office and filled out all the required paperwork and withdrew his application for ssi. With my income we over qualified . On November 18th we received his approval letter for ssdi and an approval for the withdrawal on ssi. The approval for ssdi states his first benefit payment will be paid on December 28, 2016. My question here is when can he expect his back pay? Our minor child will also receive benefits, but we have not been told when that will start.

      • Kay Derochie

        Dear TD,

        Back pay and dependent benefits can take another month or two. It might be a good idea to double check with the local office that they transmitted to the SSDI payment center that the SSI application was withdrawn.

        Sincerely,
        Kay

  • SD

    The local DDS had my medicaid application with my medical evidence since September, they received my SSI application with new medical evidence on the 17th which was when I had my interview with the local social security office and a decision was made on the 18th on both claims at the same time which was a denial which I found out today. I believe they had already denied my medicaid claim and didn’t even look at my SSI claim before denying it. MY questions are: Are they allowed to decide both cases at the same time? Can they use the medical evidence from my Medicaid claim to decide my SSi claim? I thought they had different outlines and requirements.

    • Kay Derochie

      Dear SD,

      The Social Security Administration (SSA) does not take claims for Medicaid health insurance and the Disability Determination Services (DDS) does not make a medical disability decision for Medicaid. The two disability programs that SSA administers are Social Security Disability (SSD aka SSDI) and Supplemental Security Income (SSI). (If you are approved for SSI, in most states you will also receive Medicaid and after two years of SSD benefits, you become eligible for Medicare.)

      It appears to applied for SSD and SSI at different times. (I am not sure which was first.) Although the two programs have different non-medical requirements, for adults the medical requirements for SSD and SSI are the same; so it is correct that your medical eligibility for SSD and SSI was determined at the same time.

      If you disagree with the decision, you have the right to appeal and to request a copy of your claim file to see the exact reasons for the denial and to be sure all your medical evidence was obtained. If you appeal, I suggest that you hire an experienced Social Security attorney to assist with your appeal. When you hire a Social Security attorney, you do not have to pay any legal fees up front, and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount your attorney can charge and the Social Security Administration pays the attorney directly from the retroactive award before they send your back pay to you.

      Sincerely,
      Kay

  • Tiffany Washington

    Hello, Kay

    I applied for ssi for my son October 3rd of this year(2016). My son was diagnosed with rheumatic heart disease. He just recently started school 3 weeks ago due to his condition which I told the local office at the time he still isn’t in school. They still sent a teachers questionnaire. Will that affect the design they make. We are military family of a total of 8 in my household.I’m married with 6 children, my husband makes $2,483 before taxes and after taxes it’s $2,360. He receives BAH of $1194 which they take all of since we live in on post housing in El paso tx. Do they include the BAH when determining my son’s egibility. I receive $23.04 in child support for two of my child. How much will we receive a month if approved. We also have a car that he pays $486 a month as a car note and $153 in car insurance.

    • Kay Derochie

      Dear Tiffany,

      Because you live on post and the BAH is paid and then deducted for accounting purposes, the BAH is not countable income either as earned or unearned income. If approved, your child will be eligible for $733. If in the future your husband receives BAH and you do not live on post, the BAH will be income, but even then your child would be financially eligible.

      Sincerely,
      Kay

  • Casey

    Hi, Kay. I was contacted Friday, November 4th to come to the local SS office to provide a Rep Payee application for my husband and children as my husband was approved for his benefits. I have checked online for a status and on his SSA account and no update is reflecting any approval but rather still stating no decision has been made. Is this normal to not be updated even if the local SS rep said everything was processed and we should see money in our accounts within 10 days? Just getting nervous something changed.

    • Kay Derochie

      Dear Casey,

      It is possible that the online record has not been updated; I would trust the local office that your husband has been approved for Social Security Disability (SSD aka SSDI) because they would not take the payee applications for him and especially for the children if he were not medically approved. However, payment in ten days sounds very optimistic unless he was also approved for Supplemental Security Income (SSI), which is authorized out of the local office and is paid before SSD.

      Sincerely,
      Kay

    • Tracy

      Dear Kay,

      In May, 2016 my Husband applied on line for disability . In August he called to receive a status update on his claim as we had not heard anything . When he called the representative could not find him in the system. After several minutes she was able to locate him and stated his claim had not yet been worked. At that time she was going to send an email to the field office and have them contact him. He waited a couple of weeks and we looked at the website, which stated that medical information was being pulled. At the end of September we received 2 different packets to fill out. This was for past medical visits, work history and health questions . We filled thar out and mailed it the very next day. We are financially

      struggling and at the end of October we applied for ssi. We spoke to a representative yesterday to get status of disability claim. The representative said that a decision had been made and was sent to the local office. She stated that we should receive that information in the mail by the end of the month. We had called back today because since filing he has had several tests done and we have those results from the Doctor. We wanted to get the address to the local office to take those in. The representative today could not find my husband in the system. Once he did find him he was quite confused between the ssd and ssi claim. He really couldn’t answer any questions. He said that we didn’t need to take those test results in unless they request us to do so. So now I am wondering which claim a decision has been made on. They can’t seem to tell me….they will not provide the local office phone number to me. Can you tell me how I can get someone to answer my questions? Once a decision goes to the local office how long does it take them to get the letter in the mail? As of today’s date no one has reached out to us about this claim other than the 2 packets that came in the mail.

      • Kay Derochie

        Dear Tracy,

        I can provide some general information, but I suggest that your husband go to the local office to request a status on both claims. Here’s the general information: If your husband was medically approved, the local office will calculate the Supplemental Security Income (SSI) claim and authorize payment. When you are in the office, ask if anything is needed from your husband to get the SSI paid. If you are in dire straits financially (such as behind in rent or mortgage), your husband can file a dire need statement that might speed things up a little.

        Notice of medical approval for Social Security Disability (SSD aka SSDI) is sent to the program payment center for review of non-medical factors such as checking your husband was insured on the established date of disability. The payment center authorizes the SSD payment.

        In concurrent claims, SSI is paid first. Once SSI is paid, then the SSD claim will be processed. SSD back pay will be reduced by SSI paid for the months in which your husband was eligible for both benefits. For both benefits, sometimes the money comes before the award letter.

        Sincerely,
        Kay

        • Cassie Y Henderson

          I am sorry to but into someone’s question. I applied for SSI 8/12/2016. I had a Left Total Hip Replacement 11/5/2015, tried to continue to work until 8/2016 as the pain was just too much. I have complied with any and everything that Ms. Angela (caseworker) has asked of me. I went to my Dr. the 10th of the this month and was examined and had a ROM exam done. Was referred back out to the orthopedic doctor. I have severe arthritis, degenerative disc disease, chronic pain, anxiety, depression I am sure the latter due to my situation as I am only 45…I was 44 at the time of my surgery. I called Ms. Angela right away and she said that is what they were needing was as ROM exam, as well as x rays. However, I fell two weeks ago, twice, I went the hospital and luckily was just bruised and injured my arm when I tried to grab hold of something. I called Ms. Angela and my dr so they could get the records. Which Ms. Angela said was perfect as I would have more x rays at my CE. Which was Nov, 23, 2016. The nurse gave me a visual exam, and did several x rays which were extremely painful and she could tell. She was extremely nice. She put me in the closest room to her room. The Dr. came in and listened to my chest, asked me to bend my legs as much as I could which was less than adequate for normal activity (his words). He said there was no reason to ask me to kneel or try to pick something up off the floor because he knows it wasn’t possible (his words again). He asked me to raise my arms above my head, bend my head down to my chest then look up. Then had me sit, as he wrote and I cried (which I have no idea why I cried and fiddle with my string on my shirt as he wrote) Then he told me this is just a formality. Grabbed my crutch (i still have to use from time to time) and held the door open for me and I asked if they needed a urine sample and he said no not needed. and he would send his report over next week. (holiday) This is probably one of the most uneducating appt I have ever experienced. Is this a good thing or can you please give me your opinion. I was never asked anything about depression, anxiety either. (probably cause I was a cry baby) (yes I am my worse critic) THANKS AGAIN! SORRY TO BUT INTO SOMEONE ELSE’S QUESTION.

          • Kay Derochie

            Dear Cassie,

            As you describe the examination, it was an orthopedic examination to determine your physical limitation. Such an exam would not address your mental health. Consultative examinations are for evaluation purposes only and do not include treatment or health counseling.

            Sincerely,
            Kay

            • My dds caseworker called to verify income from 2001. And how about long I worked there. But she had the amounts I made, and said I should know something in the next week. Is that good or bad?

              • Kay Derochie

                Dear Cassie,

                The call from the examiner is neither good nor bad. She was gathering information needed for a decision to be reached.

                Sincerely,
                Kay

    • Christina

      My son was awarded disability ( adult with a childhood disability) he approved by the judge (fully favorable) on 10/28/2016. We still have heard nothing from our local office. I called today and they said the payment center still has him a suspended status. What does this mean?

      • Kay Derochie

        Dear Christina,

        Apparently your son received benefits before he turned age eighteen and his benefits were suspended when he was no longer a minor pending the outcome of his childhood disability claim. It usually takes a couple months after approval to get payments started.

        Sincerely,
        Kay

  • Iisha White

    I applied for ssi for my son for Autism in June. His last evaluation was from 2014 so they sent him to a CE today who did an IQ test and Mental exam. The doctor said my son was clearly autistic and also is being diagnosed with ADD and Anxiety disorder. he said he doesn’t understand how he was misdiagnosed this long. He said i should be getting a letter from ssa within 6-8 weeks. however, our DDS rep told me before the ce that his claim should be finished no longer than 24-48 hours after exam…do you think his chances are good? if so, what would next step be, I myself am receiving SSDI so they have my income information.

    • Kay Derochie

      Dear Lisha,

      The DDS representative must be quite caught up with claim reviews, but even so the decision is likely to come within two days. For one thing, the consultant has to write and submit the report. Based on the consultant’s opinion, it is likely that your child is medically eligible. If he is approved, the local office will calculate and authorize his benefits, but it is likely you will be asked to give a financial update first.

      Sincerely,
      Kay

      • Sandra

        Hi, I have been waiting on a decision on my claim since June 2016, my dds is in Birmingham , she called two weeks ago and said that it was going to review, I. Called twice since and no return call, I have rheumatoid arthritis and pulmonary hypertension I have run out of money and about to run out of insurance, I need an answer now oh by the way I am 56

        • Kay Derochie

          Dear Sandra,

          As you describe the status of your claim, a decision could be rendered within a month. You can submit a letter of dire need and that might speed things up a little bit.

          Sincerely,
          Kay

  • Karen

    Dear Kay, my attorney called me this afternoon I won my hearing!!!!! I was found fully favorable!!!!! I just want to say thank you for all your help and support with helping me understand the hearing process. THANK YOU!!!!!!

    • Kay Derochie

      You are very welcome, Karen.

  • Ben Smith

    Who makes the final decision. The Disability Examiner or the Disability Medical Consultant?

    • Kay Derochie

      Dear Ben,

      The disability examiner, who is trained in Social Security law, considers the consulting physician’s report along with all other medical information in your claim file to make the decision of whether you are disabled as defined by Social Security law.

      Sincerely,
      Kay

      • Do you know what the gross amount isthat you can make working to qualify non medical? My son was approved medically but now needs my income information. I make $17.50 a hour which my gross amount is $1400 every 2 weeks. This is my only income and I pay $723.66 for mortgage through habitat for humanity which is income based program and I do not have to pay interest on it! I have an ira with $750.00 in it and a 403b plan that I started at my job this year! I’m not getting help to pay mortgage or any of the other bills. My checks once taxes come out are always $1,040.00. I have 1 car with no car payments and my son is 7 he currently only gets medicaid. I’m a single parent. Do I make too much money to qualify? ? I haven’t sent anything in yet but was wondering what’s the amount you can make to qualify in florida?? For ssi for child

        • Kay Derochie

          Dear Brittany,

          I estimate that your son will be eligible for about $119 in month in months your receive two pay checks. In months you receive three pay checks your income will be about $500 over the limit.

          Sincerely,
          Kay

  • Robin

    Dear Kay,
    I have a question about dds. I have been in contact with my examiner on different occasions, 4 weeks ago was the last I spoke with her to update her on medical treatment. She at that time told me she was waiting on records from my physical therapist, then she was going to turn it over to a medical consultant. She received the records from physical therapy 3 weeks ago. I have been trying for the last week to get a hold of her to update her again about going to the pain clinic, she does not eturn my calls so I called the dds office today and asked if she was out of the office. They then told me she does not have my case, that it was with someone else. I do not understand why someone else has it and why I was not informed of that. Anything you can tell me I would appreciate, I am feeling very nervous and uptight now.
    Thank you for your time,
    Robin

    • Kay Derochie

      Dear Robin,

      The “someone else” may be the medical consultant the examiner referred to. I suggest that you fax the records from your visit to the pain clinic to the DDS and call DDS again and ask the person who answers the phone to give a message to the person who has your claim that pain clinic records have been faxed.

      Sincerely,
      Kay

      • Robin

        Dear Kay,
        Thank you for your response. I contacted the dds office, my examiner no longer is in that office, she transferred to a different department. They are working on finding out who my new examiner is and how far along it is. Hopefully I will hear something soon
        Thank you again for helping all of us.

        • Kay Derochie

          You are welcome, Robin.

      • Regina Silva

        Dear Kay, I am 57 and applied for disability 6 months ago, Last Thursda . DDS said my case is closed and will be sent to local ssa office and to call her back today. I did and she said. my case is still at DDS because of technical issues and to call her again in two days.
        Any ideas on what this means?

        Gina

        • Kay Derochie

          Dear Regina,

          Apparently, the representative thought that the medical decision on your claim had been finalized, but the final review of the claim resulted in some additional action being required.

          Sincerely,
          Kay

          • V.Burwell

            Hi Kay,
            My hearing was on June 30th of this year and October 28th I was found fully favorable I was told I should contact my local Social security office to bring in the necessary paperwork to update the information I had given my local social security office in the past so i did just that apparently they stated that i didn’t qualify for back ssi because i had a sufficient income and since ssi is a needs based program at the time while waiting for my hearing but I received a one time payment for the months of September and October but they told me that my SSDI is still pending at the payment processing center in Maryland but when i go on the My Social Security website it say estimated benefits and it doesn’t show the the ssdi is pending what do I do now?

            • Kay Derochie

              Dear V.,

              It can take a couple months to get Social Security Disability (SSD aka SSDI) started. If you haven’t received benefits or a letter saying when they are coming by the end of the year, you can ask the local office to send an inquiry to the payment center.

              Sincerely,
              Kay

  • Katherine Rose

    Hi Kay,

    After I had my hearing with the judge which my attorney seemed pleased with. I waited six months for a decision. I finally got a letter in the mail last month that stated Notice of Decision – Fully Favourable. I read more of this large letter that stated if you disagree with my decision, you may file an appeal with the Appeals Council. The rest of the letter just described in detail what was said in the hearing, my medical records with the judges opinions on each medical issues and their doctors and mine as well as my tests done. I immediately called my lawyer, spoke to his paralegal who I have worked most with and she had already gotten the same letter the day before. She said don’t worry about it, it means I’m approved. The next step is for them to calculate my payments for my back pay and monthly pay. I also said I now need Medicare for next year due to the changes in the marketplace, she just said they will mail me something. I found out, which I wasn’t told by my lawyer that you must be on disability for two years before you get Medicare. However, I will have almost 5 years of backpay so I’m not worried. I am worried that should I contact Social Security to have them take out $100 out of each payment for the past two years of my back pay and future payments while their calculating? Is she wrong and I’m not approved? Can you give me some clarification on what I need to do to get on Medicare by January 2017 if I am approved? I’m running out of time and need to also get a supplemental plan but first need a Medicare Card to do that.

