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

By / March 3, 2016 / After Approval / 2,523 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?
3.84 (76.84%) 19 votes

  • 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?

    • Kay Derochie

      Dear Lilly,

      SSI law excludes (does not count) more earned income than unearned income, so it seems likely that your child still qualifies financially for SSI. If it has been more than a month since you submitted the documentation, try going to the local office if that is possible. If you are told the representative is busy and can’t see you, ask to have a supervisor check on the status for you and say you’ll wait.

      Sincerely,
      Kay

      Sincerely,
      Kay

  • just waiting

    I received my approval letter that was 12 days ago but when i view my Social Security online it still says i’m not receiving benefits. How long does it normally take for it to update?

    • Kay Derochie

      Dear Just Waiting,

      If Supplemental Security Income (SSI) is not involved, it can take from one to two months for monthly benefits to start and another one to two months after that before back benefits, if any, are paid. If SSI is involved, the time frames are usually longer.

      Sincerely,
      Kay

  • Elodia

    Hello I have a question.,
    I applied since 11-24-3015 still have not heard back from social security. It was for disability they had me provide also ss cards for my kids and their birth certificates also had called them and they still haven’t had a response yet I have called the DD office and no answer yet do you think I’ve been denied ? Or what can be holding it up.

    • Kay Derochie

      Dear Elodia,

      Social Security Disability claims often take from two to five months to process. You are getting to the long end of range of time. If you were denied, you should have received a letter. I suggest that you call Social Security at 1-800-772-1213 to find out if the claim is still pending a medical decision. If you are told that it is has been denied, go on record that you did not receive a denial letter and ask for a duplicate letter in case you want to appeal.

      Sincerely,
      Kay

      • Lisa

        My daughter got ssi for 6 months they said they can’t send no more money till they decide if she is disabled. They even set there own appts got everything they asked for and now we are about to be homeless bc they stopped payment? What do I do I’m a single mother of 4

        • Kay Derochie

          Dear Lisa,

          You can file a statement of dire need and request expedited processing. You might also see whether any agencies or organizations in your area provide short-term rental assistance.

          Sincerely,
          Kay

      • Elodia

        I spoke with the person handling my case at the determination department she asked me questions about my health and somehow they didn’t know about my rheumatologist. But she said my condition was more physical than mental so she said she was going to ask for my records from that one dr and have it expedited as soon as they receive those records what does that mean?

        • Kay Derochie

          Dear Elodia,

          The information you received indicates that your claim is being actively and thoughtfully reviewed, which in turn provides a better chance of getting a correct decision.

          Sincerely,
          Kay

  • Charles

    I filed the paperwork for disability in November 2014. I called twice to get the status and they told me it was pending. I called a third time last Friday and told that the application had been sent last week to the local SSA office. Now Im told I won’t get any decision until July. Why would they just hold my application for 4 months? The operator said it was confusing for her as well.

    • Kay Derochie

      Dear Charles,

      It is possible that the computer information the service representative was looking at was not correctly updated. If you do not hear from the local office by about April 7 or so, I suggest that you go to the local office and let them know that you were told your claim was sent back to them and you want to know the status and what, if anything, is needed from you.

      Sincerely,
      Kay

  • waiting on reply for question about son illness, asked about 1 to 2 days ago, where would i find the answer

    • Kay Derochie

      Dear Rosemary,

      Your question and my response are posted under the article “How Long Will I Wait to Get a Social Security Hearing Decision?” under the Hearing tab on the navigation bar at the top of this web page.

      Sincerely,
      Kay

    • Dominique Green

      I have question I tried to check the disability estimated benefits amount and it said it was unavailable at the time. What does this mean? I was told I would get decision within ten busibusi days after having my ce exam

      • Kay Derochie

        Dear Dominique,

        Often estimated benefits do not appear while the claim is pending.

        Sincerely,
        Kay

        • just approved

          How long after approval will “my social security” update and not say “you are not currently receiving benefits”

          • Kay Derochie

            Dear Just Approved,

            The status of your claim will be updated to show a payment amount when the benefits have been calculated and are being released. It can a couple of months for the monthly Social Security Disability (SSDI) benefits to start and longer if a Supplemental Security claim (SSI) is also involved. Back pay is usually paid after the monthly benefits start.

            Sincerely,
            Kay

  • Katherine

    Kay, I’m not sure how this works, so forgive me if I’m wasting your time! I have been receiving SSDI for many years (I was approved February of 2010, began receiving payments that fall/winter). The papers for my first review to continue benefits arrived a few weeks ago, I am on the 5-7 year review cycle as my condition is not expected to improve at all. I received the short form & had my doctor help fill it out. My question is: how long does it usually take to receive the letter that will say if my benefits will continue? I have been told not to worry b/c: I am in the “no improvement expected” category, I received the short form from social security, & my age (I will turn 55 this year). But of course I am just sick with worry, as my doctors have said there is no way I could function in a job (and I definitely agree). Will this be months of worrying myself sick, or do the reviews go fairly quickly? I am enrolled in the online access of My Social Security, would there be a place there that would show review results? (I have access to the “proof” letter, but that is for the initial award info.) Thank you for any help or suggestions you may offer!

    • Kay Derochie

      Dear Katherine,

      It can take a couple months or more for the continuing disability review to be completed. While you wait, the only thing you can really do is to decide not to worry until you know you have something to worry about. If the unlikely happens that you get a termination letter, you can appeal.