    • Kay Derochie

      Dear Katherine,

      The letter you got is a approval letter; it is long because the law requires the judge to explain the reasons for the approval. Social Security will automatically withhold Medicare premiums for Part B Medicare. Check with your local office to find out how to enroll in part D for prescription drugs from the beginning if you want to enroll in Part D as well. Your claim along with Medicare eligiblity might be processed to payment before January 2017. If you have a dire need for medical care in January, you might try submitting a dire need statement, which might speed up the processing a little. The other thing you could do is enroll in another insurance for January as a back up; then switch to Medicare and a Medicare supplement as soon as your Social Security and Medicare is processed.

      Sincerely,
      Kay

      Sincerely,
      Kay

  • Travis

    Hello Kay,

    I filled for SSDI in April and still have not received a letter! I called SSA and the repersentive asked me a series of questions and about 30 mins later he asked me for my bank account number and routing number. I was a little hesitant however, I provided the information he requested. Did I do the right thing and what does all this mean

    • Kay Derochie

      Dear Travis,

      Please see my earlier response. You have added a bit more information in your second post including how long the claim had been pending and how long the phone interview was. I would say that probably your claim has been approved and information was requested to move the claim toward payment. Also, note that you called Social Security, so you knew you were speaking with the agency and, therefore, it was safe to provide information.

      Sincerely,
      Kay

  • Travis

    Hello Kay,

    I filled for SSDI in April 2016 I called and the SSA told me it was sent to the Social Security Determination Branch on July 15th and the requested more documents and obtained those documents on Sept 1st. I called SSA because I have not received any letter the repersentive asked me a number of questions about my children birth certificates and my bank routing number and account number. I was very hesitant however, I provided the information. What does this mean?

    • Kay Derochie

      Dear Travis,

      It is possible that your claim has been medically approved, or it is equally possible that the questions were used to determine that you were who you said you were before information was given out to you. I suggest calling the disability Determination Services to find out whether a decision has been made or the claim is still under medical review.

      Sincerely,
      Kay

  • Brittany

    I applied for ssi july 16th 2016 for my son who has adhd combined type. The lady at ssi said it was processed and approved on the 8th of august. I called back twice since then and they stated it was at local office and asked if I ever received a call. The other lady said she couldn’t give me any information until 30 days has been up from the last call made. I set up an account for social security but it days I don’t have a claim pending and not receiving benefits. Does this mean my son was denied? I haven’t received an answer yet

    • Kay Derochie

      Dear Brittnay,

      I suggest that you go to the local office because you son’s claim should definitely have been paid by now. Ask to speak to or have someone speak to the person handling the claim to find out what still needs to be done to get payment started. Indicated that it has been two months since the medical approval. If you have trouble getting the information, ask politely to speak to a supervisor who can check on the status for you.

      Sincerely,
      Kay

      • The lady at ssi told me that they couldn’t tell me anything until the 30 days were up which would be on the 15th of this month. I haven’t received a letter or anything. Just one lady at ssi told me I was approved which I believe they’re not supposed to do. I will try calling the office this week though. Thank you

      • Marie

        My son recieved his approved letter from ssi….They want me to come in before oct 20 with my check stubs….they say if I dont come in before 20th my son application will be denialed….Im going in what should I expect will they tell me how much my son will recieve and when will his medicare kick in

        • Kay Derochie

          Dear Marie,

          Your and your son’s finances and living arrangements will be reviewed. You can ask for an estimate of how much his benefits will be. Your son will be eligible for Medicaid, not Medicare. Depending on the state, the Medicaid will start automatically the month of or the month after SSI benefits start or you will have to apply for Medicaid in a state office. The Social Security representative can tell you whether you have to apply for Medicaid separately.

          Sincerely,
          Kay

      • Meme

        Dear kay ,
        My son has been receiving benefits since birth from being a preemie. He is now 2 years old. Today I received a letter from DSS saying they need to evaluate my sons case to find out if he is still eligible through medical records. He always catch every virus that comes around. My questions are .. how long will this process take? Will his SSI stop during this process? Am I supposed to call and ask questions or will the call me?

        • Kay Derochie

          Dear Meme,

          Your son will receive benefits during the review. Complete any forms that have been requested and submit anything you want to that would support your son is still disabled if you believe he is. It might be a good idea to talk with your son’s doctor to let the doctor know that his eligibility is being reviewed. The review process can take from a month to three months.

          Sincerely,
          Kay

          • Meme

            Thanks for the helpful information Ms. Kay.

            • Kay Derochie

              You are welcome, Meme.

  • Kimberly

    Hello, I applied for SSI for my son in August. The DDS only sent me a Teacher Questionnaire form for my child teacher to fill out. My child was never referred to have a psych evaluation like I see some post saying they had to. I called the DDS and she said to call my local office. My local office said a decision has been made and to wait for a letter. Is everyone referred to go through the Social Security Dept Psychiatrist? Im thinking my case has been denied because they didnt refer my son to one or is everyone different? Does that mean my son has been denied since he wasnt referred to one even though he see a Psychiatrist on a monthly basis?

    • Kay Derochie

      Dear Kimberly,

      Social Security orders an independent exam only when they judge they do not have enough information to make a decision. It is possible your son’s claim was denied, but it is also possible that an approval was made based on the reports from your child’s psychiatrist and teacher.

      Sincerely,
      Kay

  • Robin V.

    Kay,

    I received a notice with a fully favorable decision on Sept. 19 and the notice was dated 9/14. When my attorney originally filed back in 2014, they did not collect or include my banking information. Now, I am trying to get social security to update my file with my banking info for direct deposit as I have read online that I should do this ASAP to speed up payment. I have called the 800# three separate times and even went in to my local office to try to do this and have been told that I cannot do so until the payment center finishes processing my case and that I will have to receive a paper check initially. The option to enter my banking info is not visible on mySSA account online. I am confused because I have read of others adding banking info for direct deposit in between getting their decision notice and before it is finished processing in the payment center. Do you have any knowledge of this process? Is there any way that you know of that I can get this done? TIA

    • Kay Derochie

      Dear Robin,

      The only way you can get the direct deposit information added is through the local office. My understanding is that they could input the data to your record now; but if they are declining to do so, then there is nothing you can really do about it.

      Sincerely,
      Kay

  • Tammy

    My 2 year old son was diagnosed with Autism Spectrum Disorder in Aug. 2016 I got a call stating he.was approved for presumptive disability. I got a call the next day asking for information. He said that my son was non medicalapproved but not medical approve. What does this mean? Have he been approved for SSI? PRESUMPTIVE disability is only up to 6 months.

    • Kay Derochie

      Dear Tammy,

      Your son will receive provisional payments based on presumed disability. While he is receiving the benefits, his claim will undergo a full medical review to confirm that he is disabled; that is what was meant by his not yet being approved medically. Non-medical approval means that family income and resources are within the SSI limits.

      Sincerely,
      Kay

      • Tammy

        Ha Kay

        Well he was medically approved, but how much is he entitled too. Our household consists of 4 people’s. Me and my three son’s. The one that was approved medically gets 188.00 in childsupport. and his brother recieve 188 making it a totally 376 in all and my other son receive nothing. I recieve SSDI for 733. Who much SSI will he be entitle to?

        • Kay Derochie

          Dear Tammy,

          I estimate that your child will be eligible for about $628.

          Sincerely,
          Kay

  • I called today to check my status and was told it was closed today and being sent to the local office and I will receive a letter. I’m in NC. What are the chances I was approved? I saw the DDS psychologist Sept 26 and closed Sept 28. They said they got all the info they asked for so I’m hopeful but I’ve heard you almost always get denied.

    • Kay Derochie

      Dear Lisa,

      I have insufficient information to offer an opinion about whether your claim has been approved or denied. If it was denied, I suggest requesting a copy of your claim file so you can see the exact reasons for the denial and the evidence the decision was based on. If you then disagree with the decision, you can appeal.

      If you appeal, I suggest getting help from an experienced Social Security attorney. When you hire a Social Security attorney, you do not have to pay any legal fees up front, and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount your attorney can charge and the Social Security Administration pays the attorney directly from the retroactive award before they send your back pay to you.

      Sincerely,
      Kay

      • Kelly

        So I am told that I have to come out of pocket then does that mean I was denied

        • Kay Derochie

          Dear Kelly,

          I think you may be referring to your attorney’s out-of-pocket expenses such as the cost of your medical records, but I do not have enough information to know whether your claim may be approved or denied. You would have to pay the out-of-pocket expenses either way.

          Sincerely,
          Kay

  • Tosha

    I asked a question on 9-27-16 were can I find your answer

    • Kay Derochie

      Dear Tosha,

      You posted your question under a different article. Here is the reply I wrote:

      After the judge makes a decision, the decision letter is written and returned to the judge for review and signature. This is probably why your claim is back on the judge’s desk.

      Sincerely,
      Kay

  • Samantha brookshire

    Hi Kay I was approved for social security disability on August 23 2016. Today is September 28. How long before I get back pay?

    • Kay Derochie

      Dear Samantha,

      Social Security Disability back pay is usually paid within one to two months after the monthly benefits begin, which can also take one to two months.

      Sincerely,
      Kay

  • Roddrick Russell

    I want to know I went to my hearing on 8-2-16:then after my hearing they ask me to go to this doctor on ,9-8-16 I never heard of going to the hearing then see a doctor could someone tell me something.

    • Kay Derochie

      Dear Roddrick,

      It is not uncommon for a judge to ask a claimant to attend a medical examination for the purpose of obtaining more medical information.

      Sincerely,
      Kay

  • Krissy L.

    Hi Kay,

    I had a hearing back in July which I had some additional records to be retrieved. Now since that has been resolved I’m still awaiting on a decision I called last week since the judge was suppose to render on last week according to the letter she cc to me and it is still pending at ODAR. When speaking to the 800 number the lady stated the only letter she saw that was updated on my claim was a notice of payee and direct deposit information that was addressed to the law firm that represented me. Does this maybe sound like my claim is approved and the judge is just writing her decision?

    • Kay Derochie

      Dear Krissy,

      The call center and local offices have only general information about the status of a pending hearing. I suggest that you call the hearing center (ODAR). ODAR can tell you whether the judge has made the decision and the appeal is in the writing or the decision has not yet been made.

      Sincerely,
      Kay

  • blamche felto

    I applied for ssi back in july 2016 i went to see the determination docoter on 9/7\20 they told me that i would recieve a letter in mail 7-10 business days what does that mean im denied ssi benefits

    • Kay Derochie

      Dear Blanche,

      At this point, there’s no way to know whether your claim has been approved or denied.

      Sincerely,
      Kay

      • Alice McKenzie

        Is there a general time frame in which you should hear back after you submitted your first attempt for benefits?

        • Kay Derochie

          Dear Alice,

          Original claims typically take two to five months to reach a decision. You may be contacted before then for additional information.

          Sincerely,
          Kay

  • I been calling social security to see if my daughter been approved they say they can’t tell me over phone …that a letter in mail 5 to 7 buisness days …..they said they made decision. ..is that somethang new?????

    • Kay Derochie

      Dear Kaya,

      Social Security has long had the policy of not releasing claim decisions over the phone.

      Sincerely,
      Kay

      • If I go to my local office would they be able to tell me whether my child of approved or not or do I still have to wait for the letter

        • Kay Derochie

          Dear Rebecca,

          The local office will probably get notification of the approval or denial of your child’s claim about the same time that you do, so you might as well wait for the letter. If th0 local office does not contact you for a financial update within ten days of any medical approval letter you receive, then going to the office to request an update interview or calling to get an appointment for an interview could move things along.

          Sincerely,
          Kay

  • Tera

    I received a letter that stated they were holding my file because of my condition and had to evaluate my condition.. What does this mean???

    • Kay Derochie

      Dear Tera,

      To be eligible for Social Security or SSI disabiltiy benefits, your must be disabled or be expected to be disabled for twelve months. I would say that a decision is being deferred to see whether or not you will recover from your disability in less than twelve months. This is fairly common with heart attack, stroke, and certain traumatic injuries.

      Sincerely,
      Kay

      • Tera

        My disability is from having two heart attacks then I just was released for get shocked by my defibrillator because of a irregular heart beat….how likely is it to get approved for congestive heart failure??

        • Kay Derochie

          Dear Tera,

          If you are unable to work and earn $1,130 gross a month and are expected to be unable to work for a period of twelve months (past and future combined), I suggest that you file a disability claim. You can get information about filing a claim in the articles under the “Apply for SSD” tab at the top of this web page. You can start a claim online at http://www.ssa.gov or by calling Social Security at http://www.ssa.gov.

          Sincerely,
          Kay

          • Tera

            I have applied I’m in the appeal stage I was denied prior because I was unable to provide information due to being in the hospital…. I have a lawyer already…. But I called to check the status the said their waiting on information from my last visit…. I also have to have throat surgery after having tubes down my throat from being in a coma…I can barely speak…how likely is it that I’ll be approved

            • Kay Derochie

              Dear Tera,

              Please see my response to your previously posted question. As you describe your limitations, I would expect you to be approved if your cognitive and/or speech limitations are expected to last twelve-months or more including past months of disability.

              Sincerely,
              Kay

  • M Sales

    Hey, I apply for my son back in May 15, still have not heard anything. I call them they tell me nothing. It’s now September 26, I went to the office last week and was told by the manager that who ever did my paperwork at the office did not do it right and my paperwork was just floating around. Someone please help.

    • Kay Derochie

      Dear M. Sales,

      I think that you were being told that your son’s claim was not forwarded to the Disability Determination Services (DDS) for the medical review to begin. Hopefully, the claim was flagged so that DDS would know about the delay and try to prioritize the claim.

      Sincerely,
      Kay

  • Bob Z.

    Hi. In my Fully Favorable letter from the judge he recommended a review in one year but in the Notice of Award it stated that I will have three year reviews: which one is correct and why are they different?

    • Kay Derochie

      Dear Bob,

      Probably the review will occur in three years because it is likely that the review schedule is the same in all the computer records. To get more information, you might call Social Security at 800-772-1213 and ask them to look at your Master Beneficiary Record to see when your review is scheduled.

      Sincerely,
      Kay

  • Jamie K

    I had a kinda of strange court hearing yesterday. My attorney also said he had never had this happen to him in the 30 years he had been practicing. I go in front of judge, he ask me my name, social, birthday, age, and education. He then gives my attorney the go ahead to stay woth his questioning. The whole time I was being questioned the judge was messing with something in his desk drawer, making really loud noises. My attorney said he was finished worth his questions. The judge said ok did I wanna say anything else. He then said I’m closing the record. He also did not ask the VE any questions the whole time. According to the letter I received for court she was required to be there. So my question is does anyone have any idea what this could mean? He also didn’t give me any idea of how long it will take for decision. I’m so confused lol.

    • Kay Derochie

      Dear Jamie,

      If I were looking for the most positive explanation, I would say that the judge already made up his mind to approve you and it was too late for a decision on the record without a hearing. On the other hand, the judge may just have been having a bad day in court in which case who knows how your appeal will turn out. If you are denied, I would think you would have good grounds for appeal.

      Sincerely,
      Kay

      • jamie kelsey

        Ok thank you for your reply. Im really hoping for the positive explanation, but your right you never know. I just found it strange for him or the ve to ask no questions whatsoever.

        • Kay Derochie

          You are welcome, Jamie.

    • Thanh

      I have a question . I filed for ss back in march . I had a appointment with a dds doctor 8/6/16 . I call to check the status a few weeks later and was told that dds had made a decision on 8/26/16 and was sent back to the local and was advise to call my local office . Local office told be it was going threw a quality review n no payment can be made til they done . Didn’t really know that mean . But today is 9/19 and still haven’t heard anything . Does this mean I’m denied or approved . How long does quality review takes

      • Kay Derochie

        Dear Thanh,

        A certain number of claims are picked randomly for a quality assurance review, which is review to see if the decision, whether an approval or a denial, was made correctly. Given that the local office said “no payment could be made” until after the review, I’d say that the decision was an approval. If the quality assurance review agrees, you will receive benefits. Otherwise, more investigation could be required or the claim could be denied. Usually these reviews are completed within a month’s time. If you don’t have a decision by the end of September, I suggest calling again to get a status.

        Sincerely,
        Kay

        • Thang

          I called yesterday on the 22 n was told that I should receive a letter or payment by Monday the 26 September. I am so confused. But I think if I was to get a letter I would have it before the 26 . I’m guessing . Unless they wait the day of the 26 n mail the letter out or send the deposit. I just don’t know what to think anymore . I’m praying for an approval

          • Kay Derochie

            Dear Thang,

            Social Security has the policy of not giving out decision information over the phone. I can say that if you haven’t get been notified of a medical approval, it is unlikely a payment would be made. The letter referenced could be an approval or denial.

            Sincerely,
            Kay

          • thang

            I do not know how to started a new post. but Monday the 26 . I didn’t receive anything no letter no payment no nothing . but I was instructed to call back if I didn’t . so when I called I was now told that my case is still in QR and that I should hear something by oct 26 . the dds told me decision was made over a month ago . oct 26 will be about 60 days. I’m started to track of all the dates now , but I think oct 26 will be 60 days from dds decision making. what should I expect on oct 26 ? some more run around a letter or what ?

            • Kay Derochie

              Dear Thang,

              Sixty days should be more than enough time for the quality assurance review to be conducted, so hopefully, you will receive your decision by October 26 or sooner.

              Sincerely,
              Kay

              • Arani

                I had this same thing happen. 60 days passed, an agent on the phone told me that the deadline for the quality assurance review was a month passed and to contact the feild office. and my local feild office said that they didn’t know why they hadnt heard back yet from the quality review folks, and I should call back every two weeks. I’m living out of my car with my 6 year old waiting on this. Kinda ready to hear an answer. Any advice on what I can do in this situation?

                • Kay Derochie

                  Dear Arani,

                  Ask your local field office to send a notice of dire need to the quality assurance department letting them know that you and your six-year-old are living in a car and asking them to expedite the review. If you don’t get a decision in about three weeks after that, try asking your congressperson’s office to follow up for you.

                  Sincerely,
                  Kay

        • I was denied and am in the appeal process. I was told that I wad randomly picked for the adjudication team, which I was told wad a good thing. That I can be approved just by this team looking at all my medical info, and no hearing would be needed. If denied, it bounces back to me having to go in front of a judge. In so confused. I find it hard to believe that I was picked randomly to expedite a decision??? Any clarification??

          • Kay Derochie

            Dear Geri,

            The Social Security Administration (SSA) is running an experiment to try to determine whether hearing appeals should have been approved earlier by DDS. They may be selecting claims randomly for this process. SSA’s goals in this experiment are to reduce hearing backlogs and to identify areas in which DDS examiners need additional training.

            Sincerely,
            Kay

  • Tika B.

    Hello,
    So i went thru a phone interview and they assigned me to a determination worker. I recieved a letter in the mail stating i have a mental exam, due to them needing more info on my condition and i confirmed i would be going. My appointment was scheduled for tomorrow at 12:40, Today i recieved a letter from the determination worker saying not to go to the appointment because they have enough info to evaluate my condition.

    what is usually the next step?
    Do you think it will be approved?

    • Kay Derochie

      Dear Tika,

      I expect you to get a decision soon. If it is not an approval, you can appeal possibly citing the agency’s own uncertainty about whether they needed more information for a correct decision. (Of course, that could not be the only grounds for appeal.)

      Sincerely,
      Kay

      • jamie kelsey

        Hi Kay, Im sorry to post on a reply but I made a new post. At first said it was awaiting approval , but now I don’t see it anywhere.

        • Kay Derochie

          Dear Jamie,

          Your question and my answer have been posted. Scroll upward through the comments on this article till you find it.

          Sincerely,
          Kay

    • Net

      Hi?kay,
      Didn’t know how to start a news feed…
      I applied for disability for my son in April my claim was closed July 29th I went to ssi office and was told that my case was approved but I should be notified by mail. It is now going on 2 months and haven’t heard anything or received any notice in mail. Is this normal and how much longer will it take????

      • Kay Derochie

        Dear Net,

        If child’s Supplemental Security Income (SSI) claim should have been paid by now. I suggest calling Social Security to be make sure that a payment has not been made and misdirected. If no payment has been issued, call 800-772-1213 to request an appointment for financial update interview so your child’s benefits can be paid. Point out that it has been two months since approval and no contact regarding getting payment started.

        Sincerely,
        Kay

  • Kimberly Yarris

    Hello everyone I have asked a couple questions and have not received a response yet I’m not sure how long it takes to get one please help sincerely Kim

    • Kay Derochie

      Dear Kimberly,

      Your questions were answered on September 9 before you posted this inquiry. Try scrolling up until you find them. Usually questions are answered within twenty-four to seventy-two hours.

      Sincerely,
      Kay

  • Jamie

    Hello Kay,
    I’m from nc. I called to check on my daughter disability case from ALJ and they could not give me an decision over the phone but stated that it is closed and I should expect a letter from Baltimore in two weeks. Is this a good or bad sign? Thank you

    • Kay Derochie

      Dear Jamie,

      You will not know the judge’s decision on your child’s claim until you receive the letter. All ALJ decision letters are printed in the same regional location.

      Sincerely,
      Kay

      • Jarice

        My husband filed in June of 2016. He went to see a psychology doctor and he went to a consultative exam. He went to these doctors Oct. 2016 and we called and they said they were reviewing medical records. How long should it be before a decision is made to know rather or not he is approved or not?

        • Kay Derochie

          Dear Janice,

          It is hard to estimate when a review will be completed. If your husband doesn’t have a decision by the end of November, he could call the Disability Determination Services again and ask whether they can give an estimated time.

          Sincerely,
          Kay

  • Ivan

    I recently checked my disability status online and it says that they cannot process my request at this time. I can either call or check back later. When I log into my Social Security account it now shows my estimated benefits amount. A few days ago the status check gave me a response a decision has not been made and the account did not show estimated benefits. Does this mean that I have been denied and will have to request hearing?

    • Kay Derochie

      Dear Ivan,

      Usually re-appearance of estimated benefits means that the claim has been denied. If that is the case, you will have to appeal to keep the claim open. If you have been denied only once, in most parts of the country the first appeal is a request for Reconsideration. If that is denied, then the second appeal is a hearing.

      Sincerely,
      Kay

      • Ivan Carter

        The reconsideration was denied. Looks like I will be requesting a hearing. Finances are a wreck and looks like it will be another long year. So depressing.

        • Kay Derochie

          Dear Ivan,

          Do your best to stay under the care of a physician and be sure that your medical records from the time to apply for the hearing and the time of the hearing reach the hearing office before the hearing. If you do not have an attorney, it might be a good idea to get one to help with the presentation of your case. When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount your attorney can charge, and the Social Security Administration pays the attorney directly from your retroactive award before they send your back pay to you.

          Sincerely,
          Kay

      • Mrs. J

        Hello, I have a unique case. I applied for reinstatement of SSDI. I’ve been receiving provisional benefits for almost 6 months with no answer. I called yesterday because my online account showed estimated benefits again. I was told by the determination office a decision was sent from them June 23rd. The local office told me I was found disabled? Today the 1 800 number says I’ll receive my last provisional payment in September and to call back next week. The local office ( today) a different person says its at the payment center and I should get a letter by the 2nd week in September. However, wouldn’t give me an approved or denied. My online account still ( now) shows estimated benefits? What do you think?
        Mrs J

        • Mrs. J

          Just FYI, my account still shows estimated benefits. However, I’m being told that the payment center is working on my reinstatement. I will repost if this turns out to be false. In the interim don’t lose hope ( those of you whose accounts shows this). Keep your head up and fight on if you have truly worked hard and need the help from being truly disabled!

          • Kay Derochie

            Dear Mrs. J.,

            Thank you for the update; however, I do want to note that your situation is different from a pending claim when no provisional payments were made, which is the case for most people waiting for payment.

            Sincerely,
            Kay

        • Kay Derochie

          Dear Mrs. J.,

          Based on the claim having been forwarded to the payment center, I would think that the claim has been medically approved, although usually the medical decision is revealed at that point.

          Sincerely,
          Kay

      • Timm

        I had my hearing on August 23. I have had an attorney since day one.she told me after the hearing that it went very well and probably needed to get a bank account. I checked my d’s statement online today and it was showing my estimated payment. Since I didn’t check it before I don’t know if it was showing a pending status or not. My question is if it is showing a benefit amount on the statement after the hearing does that usually indicate a denial in your opinion?

        • Timm

          I’m assuming the benefit amount showed back up after my appeal was denied and had to go to a hearing. Didn’t know if it continued to show until a decision had been reached after the hearing with ALJ.

          • Kay Derochie

            Dear Timm,

            Please see my response to your first post of this date.

            Sincerely,
            Kay

        • Kay Derochie

          Dear Timm,

          Sometimes the reestablishment of the benefit estimate indicates a denial; however, posting of information in online records does not seem consistent. I’d say don’t assume anything until you actually get the letter.

          Sincerely,
          Kay

          • Timm

            Kay,
            Sorry about the double post. Thank you for your response. The statement that I was referring to I got from SSA.gov. I don’t know if that makes any difference or not. Anyway, I appreciate your time and your input. I won’t assume anything until I get the letter. Waiting not so patiently. Thanks again.

            • Kay Derochie

              You are welcome, Timm.

  • Hellen

    Hey Kay,
    I applied for ssi for my 5 year old under the category of autism. I applied in July and I called the 800number to check the status of my sons claim and the representative said a decision was made yesterday and to give it 2 weeks to receive a letter. He also asked me if my phone number was the same. Do you think this is a good sign?

    • Kay Derochie

      Dear Hellen,

      It may be a good sign that the representative asked about your phone number because sometimes there’s a phone interview after a medical approval to update the family’s financial information. Don’t count on an approval, however, because the rep might have asked on a routine basis.

      Sincerely,
      Kay

      • Charrell Smith

        I filedfor SSDI 2 months ago, my doctor filled out the RFC form and I also filled out the other paperwork in regards to my work history and all that kind of stuff. I called today to check on the status even though it only been 2 months and they told me that the decision was made yesterday. And I should be receiving my letter a question is it’s only been 60 days is that a good sign or a bad sign

        • Kay Derochie

          Dear Charrell,

          The speed of a decision is not an indication of approval or decision, but it is good that you got a timely decision.

          Sincerely,
          Kay

    • Hellen

      Hi Kay,
      About a week ago I spoke to my son dds examiner and told me she had made a decission on his case. Today I received a letter from my local security office saying they needed his birth certificate which I had took it for them. My question is that due to my sons disability he’s not able to tolerate public places. I live with him and other kids. Is it a way that I could schedule an appt to turn his birth certificate again last time I was at the social security office for many hours

      • Kay Derochie

        Dear Hellen,

        You can ask for an appointment, but you may not be able to get one to turn in a document. I suggest that you arrive at the office twenty minutes before it opens and wait outside so you are the first or close to the first one through the door. That way there should be either no wait or a very short one.

        Sincerely,
        Kay

  • Deb

    Hi, my husband had went to court on June 2016 and the judge said it would take 4-8 weeks to get his letter and it has been longer then that, however he did receive a united healthcare card in the mail. when he went to court the voco woman told the judge that there were only 2 jobs he could do. but seeing how my husband does not read or write well and can not even operate a computer that there was no real job that he could preform, SO I wondering if he has been approved since he got the united healthcare card in the mail since we havent recieved his letter yet and his attorney has no information either?

    • Kay Derochie

      Dear Deb,

      The United Healthcare card sounds like an insurance card, not a debit card set up to receive payment. If the judge finds that the information in the claim and appeal file supports you husband’s limited literacy and lack of computer skills, he is likely to be approved based on the vocational expert’s testimony.

      Sincerely,
      Kay
      ey.

      • Susan V

        Dear Kay,
        I posted my question on 8/20/16 where do I find your reply?
        Thank you

        • Kay Derochie

          Dear Susan,

          Your question and my answer are under a different article. Here’s the answer I gave:

          It is possible that the judge wanted some medical documentation that was more current than what was in file when the appeal came to him.

          Sincerely,
          Kay

  • Nicky

    Hi Kay,

    I had my hearing today I’m 32, I have degenerat disk diease and panic attacks with severe depression.
    I have been in pain management for 5 years and am on a high dose of hydrocodone and Xanax.
    I have very detailed medical recordsanf lawyer, also a letter from my pscystrist saying in disabled and gave very keep pounts and a very detailed letter to why and so fourth.
    The judge asked me the basic questions and my lawyer as well and then the judge started asking the person about job things kinda in code?
    They went from like 5000 then he would say and then hypothetical the gave a code then partial or something then it kinda got less and less. Then my lawyer came back w toleration or absents and panic and so forth.
    After he said it went well. He’s not much of a softy.

    What could all this mean to u? Approved chances to denied?

    Thanks so much!

    • Kay Derochie

      Dear Nicky,

      If the hearing got down to the vocational expert saying that there are no occupations you can perform with frequent absences and panic attacks, the judge will approve your claim if he or she decides that the medical information supports the symptoms and limitations you claim.

      Sincerely,
      Kay

      • Tony S

        Hello i do not knkw how to start a new thread… i applied for ssdi on may 17 and was told today by the 1800 that my claim was sent for Quality Review after hanging up with them i called ny case manager she would not tell me the descion that was maxe before being sent to QR.. is this a good or bad sign?? Please help!?!?!

        • Kay Derochie

          Dear Tony,

          Social Security does not give out decisions verbally, so it is routine that the examiner did not tell you the decision she made. Your claim was selected randomly for a quality review, which will either uphold the decision, overturn it, or send the claim back to the examiner for more investigation.

          Sincerely,
          Kay

          • Tony S

            Hello again sorry to ask so many questions i recieved an approval letter that says ive met the medical requirements… whats next im concerned and dont exactly know what to do

            • Kay Derochie

              Dear Tony,

              Notification of your approval will be sent to the local Social Security office and the payment center. If your medical approval was for both Social Security Disability (SSD aka SSDI) and Supplemental Security Income (SSI), the SSI will be authorized and paid from the local office; then the payment center will process and authorize the SSD. If SSI is involved and you have not heard from the local office within two weeks call the 800 number and request an appointment to provide any updated financial information that might be needed. If your claim is SSDI only and you have not provided bank account information and/or proof of your birth date, you also need to take that information and that proof to the local office, which can be done without an appointment.

              Sincerely,
              Kay

          • Hello……if they ask me to sign work release form to compute my onset does this mean i got approved.

            • Kay Derochie

              Dear Ronnell,

              The request indicates that your claim will be approved if your work activity does not preclude approval. The work could be treated as an unsuccessful work attempt or it could be lower than Substantial Gainful Activity (SGA)and not affect the onset date you claimed or if the work is SGA, it could be enough work that an onset date would have to be after you stopped working. If the last situation is the case, to receive Social Security benefits you have to be insured on that onset date in order to be eligible for benefits.

              Sincerely,
              Kay

            • aneesha

              hello kay
              i applied for my son for ssi in july he was born on july 2 he is blind legally deaf an has to have a leg amputated also have something called charge sydrome i was approve on november 17 the person who process my paystubs an income told me i should expect a letter in a week an a payment on december 1 its now december 2nd an i havent recieve either i called social security an they told me i should recieve a letter in jan cause my case was randomly selected for something please help me understand better whats going on an how much will i recieve for my son me an my son dad income together is less than 3000 a month he makes 526 every 2 weeka im on call so i barley work now

              • Kay Derochie

                Dear Aneesha,

                Your child’s claim was randomly selected for a quality assurance review. When the review has been completed, benefits will begin. Back pay will go back to August. With $3,000 gross wages per month, I estimate that your child’s benefit will be $386 a month. Be sure to report each month’s wages by the tenth of the month whenever the earnings are different from the month before. Income received in one month affects payment amount two months later, so if you report on time, your child will always be paid the correct amount.

                Sincerely,
                Kay

      • Nicky Scott

        Thanks for your reply!
        It’s been about a month now and forgot to add we had to do a video conference with a judge in Georgia, cause mine was out that day.
        But I called the 1-800 for the social security and the lady said its pending. If I don’t hear anything by December to give them a call back?
        Is this bad or good? Do you think?
        It’s really driving me crazy.
        Thanks for your time.
        Nicky

        • Kay Derochie

          Dear Nicky,

          The information you received is just a status report, not an indication of outcome. The guideline for judges to render a decision is sixty days, although it can take longer. I suggest you check again when it has been sixty days from the hearing to see if the appeal has progressed to letter writing department.

          Sincerely,
          Kay

      • Nicky Scott

        Dear Kay

        They are now sending me for a pscy evaluation even tho I’m under the care of a pscy and he wrote a note to the judge.
        Is this bad? How can one doc tell the judge my life? What do you think Kay?
        Thank you

        • Kay Derochie

          Dear Nicky,

          I think the judge wants some confirmation that your psychiatrist’s opinion is valid. There is still a possibility of approval. It could even be that the judge is trying to determine whether you are capable of receiving your funds directly and managing for your self care.

          Sincerely,
          Kay

          • Nicky Scott

            Dear Kay,

            Thanks again so much for all your input. I wish I could hire you as my lawyer lol.
            I have read that the evaluationist is not always that great and most of the time will fail you.
            What are the odds with the Info I’ve gave you and what you have seen/heard percentage wise of me winning my case?
            I have total doctor support letter, both pscy and pain management ongoing for 5 years: high dosage of medications and severe issues. I have done and said everything they have asked and have all supporting documents.
            I just don’t know what else they want from me.
            It’s very scary to have one person/doctor make a decision about your life based on one appointment.
            Thanks again Kay.
            Nicky

            • Kay Derochie

              Dear Nicky,

              I can’t give you a percentage to assess your chances of being approved. I can tell you that people who have consultative examinations do get approved; not all are denied. If you are denied, given that you have a lot of medical records, you could be successful in an appeal. If you have to appeal, I recommend you request a copy of your claim file to find out the exact reasons for the denial. Also hiring an experienced Social Security attorney could be helpful.

              When you hire a Social Security attorney, you do not have to pay any legal fees up front, and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount your attorney can charge and the Social Security Administration pays the attorney directly from the retroactive award before they send your back pay to you.

              Sincerely,
              Kay

              • Nicky

                Dear Kay,

                I do have a lawyer for my case. I contacted my lawyer because I got a letter in the mail saying they had admitted the CE exam into evidence. I asked him to look and he came back with the CE agrees you have some problems but is less restrictive than your psych opinion.
                Cause my psych wrote a full letter of support of my disability.
                So is this bad?
                Basically the CE gave me a IQ tests.
                But I’m not going for disability because I’m slow ? I’m trying because I’m in severe pain and Havd major panic and depression.
                Can you shine any light?
                Thanks so much
                Nicky

                • Kay Derochie

                  Dear Nicky,

                  Both your doctor’s opinion and the consulting physician’s opinions will be considered. I suggest that you discuss with your attorney the issue of IQ versus panic attacks and depression and ask if he can recommend any action to help mitigate the consultant’s report.

                  Sincerely,
                  Kay

    • Priscilla

      Hello. Didn’t know how to start a new post. I had a hearing with the judge on June 13, 2016. My attorney states that it went well. I have ptsd, anxiety, and depression. My attorney told me last Wednesday that the disability examiner agreed that I was disabled. Does that mean that the judge would approve my disability? And how long would it take for a decision? It’s been 60 days already. Thank you

      • Kay Derochie

        Dear Priscilla,

        You can’t be sure of the decision on your appeal, but at this point there is no reason to question the opinion of your attorney who is very familiar with your claim.

        Sincerely,
        Kay

  • Sharon

    Hi Kay – I applied for SSDI January 2016, I fell at work and broke my hip 10/2015. I went for my CE on 4/15/2016. I have a physical job as a tractor trailer driver, I have been doing it for the last 10 years. I am unable to do it now, I’m 54 years old. I received a call from my disability examiner back in June, she wanted the follow up records from my Doctor. I got them to her in 5 days. I have been calling for about 3 weeks leaving messages and can’t get her to call me back. I also go to a psycharist for depression and anxiety. I have active Crohn’s disease. I had a heart attack on 7/3/2016. My Primary care Doctor sent those records as well. I am on a bunch of meds and gets tired quickly where I have to take a break and lay down. My Cardiologist said there is “No chance for Recovery” at this time. Do you think SS is waiting to see if i get any better before they make a decision, since I have multiple things going on that prevents me from working? When the the grid rule come in as far as my age?

    Thank you,
    Sharon J

    • Kay Derochie

      Dear Sharon,

      I think it is more likely that your claim has not been fully reviewed after the more recent medical information was added to the claim. Your age and most recent occupation together with your medical conditions would be supportive of disability, but your ability to perform occupations you performed before being a tractor trailer truck driver will be considered also.

      If you are denied, I suggest getting a copy of the denial so that you can see the exact reasons for the denial and tailor your appeal to those reasons. I also recommend that you hire an experienced Social Security attorney to help with the appeal. When you hire a Social Security attorney, you do not have to pay any legal fees up front and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount your attorney can charge, and the Social Security Administration pays the attorney directly from your retroactive award before they send your back pay to you.

      Sincerely,
      Kay

  • Aris

    Hi,
    I had my hearing August 1 and felt a little unhappy. I suffer from anxiety, depression, anger and crying. I also see and hear things that aren’t there. I was told I have right side sciatica. The judge was very nice and seem to care. She was very patient and helped me remember times and dates. But at the end of my hearing she asked can I lift a gallon of juice. I told her yes but I would feel it in my back. The vibe I got from her didn’t feel good. Can lifting a gallon of water and the VE finding two jobs he think I can cause me a denial?

    • Kay Derochie

      Dear Aris,

      The testimony of the vocational expert may result in your claim being denied because you must be disabled from all occupations that you could otherwise perform if you did not have limitations.

      Sincerely,
      Kay

  • Melissa

    I filed for ssi for my son a few months ago and then he was sent to go for an evaluation. August 1st i received a call from somebody from SSA claims unit saying they need alittle information about me and my son and that she has the decision as well. On your thoughts, what do you think about this and is there any possibility that he will be approved?

    • Kay Derochie

      Dear Melissa,

      If the call came from your local Social Security office and not the Disability Determination Services, I think that your son has been medically approved and that the call you received was to update your son’s claim related to financial eligibility.

      Sincerely,
      Kay

      • Joyce

        Back in 2012 my son received benefits for a few months and then cut off due to my increased work j come . He is now 18 and I’ve applied for adult child benefits I guess and we’ve been to their doctor . I filed in April . I haven’t heard anything until today . I had a message from social security on my phone . They r closed today so I have to cal back Monday . I went a head and called number back . A decision has been made on the claim . I also went on line and it says the same thing . Do they call u if u r denied or is there a good possibility that he has been approved ?

        • Kay Derochie

          Dear Joyce,

          Your son has probably been approved, and the call is probably to set up an appointment for a financial update so benefits can be calculated.

          Sincerely,
          Kay

  • Andrew Link

    I applied for ssi back in Feb. I was told that my case reached the dds last week, how long does it usually take for them to make the medical decision? It gets confusing due to the ssa site saying my claim has a decision but then i call and they say the ssa site if wrong. should i just wait for a letter? every time i call they seem irritated with me :/

    • Kay Derochie

      Dear Andrew,

      Your claim should have been forwarded to DDS much sooner than it was. It can take a couple months or more to get the medical decision. The DDS examiner is likely to want a medical update if you have had any changes since February.

      Sincerely,
      Kay

  • Kay Kay

    Hi I filed for disibility for my 8 year old who was diagnosed with ASD, anxiety, ocd, tourettes syndrome back in May. While I was applying in the office the lady gave me all the paperwork afterwards that had all the info from where I filed. The top page was a paper from the social security administration that stated my son may be qualified for benefits and that I needed to schedule an appointment to file. I found that very strange due to the fact that I was there filing. Is this something normal? Or does this mean my son will qualify for benefits?

    • Kay Derochie

      Dear Kay,

      The paperwork you got seems to be mixed up. I would have expected for you to get a claim receipt showing that you had filed a claim. The papers were likely computer generated and the representative may have hit the wrong automated choice. Nonetheless, I suggest that you double check that the claim has been filed and is pending in the Disability Determination Services.

      Sincerely,
      Kay

  • Madeleine Bergeron

    Hi! I applied for SSDI in early May and received a function report and work history form I filled out both and returned them
    I spoke with the DDS worker recently and was told that my case was being packed up. I called the main 800# and that nice lady said letter was mailed and I should get it by Aug 2, 2016. Meanwhile my social security is all back together but still states I do not current receive benefits. Is this an indicator of denial? Thanks for your immense amount of information!
    Madeleine

    • Kay Derochie

      Dear Madeleine,

      If by “all back together” you mean that estimated benefits are showing, your claim has probably been denied. Usually benefit amounts don’t show while the claim is pending; and then when payment is being released, exact amounts and dates show.

      Sincerely,
      Kay

      • Nikki

        I filed for social security in 2007, after being involved in a pedestrian/motor vehicle accident in late 2006. I was denied right off the bat, so I decided to get an attorney well long story short, after years of dealing with incompetent and bias doctors, a surgeon who commited fraud and is now in prision, a lawyer who lost my file, and a bias judge who in his defense was not given enough info to make a good decision to a judge who was seems to have me confused with someone else I am extremely frustrated to say the least.
        Now, I have a much better attorney, and with his help I refilled (because my last attorney let the time run out to do so) and am appealing that denial, which I received Dec 2014.
        I was told my apeal would take between 12 and 15 months, it has now been 18 months and both my new attorney and I have been calling to figure out what is going on, but just keep hearing it’s pending.
        Then Friday I finally hear something positive, I think. I have called both the review board in Falls Church VA and the 1 800 number for social security, but I always get a different answers, one says pending, the other says under review. Then the other day the lady told me it said pending, and I explained how long I had been waiting and asked how much longer I can expect to wait. She then told me she would send an email, which she did, but was having issues and suddenly says “favorable, what, I didn’t put that there, let me try again” She said she had never had that happen before, of course I said “it’s because that’s where it should be” and after 3 tries it kept moving her to the “favorable” file. We discussed it for a while, but she said she couldn’t tell me for sure it was favorable because the other still said pending. Have you come across this before? Doesn’t that seem to be a good sign that it has been approved? Why else would it pop up favorable?
        Thanks
        Nikki

        • Kay Derochie

          Dear Nikki,

          Unfortunately I can’t help clarify the inner workings of the Appeals Council’s computer programs, especially when the representative there could not explain what she considered to be an anomaly.

          Sincerely,
          Kay

      • Brenda Carter

        So, I guess I will get a denial letter also.. My information is showing up and they have made a decision but I haven’t received a letter

        • Kay Derochie

          Dear Brenda,

          That could be the case when benefit estimates appear again with no specific payment date. If it turns out that you are approved, please let me know.

          Sincerely,
          Kay

    • Kevin

      Kay. I filed for Sadi in May. Received 2 calls on medical and clarified a few things. Then a few weeks ago received call about work history. I answered questions wrong I spoke of responsibilities not activity. She called a week later and we clarified what she was looking for. She send me new work history forms. I completed and called Thur and asked if I could attach a detailed work history/description. She said oh that’s great. She said attach, sign each page and put claim # in. I faced everything by noon Thursday Aug 4. I called Friday Aug 5 and was told we have everything, a decision has been made and you will get letter. They did not tell me decision.
      I looked at the original form I sent and realized the mistake I made. For standing, sitting, walking and all activities I put down 10 hours a day. They wanted an exact hour breakdown by day. It was obvious to me why the calls and requests.
      What do you think? It sounds like the activities were critical to their decision.

      • Kay Derochie

        Dear Kevin,

        I suggest that you wait for the decision letter because it is too late now to correct the record. Even though you made an error, the job description you sent may have been sufficiently clear. If you are denied and appeal, you can correct the information at that time.

        Sincerely,
        Kay

  • Jenn

    I went to court for Ssi this past Thursday. She asked my attorney when my date of onset started since he didn’t come up with one she said she would. I’m assuming that’s a good sign? Then the vocational expert gave three jobs I could do and the judge asked if I could miss work once a week and still perform the job and he said no n that’s another good sign? I’ve been fighting for five years n that was my second court hearing. I’m stressing. Does it sound promising with those couple things I mentioned.

    • Kay Derochie

      Dear Jenn,

      The information you shared sounds promising for an approval.

      Sincerely,
      Kay

      • Jenn

        Thanks for your feedback. I will keep you posted.

        • Kay Derochie

          You are welcome, Jenn.

      • Jenn

        I received a call from my attorney today saying I was approved but they changed my onset date to Jan of this year. I’m not going to fight it. I’m just going to take what they give me. How long should it be before I start receiving my benefits and the back pay? My hearing was on July 21st so it seems to be moving fast. Thanks again for your help.

        • Jenn

          Also I have a 2 dependent that’s not receiving benefits and my spouse will they get something too?

          • Kay Derochie

            Dear Jenn,

            If your Family Maximum Benefit (FMB) is more than your own benefit, your children will be eligible for benefits. Your spouse may be eligible if he or she is age sixty-two or has a child of yours under age sixteen in his or her care and is not earning too much to receive benefits. Your dependents, if eligible, will be paid for the same months you are. (See my response to your first post).

            Sincerely,
            Kay

        • Kay Derochie

          Dear Jenn,

          The only back pay you will get will be for July 2016 and maybe August 2016if they do not process payment much more quickly than usual. The reason is that Social Security Disability (SSD/SSDI) is not paid for the first five full-calendar months of disability (February through June). If you were approved for Supplemental Security Income (SSI will begin) January 2016 if your disability date is January 1, otherwise SSI will begin with February. SSI will take from a couple weeks to six weeks to reach payment. Social Security is likely to be a two-to-three-month wait.

          Sincerely,
          Kay

  • L

    My claim was initially denied based on SS not using my diagnosis of inflammatory arthritis. I have been diagnosed with PA and have been seen regularly. The case file showed at a stage for light work, but not at sedentary? I filed the appeal myself, with an assessment (time/work restrictions) filled out from my physician showing less than 6 hours per day work approved and that I would miss many days per month due to imflammatory arthritis and others. I was told by an attorney that he would take my case but it would be at least 2 years to wait on approval and he has terminal people being denied and passing while waiting for their hearing. I work up to 15 hours per week, as able and have documentation from that employer, out of my field that I miss work, can’t work a regular scheduled and that they allow me flexibility with hours and allowed work because of my health concerns. The attorney wanted me to stop that and since I am used to making much more working in nursing the past 20 years, and on decent days when I can send a few emails out or a coupon out, and with the potential that he said it would be a 2 year wait if denied at recon…..I wasn’t going to quit a position that I can go without working when I need, work as I am able, and they completely understand and it’s always less than 15 hrs per week…..no where near the max SGA! I just decided to do the recon without the mentioned attorney, but still feel like with an attorney flat out saying they are denying terminal clients, leaving people to die waiting, my guess is even though I have been unable to work full time for 2 years this recon will be denied? My letter online just says there was no increase this year, it doesn’t list me as having an amount, and I check the status and it says all the time to check back. Recon was sent in 5/31, any advice?

    • Kay Derochie

      Dear L.,

      Get a statement from your current employer that lists the special accommodations that you are getting. If “diagnosed with a PA” means a physician’s assistant did the diagnosis, try to get evaluated by a physician, preferabley a rheumatologist, both to confirm the diagnosis and to get a statement regarding your limitations.

      Sincerely,
      Kay

      • L

        Diagnosed with Psoraitic Arthritis, already see a rheumatologist, but my primary Doctor completes forms; specialists here do not. Employer sent in a letter with appeal. Any thoughts?

        • Kay Derochie

          Dear L.,

          I suggest getting your rheumatologist records and submitting them.

          Sincerely,
          Kay

      • Rhonda

        Kay,
        I called the National Social Security number in June and found out that my son was Approved April 28, 2016 for SSI benefits. The initial clam was started December 2015. I have not received an award letter, phone call or anything from my local office. I was told that the only person who could help me was the case worker who’s phone is set on do not disturb and even though she says she will call back in a couple of days on the voicemail message she doesnt. I have left her several messages over the last month and still nothing. Is this normal? Is there anything else I can do? I don’t want to have to wait for hours in the office since she probably won’t be able to meet with me as a walk-in.
        Thanks, Rhonda

        • Kay Derochie

          Dear Rhonda,

          I suggest that you go to the local office and be there fifteen minutes before they open. You should be seen in about a half hour that way. when your number is called ask to speak to a supervisor because you were medically approved for SSI three months ago and have yet to have a financial update interview or to receive payment and your calls are not returned by the claims rep. in charge of your claim. Be calm and courteous, but simply don’t leave until a supervisor or manager speaks with you.

          Sincerely,
          Kay

    • Vivian Gorman

      Hi Kay my hearing with alj was June 22 it’s now July 21 I haven’t heard anything yet but was wondering if you could maybe give me hope I’m 50 years old I have spinal stenosis, fibermyalgia, detering disc, depression buldging/ herniated disc I had a lawyer what are my chances of winning case?

      • Kay Derochie

        Dear Vivian,

        I have insufficient information to predict the outcome of your appeal. You might ask your attorney for his or her opinion. The guideline for getting a decision to you is sixty days, but it can take longer.

        Sincerely,
        Kay

        • Vivian Gorman

          Hi Kay I was told today it went to the underwriter and I should hear something in about 3 weeks. I hope it’s good news since my last facet block injection I have been having pain down my right leg like numbing pins and needles can’t sit or lay down with our some kind of pain. Thank you for getting back to me.

          • Kay Derochie

            You are welcome, Vivian.

  • Suzanne Smith

    If my estimated earnings are visible again does that always mean a denial? I was told a descison was made on July 11. I checked on My SS and it has my estimated earnings again. Is that for sure a denial? Anyone else able to see earnings again and was approved. Thanks.

    • Kay Derochie

      Dear Suzanne,

      The online information going back to estimated earnings does not seem to reliably reflect the decision. I suggest that you check with your local office for clarification if you do not have a letter by July 20.

      Sincerely,
      Kay

  • brad

    I have a question. I have been waiting for an answer from seeing the judge over six months ago. my case says it closed on Friday the 1st of July and now I have my estimated benefits showing up online again. Also there is a letter saying I’m not receiving benefits like it always did. when I click on generate it doesn’t say I’m getting or not getting benefits. I’m just curious if this is good or bad since the letter still says not receiving and I have estimated benefits if I become disabled today.

    • Kay Derochie

      Dear Brad,

      I can’t say for sure, but I think that the hearing decision may be a denial because estimated benefits show again online instead of a pending claim. Please let me know if that is not the case and you are approved.

      Sincerely,
      Kay

      • K

        Hi..sorry, couldn’t find a link for a new comment. My husband had hearing on June 17. VE answered no to two hypothetical questions…both for light work, his RFC is for sedentary work. ? Learned that his file is with a decision writer and may be going back to the judge this week. ODAR rep said to call back at the end of the week…which is four weeks from his hearing date. Do ODAR reps reveal decisions over the phone? Is the quick review more likely to be a denial or approval? How much weight will the VEs testimony carry? Thank you for your time. K

        • Kay Derochie

          Dear K.,

          ODAR representatives will not tell you the decision over the phone. How long the decision takes is not an indicator of approval or denial. The vocational expert’s testimony is quite important. It is possible the VE couldn’t locate any sedentary occupations that your husband was qualified for, so the testimony was about light occupations.

          Sincerely,
          Kay

          Sincerely,
          Kay

          • K

            Thank you very much Kay for your response.

            In your opinion and experience, with the VE’s testimony of no with a higher than sedentary RFC for his qualified jobs, could it be an approval?

            Have you seen cases where the VE said no, but the case is denied based on other work available to the claimant?

            Thanks again for your time.

            K

            • Kay Derochie

              Dear K.,

              As indicated in my previous response, it is possible that the VE looked for sedentary occupations and could not find any given your husband’s educational and occupational history. If that is the case, his claim would likely be approved. Absent other vocational documentation in the claim file, the VE’s testimony is governing regarding the claimant’s employability. While a circumstance such as you describe could occur, I have not seen it.

              Sincerely,
              Kay

          • K

            BTW, he is one month shy of turning 51. If age comes into play with decisions.

            Thank you.

            K

            • Kay Derochie

              Dear K.,

              Age is considered in determining whether a person can work in a new occupation.

              Sincerely,
              Kay

          • Tammy Konjer

            Hello i have a question about ssi… i applied for my disabled daughter who has adhd,odd,panic without acrophibia, depression and is learning disabled and mood issues she is a year behind in school because of her disabilities she was denied her first time so i appealed it and its been over a year but yesterday I received a letter saying they are reviewing the case to see if they can give it a favorable decision instead of going in front of a judge… does that mean there is a high possibility she will be approved the school said that she would not do very good on her own and she is 17 and she don’t understand things very well anyways hope u can help me thank u for your time…

            Tammy

            • Kay Derochie

              Dear Tammy,

              Your daughter’s claim has had a preliminary and limited review in which the claim was identified as having characteristics that might allow an approval without a hearing. If her claim cannot be approved based in the information in file, she will still get a hearing.

              Sincerely,
              Kay

  • Karen

    I received a voicemail from Social Security this morning informing me that I should file a claim for benefits for my minor child right away. Does this mean that my SSDI claim has been approved? I returned the call, but have yet to receive a return call.

    • Kay Derochie

      Dear Karen,

      Unless the children’s father also has a Social Security claim pending, yes, I would say your claim has been approved medically.

      Sincerely,
      Kay

      • Lauren

        I have a question…I became disabled in Jan.2015 and applied then for both Ssi and ssdi. I spoke with someone who told me I had enough credits for ssdi and what my income would be. In December 2015 I received a letter of approval for ssi stating that I was owed back payment and medical review is in 3 years. I’ve been receiving Ssi since then. Today I called to check on ssdi and was told it hadn’t been approved yet and was currently under the review board. Is this normal ?

        • Kay Derochie

          Dear Lauren,

          Claims are picked randomly for quality review, but usually the review is of the medical decision and would hold up both the SSD and the SSI claims. While it is possible that a quality review is being conducted of the non-medical, final payment authorization, too much time has passed, I suggest that you contact your congressperson’ office, explain the situation and delay and request that they follow-up on getting your SSD payment started.

          Sincerely,
          Kay

          • Lauren

            So if I’ve been approved for SsI does that mean my SsDi claim will ultimately be approved? They said the ssdi is still being reviewed and was sent from the DDS on 6/22, and has been sent to some office for a review of sorts. I’m just so frustrated.

            • Kay Derochie

              Dear Lauren,

              Usually the medical decision for SSI and Social Security Disability (SSD/SSDI) is the same when claims are filed at the same time. However, if you were no longer insured for Social Security when you filed your claims, it is possible to be found disabled on the date your filed your claim but not earlier when you were still insured. So the SSD could still be pending.

              If you have been receiving SSI and then applied for SSD due to becoming insured recently, the medical review will be of your condition now. You could be approved for SSD and continue to get SSI, or it could be determined that you are not disabled, which would result in termination of your SSI benefits. If you get an adverse decision and you disagree, you can appeal.

              Sincerely,
              Kay

          • Lauren

            I applied at the same time for both benefits, I’m just really confused.

            • Kay Derochie

              Dear Lauren,

              Then the first paragraph of my prior reply applies to your situation.

              Sincerely,,
              Kay

          • Lauren

            My SSI benefits were suddenly stopped six months after being approved, I was told review would happen in 3 years. I didn’t get a letter or explanation.

            • Kay Derochie

              Dear Lauren,

              Go to your nearest Social Security office right away to find out why benefits were stopped. Some sort of clerical error could have been made. If there was a decision to suspend or terminate your benefits, you have the right to receive a written notice and for sixty days after that the right to appeal.

              Sincerely,
              Kay

          • Shell

            Hello Kay I didn’t know how to ask you a question so I had to hit the reply button, sorry. I received a medical approval letter for SSDI but when I go to the websiite and click check my status, it doesn’t say I was approved it still says “We are still examining the medical part… I also called the number and the number says the same thing as the letter. Which is correct? Thank you!

            • Kay Derochie

              Dear Shell,

              The written notification should be correct. Apparently, the online record was not updated. The call center at 800-772-1213 would be looking at the online records to respond, so they would say the same thing.

              Sincerely,
              Kay

      • Mel

        Kay,

        I applied for disability at age 19 for bipolar disorder and was denied, never pursued it further.
        I am now 28 and have applied agaon for bipolar disorder, depression, anxiety, etc.

        I spoke with my DDS examiner who told me she would have a decision in a few days, and was in the process of completing a MIRS.

        My question is, why would she be completing a MIRS if I’m not on disability? Isn’t that only for continuing disability benefits? I’m so confused and I don’t know of this is a good sign of approval or not.

        Thank you,

        Mel

        • Kay Derochie

          Dear Mel,

          What does the acronym MIRS stand for? With that information, I may be able to respond.

          Sincerely,
          Kay

        • Tonya Caines

          Hello Kay. I’m sorry I couldn’t find a link to post a comment, so I had to hit reply instead. I’m 37 yrs old and have been fighting for my ssdi for about 3 yrs. I have crippling scoliosis, seizures, depression, anxiety, and PTSD. I went for my hearing on June7, then the alj sent me for a psychiatric evaluation July22, & the only thing I’ve heard since then is, my lawyer and I received a letter stating he received my reports for the evaluation and was reviewing them. Do the alj send claimants to an evaluation after their hearing often & do u know if it’s a good or bad sign? Thank u so much

          • Kay Derochie

            Dear Tonya,

            I do not have statistics on the number of exams judges order, but it does happen occasionally. It is a good sign in that the judge is looking carefully at your appeal. Whether or not it contributes to an approval of your claim will depend on what the consulting physician found and reported.

            Sincerely,
            Kay

  • Lenny

    If I apply for SSD online and SSI and RSDI a few months later, How many decision notices/letters should I be receiving in total?

    • Kay Derochie

      Dear Lenny,

      You would receive two letters each for SSD and SSI–one medical and one award letter with payment information–and one for the retirement benefit. (RSDI refers to the entire Social Security Insurance program of retirement, survivors, and disability insurance.)

      Sincerely,
      Kay

      • Aminah Majied

        What would the bold print titled letterhead read at the top of the notice regarding my SSD decision? Would it be: Social Security Disability or Social Security Disability Insurance?

        • Kay Derochie

          Dear Aminah,

          The header across the top for Social Security Disability award letters that provide payment amounts is usually “Retirement, Survivors, and Disability Insurance.”

          Sincerely,
          Kay

          • Aminah Majied

            What if it wasn’t an award, what would the header across the top read if it was a denial notice for SSD benefits?

            • Kay Derochie

              Dear Aminah,

              The header would be the same.

              Sincerely,
              Kay

      • Lisha Fields

        Hey Kay. Need your help. Had to jump on here. Need support. It’s certainly the most trying anxiety filled feature in my life. I suffered bilateral ankle fractures, comminuted calcaneal. recommended bolts, plates , but the ortho chose to put me in full cast, heal wrong, then do reconstructive sometime later. six months later, I’m finally walking again with a Walker, after months no weight bearing in a wheelchair and ortho boots in a nursing home. I’m 39. There’s also a depression, major, noted. I applied October 2015, denied February, 2016. They say, “although we don’t know what your previous work was, we believe u can do other work”. I felt that was an irrational conclusion to a false understanding of my condition and work history. I appealed immediately. Since, I’d become so desolate, never dependent before, I need my ssdi just to make it to the doctor and try to have surgery to then start to try to live again. I have severe functional defects in walking, standing, must keep elevation in my lower extremities, can’t go to a grocery store without serious aid in travel. My question, why, did they question my work history, when 1.06 in musculoskeletal listings of impairment, this is classified, and is a major joint. I’m approaching September, 12 months since it happened, and, finally got in touch with my adjudicator, and, seems like they are missing the fact it’s been 12 months almost bcz this is July, and it’s a listed impairment, and, I just don’t see the need to get to step 4 and 5 re work history. Last time I talked to the adjudicator supervisor, she said they had their doctors sign off on it, and it would b out of their office by Friday, July 1st. Sent back to the local office? Should I get an approval? If so, when will I receive anything? Do to hardships, how can I speed this understanding if i will get it, and then receiving of benefits up?

        • Kay Derochie

          Dear Lisha,

          The events as you describe them would point to an approval, but there is no way to know until you get the formal decision. It can take a couple months for Social Security Disability (SSD) to be paid and longer if you are also approved for Supplemental Security Income (SSI). If you are eligible for SSI, it will be calculated and authorized by the local office before the SSD. The SSD back pay will be reduced by SSI back benefits paid for the months you were eligible for both SSD and SSI. When you get an approval, you can submit a dire-need statement to the local office, which may speed up processing a little bit.

          Sincerely,
          Kay

  • Melissa Ortiz

    I applied for ssi for my 2yr old son that has Autism a speech disorder and a sensory disorder. My son recieves ABA OT and speech therapy. I applied June 13 2016. Yesterday i recieved a letter say he was approved for SSP and that his SSP bennifits will start in July and also another letter saying he was approved for Medicaid. Does these mean he was or will be approved for SSI? I’m confused i think its to soon to be approved what does this all mean? Thank you.

    • Kay Derochie

      Dear Melissa,

      Sometimes State Supplemental Payments are payable when federal Supplemental Security Income (SSI) is not payable because family income is too high. You should receive formal notification of SSI approval or denial or denial soon. If you do not receive anything within a week or ten days, I suggest that you check with the Social Security Administration to get a clarification.

      Sincerely,
      Kay

      • Melissa Ortiz

        Thank you Kate for your reply.. My son was approved for both SSI and SSP i did not think he would be approved so quickly. Maybe his case went so smoothly because i had all the documents and he was diagnosed 8 months ago there was a long enough paper trail. Ty

        • Kay Derochie

          You are welcome, Melissa.

  • LaQuitta

    Hi im anxiously awaiting another response from the courts after a second denial and a hearing. I feel like i’m losing my mind . Im fighting a losing battle with all the illnesses i have . In the last letter that I received from ssid it stated that I could work up to 20 hrs doing customer service work. Example working on the computer. I had experience doing that type of work over yrs ago. Now I cant sit or stand for long periods of times. It hurts when I try to was to dishes. So I dont. If the doctors state that you cant work or that you will need a break to lay down at least every mins, who is going to hire a person of that statue? The medications that I take have made me fall asleep while I was attemping to drive . So its either Im up three or four days and nights at a time and then all of a sudden the meds finially decide to drop down on me at once and work. I can no longer function like this! Im miserable -which is makikng my family miserabe. I wish I were dead most days. The illnesses that I have are not the type of one that impare the way you look. So WHAT!!!! I dont LOOK like there is nothis wrong with me . Im so tired of Life at this oint , i just wanna take my meds and sleep it all away. Then I take the meds and of course they dont work when I need them too, Who are the judgeds to say who is disablabled? Most times I dont remember the last few hrs , let alone my age and what I had for dinner last night . IM TIRED OF THE STRUGGLE

    • Kay Derochie

      Dear LaQuitta,

      If you are not getting help from a mental health professional now, doing so might help some. Also, you might try to find a support group for individuals with chronic pain. Sometimes being with people who have the same experience can help.

      Sincerely,
      Kay

  • J

    Dear kay
    I called the office to ask about status of my claim and I was told I was favorable approved, the next day I received the notice I was approved for the medical part and to wait to see if I got approved for the nonmedical..Its been a month and I haven’t heard anything yet…how long should I wait for the second notice?

    • J

      I applied for ssi and when I called the office i got transferred to a person who told me to send my bank statements.Im also worried they might not have received my bank statements because I send them from my home mailbox.

      • Kay Derochie

        Dear J.,

        Call the office and ask whether they have been received.

        Sincerely,
        Kay

    • Kay Derochie

      Dear J.,

      It is not uncommon to wait two months for Social Security benefits to start after an approval. If you were also approved for Supplemental Security Income (SSI), which is processed to payment in the local office, you should contact the office now to follow up.

      Sincerely,
      Kay

      • J

        I applied for ssi and its been a month since I mailed my bank statements

        • Kay Derochie

          Dear J.,

          I suggest that you call or visit the office to find out whether your statements were received because you previously expressed concern that they might not have reach Social Security. Hopefully, you mailed a copy or kept a copy so you can resubmit them easily if you need to. If they have been received, you can inquire how much longer it will be before payments are authorized and whether anything else is needed from you.

          Sincerely,
          Kay

  • len

    Hello, my question is that I’m confused I haven’t received a letter or call about being approved for ssdi or ssi, but yet thevlhuman resources office called me about a medical statement about not being able to work( which is required and has nothing to do with SSA) but she also told me that I had a begin date for ssdi in march and I’m listed as disabled. She said it will go into avopen status when ssa has completed your file I called the local office and they said my claim is still being worked on. Can you explain this? I’m wondering if you heard this happening before. Thank you

    • Kay Derochie

      Dear Len,

      It is possible that you have been medically approved and the portion that is still being “worked on” is a final review of your insured status as related to your established date of disability and authorization of payment. You might call again to try to get clarification of where your claim is in the overall process.

      Sincerely,
      Kay

      • heather diharce

        Hi my name is heather I suffer from neuropathy I’m only 30 I have the past 8 years of medical files showing everything mri findings etc the dds scheduled me with two doc appointments the physical doc appointment said he was recommending I b approved I have all the medical files he needed for his approval decision then they sent me to a mental exam he said I have slight depression which is normal for some one my age (30)my pain limits me. I also lack education badly I’m now unable to stand or sit for more then a few minutes at a time I called dds today she said my case was sent back to local office and was closed with her so I called local office they said they were typing letter and will send it out today but wouldn’t give me a answer I suffer from much more then neuropathy I also have degenerative disk disease arthritis tendinitis etc with your knowledge do u feel it will b approved?

        • Kay Derochie

          Dear Heather,

          I cannot say for sure, but letters generated from the local office are not usually medical denial letters. The letter could be requesting bank account information or other documentation to process a medical approval.

          Sincerely,
          Kay

  • Laura

    Dear Kay,

    I have been out of work for several years. I also have medical conditions that have fallen within the guidelines of being deemed disabled, yet have been denied in the past. I am currently on HIP (Healthy Indiana Plan) for my medical issues. Today I received a letter from the state of Indiana that declared me “medically frail”. Will this help me to receive SSI and/or SSD?

    Thanks,
    Laura

    • Kay Derochie

      Dear Laura,

      I would think that a designation of “medically frail” would be helpful in obtaining Supplemental Security Income (SSI), assuming that you have a diagnosis that accounts for the fraility. However, current evidence of disability will not help you prove that you were disabled very far into the past as would be needed to get Social Security Disability (SSD). I suggest that you file a claim for SSI and at that time inquire the date you were last insured for Social Security Disability. That will help you decide whether you want to try to prove that you became disabled while still insured in the past.

      Sincerely,
      Kay

  • Leanne

    Hi there! So, I was let go from my job in a small office on December 1st because of my many missed days/times due to my Rheumatoid Arthritis, Fibromyalgia and Depression (lovely combination..NOT!). I filed a day or two after at the suggestion of my Rheumatologist. I found at at the beginning of April that I was denied (SS acknowledged that I have a disabilities…but that it is expected that I will be better within 12 months….news to me, since it’s only getting WORSE!!!!). Anyhow, I hired an attorney, who filed my Request for Reconsideration right around April 10th. I still have yet to hear on the request. Would you happen to know a time frame for them to respond to a request for reconsideration? Thanks in advance!

    • Kay Derochie

      Dear Leanne,

      Processing times for reconsiderations varies quite a bit–from a month to four or five months. The closer it gets to twelve months with no medical improvement,the better the chances for approval and not having to file a request for hearing. Be sure that you stay under the care of physician during that time.

      Sincerely,
      Kay

      • Leanne

        Absolutely! (I’m at the doctors at least once a week at this point!). Thanks for the response!

        • Kay Derochie

          You are welcome, Leanne.

    • Shaina

      Hi, sorry I am replying to this post rather than starting a new one. I can’t seem to figure out how. My boyfriend has been anxiously awaiting his disability review decision for almost two months. He has several extreme anxiety disorders and nothing has improved for the past 5 years. He regularly sees doctors and has been told that he has little to worry about, but of course that can’t assuage the fears of anxiety. He finally received a letter today stating that they are reviewing his case and will let him know if they need more information. Is this a standard letter just to let the person know their case is being reviewed? Could it possibly mean that he may not get it? Thank you

      • Kay Derochie

        Dear Shaina,

        The letter is just a routine status letter and not an indication of either future approval or denial.

        Sincerely,
        Kay

  • Victory2016

    Does this sound favorable! Waiting for decision is making my anxiety worse. How do you deal with the waiting period.

    I have been diagnosed with Major Depressive Disorder, Generalized Anxiety Disorder, Panic Disorder, Premenstrual Dysphoric Disorder, Graves Disease and Hypothyroid. I basically had job burn out/mental breakdown in December 2012 ever since then I have been a mess and have not been able to work due to all my symptoms and side effects of medications. It took 2 years for my hearing.

    My hearing lasted about a half hour and my lawyer asked all the questions and the judge asked a few. After two Hypotheticals for jobs the VE said no jobs. After we walked out my lawyer said she thinks I will be approved. She has been in front of this judge before and is familiar with him. Should I take that as a good sign from my lawyer that I will be approved.

    • Kay Derochie

      Dear Victory,

      There is no reason to question your attorney’s professional opinion.

      Sincerely,
      Kay

  • Lenny

    What if my decision letter does not have the regional commissioners name and address on it, or the explanation of determination is not signed and dated by the examiner?

    • Kay Derochie

      Dear Lenny,

      The examiner’s do not sign the determination because it is a determination from the Social Security Administration (SSA). Different letters come from different offices so they have different sources in the return address. If you think you received false correspondence, which is unlikely, you can take it to a Social Security office to have them verify that SSA sent it to you.

      Sincerely,
      Kay

      • Lenny

        When I meant examiner signs, I meant with an alphanumeric signature. Is it a standard rule that all explanation of determinations be signed and dated by the examiner?

        • Kay Derochie

          Dear Lenny,

          If you were to get a copy of your claim file, the file would contain the determination memo with an indicator of who made the decision, but not the name; however, the letter of determination you receive is from the Social Security Administration not from an individual. Who makes the decision is not relevant to an appeal if you are denied.

          Sincerely,
          Kay

          • Aminah Majied

            Should my online SSD claim number (the one used to check the status) and the claim number on my Disability Determination Explanation be the same?

            • Kay Derochie

              Dear Aminah,

              When you set up a My Social Security account, it is set up under your own Social Security number. The number on the award letter is the number on which you filed the claim. If you applied for SSI or for Social Security benefits on your own earnings record, it will be your Social Security number followed by one or more letters. If you filed on a spouse’s or parent’s record it would be their number followed by a one or more letters. The letters indicate what kind of claim you filed.

              You have asked several questions about the format of correspondence from Social Security. If you think you have received false correspondence, I suggest taking the letter to your local office to find out whether it was in fact sent from the Social Security Administration.

              Sincerely,
              Kay

      • My disability examiner told me last week she received the rest of the doctors report she asked for.and would be reviewing them that day and she will call me on Monday or I call her.she had also told my mother she would be sending her some kind of paper which she never got and I never got a call..I haven’t called either I thought maybe she will call by my deadline which is July 15.if I call examiner that seems like a denial what do you think?

        • Kay Derochie

          Dear Shon,

          I suggest that you call the examiner and ask whether she still needs the statement from your mother and if so ask that it be sent out again. Since she invited you to call if she didn’t, there should be no harm in calling. Her not having called you is not an indication of denial. Usually decisions are not made over the hone. A side note that there are processing guidelines but no real deadlines.

          Sincerely,
          Kay

  • Lenny

    When Social Security sends a letter of decision, is “Copy sent to: (your attorney /advocate)” supposed to be printed on the lower left corner of the letter?

    • Kay Derochie

      Dear Lenny,

      I am responding to your three posts about Social Security letters. The governmental bodies you referred to are appropriate sources from which Social Security notices are sent. If your attorney was sent a copy of a notice, the carbon-copy-to-attorney annotation is routine.

      Sincerely,
      Kay

  • Lenny

    Is the family maximum benefit under SSDI, separate from the SSD benefit payment to the claimant?

    • Kay Derochie

      Dear Lenny,

      The family maximum benefit (FMB) includes the worker’s SSD benefit, which is called the primary insurance amount (PIA). For dependent benefits to be payable, the FMB has to be more than the PIA.

      Sincerely,
      Kay

  • Lenny

    If I’m approved for SSD and SSI what is the family maximum benefit that I can receive from both programs combined?

    • Kay Derochie

      Dear Lenny,

      A family maximum benefit is a Social Security benefit that include the disability (or retirement) benefit paid to you and any additional amount payable for your dependents. The amount is based on your work history. Supplemental Security Income (SSI) is a needs based program. If your assets are below the limit, you can receive SSI if your Social Security is below $753 and you (and your spouse if you are married and living with your spouse) do not have other income that puts you over the SSI limit.

      Sincerely,
      Kay

  • Lenny

    If i appeal a SSI denied claim while my SSD claim is still pending, Can my SSD still be approved? How does the denied SSI claim affect my original SSD claim if I filed the application 3 months before filing the SSI application?

    • Kay Derochie

      Dear Lenny,

      If your SSI was denied because you had excess income or assets, the SSI denial has no bearing on your Social Security Disability claim.

      Sincerely,
      kay

  • Lenny

    Who sends me to a CE exam? who should be notifying me? Social Security, or the Determination Service? Should it come as a letter? Should my social security # be listed as the case #on the letter?

    • Kay Derochie

      Dear Lenny,

      The Disability Determination Services (DDS) is the entity that would request a consultative examination if one is necessary. Sometimes the request will come by phone; but if it does, it should be followed up by a letter with all the details. I don’t know whether full Social Security numbers are being shown on the letters or just the last four digits or a DDS control number.

      Sincerely,
      Kay

  • Lenny

    If I apply for SSD online and then 3 months later retain an attorney (who advised me) for filing a SSI and title II applications, How will it be handled with Social Security?

    • Kay Derochie

      Dear Lenny,

      Based on what you have said, you already have a Title II (SSD) claim pending. I suggest you check with Social Security to see if you also have an SSI claim pending. Also, talk with your attorney about what you have already submitted to see if he or she has advice on submitting any additional evidence for the pending claim.

      Sincerely,
      Kay

  • Shelley

    Hi,

    I first filed for SSDI in March of 2011 in conjunction with federal FERS disability retirement from my career. I moved around a bit and missed my initial psychiatric evaluation. Ended up having to refile. I was denied, appealed, went to hearing, denied, and upon full review, denied. They wrote a very long opinion and stated that I met the requirements of the disability but because I had been drinking a lot they could not tell if the alcohol was a contributing factor and determined if I quit drinking I would be able to function. In reality, I wasn’t drinking that much but when they sent the questionnaire about it I was that week. All that wrapped up in March of 2013. Also, I stopped drinking in 2013 and haven’t drank since and I am actually less able to function than I was. But because I was denied SSDI, I worked waitressing for about a year and a half (October 2013 – December 2015). This was 4 different jobs and I did not do well in any of the jobs. Lots of writes ups and performance issues (I should say that I had a long career as a paralegal and HR specialist before I crashed due to a number of stressors and have not been able to recover). I have bipolar disorder and complex PTSD. After I wasn’t able to work at even the waitressing jobs, I re-applied for SSDI in August of 2015. In December 2015 I was denied, however, they did not receive the report from my psychiatrist. So I filed for reconsideration and made sure they got my psychiatrists letter and I included some of the write ups from the waitressing jobs showing that my functioning was poor. They began their reconsideration on March 6 of 2016 (I filed the reconsideration on December 8, 2015). They have been reviewing my reconsideration for over 3 months and I call and leave messages but they don’t return my calls. So I just call the 800 number occasionally and they tell me the same thing each time that if they needed something they would contact me and they have no way to know when the review will be completed, but I will receive a letter either way.

    Do you think it’s a good sign for me that they have spent so long reviewing my reconsideration?

    And, I put my date of disability as the day after the date of my last denial March of 2013. But since I worked some between October 2013 and December 2015, do you think they will change my disability date?

    • Shelley

      I’m sorry the above question is so confusing. To correct this: I waitressed from October 2013 – December 2014 (i kept putting 2015 above). Four different jobs, all poor performance. Some months I made over what social security allows (If they would go back to March 2013 as disability start day, would or could they skip over the months I made more than they allow???

      • Kay Derochie

        Dear Shelley,

        Please see my response of a minute ago to your first post.

        Sincerely,
        Kay

    • Kay Derochie

      Dear Shelley,

      If you held each of the jobs less than three months and lost the jobs due to your mental illness, the periods of work should be treated as unsuccessful work attempts and not affect your disability date. If you worked some jobs more than three months but less than six, the work may also be considered an unsuccessful work attempt and not advance your date of disability. Accordingly, if you have not submitted the exact dates you started and stopped each job, try to get proof of that from your former employers. If any of the jobs were less than six months, submit the dates and assert that they were unsuccessful work attempts.

      Sincerely,
      Kay

      • Shelley

        Thank you.

        • Kay Derochie

          You are welcome, Shelley.

  • Rachelle

    Hello! I worked for a public school system that uses DDS to help make retirement disability determinations. I have a chronic case of ITP and a number of other things going on with my immune system. DDS approved my retirement from my job, after sending me to the doctor. This doctor also happens to be a SS doctor. I applied for SSD the day of my retirement. What are my changes that DDS will then approve my SSD seeing as though they were the very ones who retired me from my job of 24 years?

    • Kay Derochie

      Dear Rachelle,

      Every benefit program and insurance policy has a different definition of disability, so different criteria are likely to be applied. Social Security’s definition of disability is “the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted, or can be expected to last, for a continuous period of not less than twelve months.” To get an idea of the similarities and differences you can compare this definition with the one that was used for your disability retirement from your job.

      Sincerely,
      Kay

    • Lisa

      Kay,

      You have been such a great help to me I don’t know how to thank you!

      I am hoping you will answer a couple more questions for me and hopefully I won’t have to bother you so much.

      1) In case you don’t remember I am a fifty one year old widow. I lost my husband last Thanksgiving Day in a horrible car accident. I have been receiving food stamps ( never before), but no other help except from loans from family. Ok. to my question , I got approved for SSI, the amount is 488.00 per month and I am THANKFUL but I was wondering is it because I draw food stamps? I thought the amount would be 733.00. I am also suppose to received some backpay from SSI. I lost my Husband last NOV , filed for ssdi, ssi, and widows benefits in DEC of last year. They said I would receive backpay from ssi this week and then starting June 1st 488.00 per month ssi. Will I receive medicade? Also, he said I was approved for disability widows benefits that should start in June or possibly July, does Widows Benefits pay back pay? If they do, will I get any and from when, I lost my husband in NOV, filed in DEc of last year and now this is where I am. I am still BROKE but hopeful.

      2 MY mom is is also a widow , she is sixty seven but it still working and NOT disabled. She lost her husband about 4 years ago, they had been married 12 or 13 years. He got Cancer and we lost him very fast. She received a letter dated the day BEFORE her husband pasted away. She is drawing Social Security but not much because she did not work while she was marred to him Does she qualify for Widows Benefits or anything else?

      I am SORRY, I probably should have put this in two post.

      P.S. What does DI XLT stand for?

      I have tried to look these questions up, but I get all confused.

      Oh, and back to me [ how far back will I get back pay ? Reminder, lost husband in Nov, filled in Dec and just told I was approved for SSI ( disability) and then it will change to Widow Benefits sometime in August. I don’t have the August in writing so it makes me a little nervous.

      I am sorry for so much in this one question and for hitting reply again. I don’t know how else ot do it. Thank you so much for help.

      • Kay Derochie

        Dear Lisa,

        The $488 payment rate is due to the financial help you are getting, not the food stamps. You will get SSI back pay back to January. You will be paid disabled widow’s benefits for November and December. You will continue to be eligible for disabled widow’s but will receive back benefits for 2016 only if your widow’s benefit is more than the SSI back benefits paid for the same months. (The widow’s will be paid after the SSI).

        Once you receive your SSI back pay, if you can start paying for your own shelter expenses and do not receive cash help from relatives, you can report the change and receive and increase in SSI beginning two months later.

        Where did DI XLT appear?

        As to the question about our mother, she can apply for widow’s benefits based on age. If her husband was insured and the benefit is higher than her own, she will be switched to widow’s benefits. If her current benefit is less than $753, she can apply for SSI based on age.

        Sincerely,
        Kay

  • sharon

    Hello, I applied for SSDI back in November or December, for my recently diagnosed schizoaffective disorder. I have some medical records for the past six years, and you can see my (once nice career) work history get more sparse throughout the past six years, but was told it was enough to get SSDI. I claimed my work problems were due to bullying, unfairness, slow government updating my clearance, whearas part of it could’ve been due to my disease that they used to think was paranoid schizophrenia. The work did require a clearance, which I didn’t lose because of my mental state yet, but lost to unforseen circumstances and I wasn’t in a field that was good for my disease, although working and socialization is good for me. I was told I was too highly functionable unlike other severe schizophrenics to be considered impaired although and that I could go do vocational rehab through the VA, but I’m not service connected so I can’t get vocational rehab and was rejected for VA benefit payments. These past six years I’ve been underemployed and the paranoia does get to me at least once a year and it turns out embarrassing, wheras I was never a trouble maker before. I’ve gone from salary to being unemployed or underemployed with jobs I feel bullied in and things get too loud (the hallucinating). I was encouragaed by friends family to apply for disability because they noted I had been acting different in the past few years. I was in denial and trying to be strong and hide it, distract myself, saying working helped me, but couldn’t stay employed. So now that I’ve calmed down and have a less severe diagnosis other than schizophrenia, I don’t seem to be be employable (at least in a job where I can support myself without hallucinating) nor do I seem to fit into the disabled category, so I have nothing to work with.
    I was told there wasn’t enough medical history, so I went to get evaluated by a psychologist that social security hired to evaluate me. It lasted over and hour and she was very kind and said “she didn’t know why I wouldn’t be approved, but in the rare chance I don’t to appeal it.” Then she sent her report off in April. I called today and they told me they made a decision on May 5th and that it was in the mail and that they couldn’t tell me the decision. Nothing is different on the SS website, as it says I don’t have benefits so I’m nervously waiting on the mail and no one has called me yet. I was hoping the disability would get me the start I needed again, since I’ve lost most of my belongings and vehicle and possibly I could go back to school (although that makes my case looks questionable since it’s mental), but I wanted to try school and be self sufficient again and see how I can concentrate. Nursing is practical, but I heard that they may have laws banning people with my disease from being a nurse, but I also heard it depends if you’re able to maintain it. I’m afraid of living on a fixed income, but nervous of being rejected for SSDI and uable to start life again and never being an independently functioning adult again. I used to always feel greatful for my career if others things went bad and was thankful for my independence so that I wasn’t vunerable so I never felt stranded. Currently I live with my parents again and their are nine people in the house. I haven’t worked for nearly one year and have been sleeping in the closet and so I’ve been searching the internet for any clues that I may be approved or rejected. I know I’m not in a healthy situation and the isolation makes me worse, so I was hoping with the disability I could move to live near my relative where the VA hospital (access to the suggested weekly therapy) is much closer and they have a more integrated public transportation system and I could attend classes to socialize and occupy my mind because isolation makes it and the paranoia worse.

    • Kay Derochie

      Dear Sharon,

      You should have your decision letter within a week. Benefits will not show up on the website until they are calculated. That takes a while after the medical approval. If you are not a veteran or the spouse of a veteran, you will not be eligible for medical care there; however, many cities have low-cost mental health clinics. I suggest that you research to see if your area has one. You might also apply for Medicaid at your county or state social services office.

      Sincerely,
      Kay

      • Sharon

        Thank you Ms. Kay,

        I am a veteran and go to the VA. Someone at the Social Security Office informed me that it looks like I was approved and that I should had recieved a notification via mail. I waited to receive mail, but none came, so I called social security again. This time they told me they couldn’t tell me if it was approved or denied and that it was randomly selected for DOB Quality Assurance Review so whether or not it was denied or accepted, the DOB could overturn any decision so I’ll have to start my life again in another month or two.

        • Kay Derochie

          Dear Sharon,

          Given that you were first told your claim was approved, the initial decision was probably an approval. Now you just have to wait to see if the quality assurance reviewer agrees with how the decision was reached.

          Sincerely,
          Kay

          • Sharon

            Thank you Ms Kay,

            I called SS again today and they said they’d send me the decision letter in 15 business days, but they wouldn’t say this time if it was in quality review. After I receive the decision letter, then they said I’d recieve the reply from my local social security letter 60 days later after the first letter. Does that mean it’s not in quality review? And not to sound selfish, but will their be backpay?

            • Kay Derochie

              Dear Sharon,

              I can’t be certain, but your claim may have been medically approved with the first notifying you of that decision and the second letter being the award letter with payment calculations. Whether or not you have back pay coming depends on when you became disabled and when you applied. Social Security Disability benefits begin to accrue the later of twelve months prior to the month of your application or the sixth full calendar month after the disability onset date established by Social Security.

              Sincerely,
              Kay

          • Sharon

            Thank you Kay,

            Yes they called me one week later to tell me I had been approved. They took down all of my information including bank information and living conditions again as they did in the beginning. They also said I had back pay coming and said hopefully I would start receiving payments within the month if they got it in in time.

            • Kay Derochie

              You are welcome, Sharon.

      • Chenell Coleman

        Hi Kay,! My son has been disabled since the age of 5 with a condition that’s called mi!d mental retardation. When made 18 he was taken off of Ssi. Recently I applied for him to get it back and he has already seen a person to determine if he is disabled and the case has been sent back to the local office to receive more evaluation and the office has already sent me mail stating that they need to see him at there office and to bring his I’d and birth certificate. My question is I still have no clue if this mean he’s been approved or not. Do you know what happens at these appointments and do you think he has a good chance of winning the case. And will get his Benefits he hasn’t Received the past three years.

        • Kay Derochie

          Dear Chenell,

          If the claim has been sent back to the local office and financial, not medical, information is requested by the local office, I would say your brother has been medically approved and the appointment will consist of a financial update back to the date of application and possible a payee application if he needs assistance managing his funds. If his claim has been medically approved, his benefits will begin to accrue the month after the month the last application was filed unless he filed on the first of the month in which case benefits will start with the month of application because SSI does not pay retroactive benefits for months before application.

          Sincerely,
          Kay

  • Sharon J.

    Hi Kay – I applied for SSDI on 1/16 and became disable 10/15. I went to the CE for a mental exam on 4/16. I am waiting on the results of the evaluation to go back to my local DDS office. My original file went to Mississippi Dept. of Rehabilitation Svces. I am over 50, have an impairment, meet a listing on the grid rule and have been on medication for depression. I sent in a ton of medical records with my initial application. I received a call today 5/5/2016 from my Disability Examiner in Mississippi at the Rehabilitation Svce Center. She asked when was I going back to my Doctor? I told her that I had an appointment on Monday. She said to be sure and have my Doctor to send in the medical report from my follow up visit. My question – is this a good thing? Does it look like a determination will be made soon? Once she get that from my primary Doctor and the results from the CE Exam, how much longer do you think it will take before I know something?

    Thank you for all of your help! You are great…

    Sharon J.

    • Kay Derochie

      Dear Sharon,

      I would say that you are close to getting a decision, hopefully within a month of the examiner receiving Monday’s chart note.

      Sincerely,
      Kay

      • john

        A approval from department of human services for Medicaid the same as the approval for ss Medicaid?

        • Kay Derochie

          Dear John,

          I think you meant to say SS Medicare. Medicare and Medicaid are different government health insurance programs and have different coverages. You can become eligible for Medicare at age sixty-five or after receiving twenty-four months of Social Security Disability (SSDI), Social Security surviving spouse or disabled adult child benefits. Medicaid is a needs-based government insurance program.

          Sincerely,
          Kay

          • john

            Do it mean you are approved for ssi?? If Yu get Medicaid

            • Kay Derochie

              Dear John,

              There’s more than one way to qualify for Medicaid. If you filed a Medicaid application or a health care provider did it for you, being approved for Medicaid would not necessarily be a sign of being approved for SSI.

              Sincerely,
              Kay

  • Penny

    A judge recently favored my disability claim so now I am in the waiting process of receiving SS benefits….. I retired from my federal job under FERS disability in Aug 2015 at age 48. I was on LWOP, unable to work for over a year from June 2014 until retiring in Aug 2015. I filed for SS disability in Sept 2014 but it was a long 19 month process being that I had to file an appeal. (I have worked a couple jobs totaling 30 years).
    I drew 60% of my high three averaged, first year and now draw 40% under FERS Disability through OPM. (Office of Personal Management for Gov. employees)
    My question is what can I expect, and being that I was already drawing the same percentage under FERS disability, is there any advantage to being approved for SS? I don’t fully understand the first year OPM offsets my benefit 100% of SS benefit and second year 60% of SS (Offset). Will I have to pay SSA what I was paid through OPM? Can you please explain that a bit better so I can understand. Thank you kindly in advance to your reply.

    • Kay Derochie

      Dear Penny,

      I am not an expert on government retirement plans so I do not understand the two-tiered benefits that you describe. My understanding of government retirement pension offset against Social Security benefits is that if your civil service earnings were not taxed for Social Security, the Social Security benefit will be reduced so that the two benefits do not exceed 80% of your average monthly earnings as established by SSA. I would expect Social Security to be reduced before it is paid so there would be no overpayment of Social Security. I suggest that you check with OPM to find out if receiving federal disability benefits rather than retirement means different rules apply.

      Sincerely,
      Kay

    • Lisa

      I am sorry to use reply and I lost your board – Kay – So, thank you for help with my last question.

      Now, I have a new question. I am 51 and disabled – I drew disability from 2001 – 2010 ( SSDI) – well, my dad was diagnosed with Lung Cancer and I was spending as much time with him as possible and did not fill out my updated paperwork for disability and I lost it. I lost my dad, step dad of 20 years, the list could go on how bad the last 5 years have been. So, I never refiled – well I tried once and I didn’t have the mental strength to finish the process. Anyway, my world REALLY fell apart on Thanksgiving Day 2015 when I lost my husband of 33 1/2 years. I called disability and they said I had to apply for ssdi, ssi, and widows benefits. So, I done a phone interview, next step filled out the paperwork in asap, then after a long period of time they sent me to a phyctrist even though I had been seeing mine for over 20 years. Anyway, done his test. Then on April 19,2016 I received a confusing letter. SSDI, SSI, and Widows Benefits was the Letterhead, but part of the letter sounded like I was approved for all 3 and part of the 5 page letter sounded like I was approved. So, I called and they told me to disregaurd the letter that it has went to quality review. Everytime I call SS and I have even went into my home office I am told something different. I will say Quality Review is what I have heard the most. They have all told me to wait 60 days for a decision. Well, that concerns me because if I wait 60 days – then I will give up my appeal if I understand correctly. So, I guess I have 2 questions – should I wait the 60 days before getting an attorney and how long does quality Review normally take? I live in Missouri if that helps. Oh, and does this sound good or not? I now regret not going to an attorney. I just wasn’t in my right mind after I lost my husband. I thought since I had it before it would be easier to get and I did not know you could not get widows benefits unless you were disabled when I filled – if you are 51. Sorry so long and thank you in advance for any help you can give me. I am getting desperate for money and I have told them I have received an eviction notice. IT doesn’t seem to phase them. Thank you again.

      • Lisa

        I need to correct something in my post. The 5 page letter – part of it sounded like I was approved and part of the 5 page letter sounded like I was NOT approved. The disability office told me it was a denial – but, to disreguard the letter because it had went to quality review. My home office said they did not see the letter so I called the 800 number to SS and they said yes the letter is their and it was a denial but, to disreguard the letter ( again – different person) that it was in quality review. I am sorry for a double post on the same thing, but I realized I made a mistake about the 5 page letter. The lady on the phone told me no decision had been made, but it looked good. Then she told me she could not tell me if I am approved or not. Is it time for me to get an attorney in your opinion? Sorry, I wrote more about just the 5 page letter, I am just extremely nervous and scared. I am broke.

        • Kay Derochie

          Dear Lisa,

          Please see my prior response. Because the decision you received has not been finalized, if the QA review is results in a denial, you should be given appeal rights and a new appeals period.

          Sincerely,
          Kay

      • Kay Derochie

        Dear Lisa,

        Your claim was randomly selected for a quality assurance (QA) review. The approval decision you received is not final until it is confirmed in the QA review. If the review reverses the approval, you will get a new denial letter with appeal rights. The sixty-day appeal period will begin with the date on the denial letter. You do not need an attorney now. If you are denied, then get an experienced Social Security attorney to help with the appeal.

        Sincerely,
        Kay

        • Lisa

          Thank you Kay – does it sound like the 5 page letter was a denial? It said in one place a denial and another place ( like I was approved with a onsite date of Oct of 2013) The letter was extremely confusing. Now, they are saying a decision has not been made and it is in quality review – but, do you think it was a denial letter and if so does this mean it will probably be denied? I just can’t keep going – I am very close to being homeless I am scared. Oh – On the letter after my SS# it had the letters HA – What does the HA stand for after the SS#. I have tried to find on the internet and I can’t. In MO if I am denied I will have to get an attorney how long do you think that process will take. I apologize for asking so many questions and bothering you so much but I am extremely worried. Thank you again.

          • Kay Derochie

            Dear Lisa,

            I would have to read the letter to determine whether it is part approval and part denial. I suggest you take the letter to Social Security and ask them to explain it to you. HA means disabled worker or a claim (not necessarily approved) by a disabled worker. (An A would follow a retired person’s Social Security number.) You have sixty days to appeal by requesting a reconsideration. A reconsideration decision can take two to five months.

            Sincerely,
            Kay

    • Randy

      Hi Kay, I first became Disabled in 1988 while in the Army. I never knew right away in 1988 too apply for VA or SSDI. In 2005 I finally applied for SSDI. The SSA said I couldn’t because of credits. So the SSA sent me to a PHD. Who stated I was Disabled from the Army. I was approved for SSI in 2006. After I got approved the SSA told me I needed to Apply for my VA Disability In 2009. In 2012 I was approved and I am now 100% P&T IU through the VA. So getting approved for my VA I had to end SSI cause the VA amount was too high. After researching for years I found out that I should be getting SSDI.
      So I applied and got denined. I’m on Reconsideration right now. From 86 to 89 I had 25 credits at this time only took 6 to get approved , and I was insured till 98. So they want all info from 88 to 98. I turned In 4 inches of new evidence. Plus evidence they already had. Problem is in 1988 to the mission 1990’s all my mental health records were shredded. This mental health clinic was nice enough to write a letter stating that all my records prior too 2002 were shredded. I have other proff from mid 1990’s too now. I just got my letter today from the DDS stating who my reconsideration worker is. I still have two VA mental Health workers one every 2 was and other every 6 wks.
      I have always seen mental health clinics since 1988. I have Severe Chronic PTSD, Anxiety, Panic Disorder with Agoraphobia, Depression, BI-Polar. All documented for years and years.
      The SSA/DDS are just interested in 1988 to1998 years…. what’s your opinion on this? Thank you

      • Kay Derochie

        Dear Randy,

        To get Social Security Disability Benefits (SSDI), you have to prove that you became disabled while you were still insured, that is, at least as early as the last month in 1998 that you were insured. You say that you have some proof from the mid-1990s. If it goes back to 1998 and shows that you were disabled then, your disability would be established while you were insured.

        To receive benefits, you also have to prove that you have been continuously disabled from your established disability date in 1998 or earlier up to present because SSDI benefits are limited to the twelve months before your current application.

        Sincerely,
        Kay

        • Randy

          Kay, Thank you !!

          • Kay Derochie

            You are welcome, Randy.

  • nathalie

    Hello, I applied for SSDI after 20 years of trying to deal with my issue, my family advised me to, my question is am I disabled, i suffer from agoraphobia, ptsd, gad,( oa) arthritis, claustrophia, specific phobia and gerd I notice I’m worse to the point where I just couldn’t get up to go to work, a few weeks after the phone appointment my family got calls from the case worker at the disability determination office is that a good sign

    thank you

    • Kay Derochie

      Dear Nathalie,

      The calls to your relatives were to get statements from them about whether they observed any signs of mental illness and whether they could make statements about your daily activities. It means that your claim is actively being worked on. If you are not under the care of a mental health professional, you should get care as soon as possible both for treatment and to support your claim.

      Sincerely,
      Kay

  • Terra K.

    I filed for SSI and SSD back in the beginning of Nov. 2015, Interview was done over the phone. Additional packets mailed filled out and returned in a timely manner. I waited the 90 days. Called a few times to inquire about my application since I had not heard anything. Then got a call that they were lacking my medical records when I signed the release. Waited a few more weeks and was mailed an appointment for an exam and additional information. I did the exam today, the doctor spent all of 5 minutes for questions and exam which is not nearly thorough enough for 10+ conditions before telling me that he was done and disability would get back to me but couldnt tell me a realistic time frame before I hear back from SSD about approval or denial. In the mean time my medical bills are still racking up and I have no income. Am I going to have to wait another 90 days to hear anything or am I done with playing phone tag and paperwork yet on my end? How long does it take after the exam has been done?

    • Kay Derochie

      Dear Terra,

      I can predict how much longer you will wait for a decision, but given that you say you have ten conditions to evaluate, I would say it will be at least a month and quite possibly longer. You are asked for information, documents, and an exam so that your claim can be fully evaluated; so if you are asked to provide anything else, be sure to do so.

      Sincerely,
      Kay

      • Terra K.

        This is my first time filling, an initial application. I was initally told it can take upwards of 90 days to make a determination when I applied though it is going on 6 months at this point. I understand that SS has to be thorough when it comes to making a decision especially since I am only 31 and have applied with mutiple conditions that have to be weighted into consideration. Though I can’t wait around for months, that I may not have. The most severe condition I have had to file over is Polycythemia Vera which is a rare incurable blood cancer. I am having to seek care at a non profit hospital by a sliding scale PCP because I can’t afford proper care and unable to work. Without access to proper care the complications and other conditions that PV causes, I am at high risk of becoming a fatality statistic within 12 to 36 months. This is just one of my conditions that has made me unable to work. Could you please tell me what the process is when it comes to first time applicants and roughly ball park about how far along into the process of a determintion I am since I have got to medical exam? Is there anything I need to do after SS requesting a medical exam? I did read that SS may request further tests based off of the medical exam but I highly doubt that they will want to pay for transportation across state lines to see the closest MPN specialist for determination to be made. Also, Is there anything that I can file with SS to speed up the process in getting a determintion made quicker?

        • Kay Derochie

          Dear Terra,

          I suggest that you get a statement from the physician attending you for the cancer saying that you have a high mortality risk within twelve to thirty-six months. Submit that directly to the claims examiner in the Disability Determination Services. If you don’t have the contact information, ask for the DDS number from Social Security or get it by calling your state’s Department of Vocational Rehabilitation and ask to be connected to the DDS for Social Security claims. Then ask to speak to the examiner handling your case so you can provide additional information. If you don’t get a decision within a month, try contacting your congressperson’s office to see if they will follow-up given your circumstances. Regarding medical care, have you tried to apply for Medicaid? Some states provide Medicaid to disabled adults and may only require a statement from your physician.

          Sincerely,
          Kay

          the contact information. If not, take the statement to

      • Aniyah

        Good afternoon if you file a claim and after one week of seeing the mental examiner for a child a decision is made does that mean it’s denied. Which takes longer a denial or approval. Thanks in advance.

        • Kay Derochie

          Dear Aniyah,

          The length of time a claim pends is not an indicator of an approval or denial.

          Sincerely,
          Kay

    • Max

      I have a question. I am 100% disabled by the VA. and I medical retired from my government job in January and applied for SSDI The same day. They got all my medical records very fast (within two weeks of me filing). SS sent me a letter that they wanted me to attend their exam by one of their doctors. I called the rep at the bottom of the page and explained that I had the same exam done by the Va. He advised if I had that exam paperwork and I did so I faced it to him. He called me after meeting with the doctor in Austin and advised that the new evidence I submitted was good and the doctor cancelled my exam. So I was told it is going to be finished any day now. How should I feel about what I was told? I heard that it’s a good thing when they cancel your exams.

      • Kay Derochie

        Dear Max,

        There is no way to know for sure, but it does seem as if your claim may be approved.

        Sincerely,
        Kay

  • Becca

    I was widowed after 9 years of marriage on 11/22/2014. According to the SSA website I must apply for SSDI in person to get benefits as a surviving disabled widow. But, in a conversation with the local office I was told that wasn’t the case and to apply online. She said the website was referring to someone who had already been deemed disabled by SSA when becoming a widow.

    Also, I have a group LTD policy that does not pay benefits if you have co-conditions of anxiety or depression, even though my anxiety and depression are caused by my chronic and very long term pain…i.e. 15 years. My LTD policy states that I must apply for SSDI. My question is if I list the anxiety and depression on my SSDI application as a contributing condition to my disability is there a way that the LTD insurance company can get that information from the SSA and hold it against me. I have NOT listed that as part of the disability with the LTD provider.

    • Kay Derochie

      Dear Becca,

      Information from your Social Security claim cannot be released to your LTD insurance company without your express written permission.

      Sincerely,
      Kay

  • Sharon

    Hello Kay – I posted a comment on April 10th 2016 concerning a upcoming CE on April 15th 2016. Can you tell me where I posted it? I would like to go back and read my answer from you. Thank you…Sharon.
    I am now under “After Approval” I will look there for your response.

    • Kay Derochie

      Dear Sharon,

      You can my reply under “Understanding Social Security–the Basics” under the SSD Basic Facts tab.

      Sincerely,
      Kay

      • Jennifer

        Mrs.Kay,
        I am 41 years old and worked most of my life. I have cancer/Lymbal stem cell deficiency on my left eye.. This has been going on for around 7 to 8 years. It has left me to where I can’t go outside or work because of the sensitivity to light is severe. I have migraines and a constant runny nose from it. Always in severe pain and almost completely blind in the one eye. I worked January 2015 until November 2015 and then I couldn’t work anymore. I tried to keep pushing on because it was only me paying my bills and trying to help my children otherwise I would have been homeless and starving. I decided to go in April 2015 to apply for my disability and the lady at the local office admitted after me waiting about 6 to 8 months before calling that she had not finished my case. After speaking to a supervisor it all got straightened out. I received a call twice from them.. 1 asking for my bank information to do direct deposit and 2 saying they could not go back but to September because I worked a few months out of that year and made over the allowed amount by 20 to 40 dollars. I later called SS and ask about my case and the lady could not tell me direct I was approved but said “you are disabled and now they are getting together to figure out your reward letter.” I waited and called back and was told Quality Review picked it up. I then received a phone call from SS and a letter stating I needed to see one of their doctors. That was on 4/18/2016. I gave them a book of documentation from my doctor when I applied. I called again and was told that a decision was made in March and I have 60 days to get a letter of decision. I am so confused. Please help. I don’t have a clue what’s going on. I never got a lawyer.

        • Kay Derochie

          Dear Jennifer,

          I think that the fact that you have been working has raised some questions. It would appear that the decision was made to pay you for some months, but then the claim was randomly picked for a quality assurance review, which has resulted in your being asked to go for a consultative examination. It may be the March decision that is under quality review. I recommend that you clarify whether you are still expected to attend a consultative examination and, if so, that you attend it.

          Sincerely,
          Kay

          • Jennifer

            Dear Kay,
            Thanks for replying back. I was told that going to their doctor was just for their records because by law they have to have their doctors sign off on all my other doctors decisions. I do not have to go to anymore doctors and the last time I spoke with SS they said a decision was made in March and I had until the 14th of May to receive their decision letter.

            • Kay Derochie

              Dear Jennifer,

              It seems you have a good understanding of the status of your claim. Now it’s a matter of waiting.

              Sincerely,
              Kay

  • Hamlet

    I retired in June 2010 and never worked again due to my bad knee. In June 2015 I filed for SSDI and at that time I was still covered for SSDI benefits, but after my 90 min. interview I ask to put my file on hold until I knew what the VA was going to do. My case was never close. I reapplied in February 2016, after I had TKR (Total Knee Replacement) surgery, but now I’m not covered for SSDI anymore. Will they use my initial date in June 2015 which was when I had S.S. insurance,, or will they use my surgery date in February 2016 when I did not have SSDI insurance? I just checked the web site, and it states “No decision made.” It’s been 44 days.

    Thanks You,
    Hamlet

    • Kay Derochie

      Dear Hamlet,

      If you claimed the June 2010 date of disability and you have medical evidence to show that you were disabled in 2015 before your insured status ran out, you can be approved. Payment, however, will go back only as far as February 2015, twelve months before the date of your application.

      Sincerely,
      Kay

      • Hamlet

        Thanks Ms. Derochie

        • Kay Derochie

          You are welcome, Hamlet.

      • Hamlet

        I’m sorry, one last thing. I worked for 24 years, but I’m only 49, and I’m very curious and anxious to find out. Do TKR (Total Knee Replacement) ever get denied Social Security benefits if that person worked as long as I did?

        Thanks Again,
        Hamlet

        • Kay Derochie

          Dear Hamlet,

          You may or may not be disabled after a total knee replacement. If you are able to work in a new occupation for which you have transferable skills based on your education and work history, your claim will be denied. If not, it will be approved.

          Sincerely,
          Kay

  • Lilly

    I filed an SSI application for my child in July 2015. Initially, I was the only one working and my child’s father, who lives in the household, was receiving unemployment so we qualified based on our income. My child was then denied for the medical portion of the application. i submitted an appeal and eventually it was approved. I received a call from someone telling me to submit all of our proof of income dated from July 2015. I submitted all documentation requested but have not heard back from the man who called. I have made several calls and attempts to contact the man who was working on my claim. My childs father has been working since our original application and his gross income amount is close to the same as his unemployment weekly checks, but my income has remained pretty much the same. Why is it taking them so long to contact us now? Is it possible that we no longer qualify for SSI? If we no longer qualify for the income portion, how long will we have to wait before we reapply?