      Sincerely,
      Kay

  • Michael

    Applied for Disability. Decision: Fully Favorable. Payable back to April of 2014. Two questions. 1. Does the income of my wife effect my benefit amount? 2. I have dependents that are eligible, will their benefits also go back to April 2014?

    • Kay Derochie

      Dear Michael,

      If you were approved for Social Security Disability (SSDI), your wife’s earnings will not affect your benefits. If your Social Security Family Maximum Benefit (FMB) is more than your Primary Insurance Amount (PIA), which is your benefit, your children will be eligible for benefits for the same months that you are eligible. If you were also approved for Supplemental Security Income (SSI), your wife’s earnings and the number of people in your family will be considered in determining your SSI payment amount.

      Sincerely,
      Kay

      • Michael

        Thank you again! Kay! You have been very hopeful through this crazy process.

        • Kay Derochie

          You are welcome, Michael.

          • Crystal

            Hi I have a ? If you got approved for straight Medicaid does that mean I’m getting approve for my ssi

            • Kay Derochie

              Dear Crystal,

              I am not an expert on Medicaid. I suggest that you ask the Medicaid office the basis for the approval. If they say SSI eligibility, then you will know.

              Sincerely,
              Kay

  • jacia feadow

    I was denied twice now and I’m waiting for my hearing. Initially, my paperwork said that the injuries are evident based on my supporting documents but that does not mean that I am unable to work a different job than I have in the past. Which is silly because I have tried to work customer service or technical support jobs but my body fails mid-shift and I end up losing my job and source of income and it increases the stress and lowers my quality of life and reasons for living.. eventually it becomes too difficult to even bother with anymore, because it really is just too difficult to continue. I just called and they said they have up to 15 months for the hearing. Currently it’s been 11 months and 15 days. What happens if they fail to hold my hearing? Is my claim automatically approved? My injuries have become worse and the doctor has ordered a hospital bed for my home. I can barely sit for an hour at a time and standing I last all of 5 minutes walking about 10 minutes. I shift and move around all day searching for comfort from the pain. Additionally, I use the restroom once every hour, sometimes every 20 minutes. This is not conducive to any type of employment. This waiting is difficult and does nothing to pay mounting bills or every expenses. I do not have a lawyer because of the fees and even if they work on contingency, I still need that back pay to put a dent on my severe financial crisis (I realize it won’t pay it all off but knowing there’s a reoccurring and dependable source of income would improve my quality of life for certain) Feeling sincerely discouraged. Any words of encouragement or advice is welcome. Jacia

    • Kay Derochie

      Dear Jacia,

      Your claim will not be automatically approved if it takes longer than fifteen months to get a hearing date. You will just wait as long as it takes. Because you are choosing not to use an attorney, I suggest that you request a copy of your claim file so you know the exact reasons for the denial. Make a list of everything you want to say in court–why you can’t work in other occupations, chronic worsening of condition, etc. It would be a good idea to get updated medical records for the past twelve months and submit them as soon as you get them so they are in file before the judge reviews the case prior to the hearing. (You will be notified of the hearing date only about two weeks in advance.) If the vocational expert (VE) says there are jobs you can do and if the judge doesn’t ask whether you can do them with your specific limitations of sitting, standing, bathroom breaks, absences, leaving early, etc., ask the VE if you can do those jobs with those limitations. If you are as impaired as you are describing, you have a reasonable chance of being approved.

      Sincerely,
      Kay

  • Leo

    Hi kate, my question is, that I can keep collecting ssdi even if my permanent resident card has expired because I forgot to renew it .. Thanks kate

    • Kay Derochie

      Dear Leo,

      You can continue to receive Social Security Disability (SSDI) benefits; however, if you are deported, benefits are not paid to individuals residing in certain countries.

      Sincerely,
      Kay

      • Rebecca Perkins

        I checked the statues of my SSDI claim an it says a decision had not been made it was saying that DDS was processing the medical part of it any idea what this mean

        • Kay Derochie

          Dear Rebecca,

          The information you have means that the Disability Determination Services (DDS) is reviewing all the information you submitted to decide whether or not you are disabled according to Social Security law.

          Sincerely,
          Kay

          • anxietyriddenkitten

            im at reconsideration, my status online says no decision has been made yet, although when i called the 800 number the woman said a decision was made on March 25th and was mailed out then. I have yet to receive my letter (6 mail days later the office is close also) how would i know if they sent it to the local office first? my obama phones out of minutes so idk if anyone called me. i do have an attorney and have from the start i have anxiety, major depression, delusional disorder, gerd, gastritis, ibs-c, spasmodic torticollis and degenerative disc disease. im on prilosec, zoloft, xanax daily. also have several letters from doctors/psychiatrist stating the severity of my problems and gaf scores ranging from 34-72. thanks

            • Kay Derochie

              Dear Anxietyriddenkitten,

              You may have gotten a letter by now. If not, check to see if your attorney has received one. You and the attorney should be notified at the same. The local office will be notified at the same time if you are approved for SSI and there is action that they need to take.

              Sincerely,
              Kay

    • claudia caracheo

      Hi kay,

      I applied for ssi for my 3 year old daughter who has an intellectual disability and speech inpairment back in oct 2015. Recently at the end of jan i received an authorization letter to have doctors reports sent to them. I send the letter immediately and it now march 16 and haven’t heard anything back. When do you think i should get a response. Also i heard people say you get sent money for the time it takes to make a determination. But i haven’t received nothing. How true is this?

      • Kay Derochie

        Dear Claudia,

        I’d say that you are getting close to getting a decision. You can call the claims examiner who requested the medical records and as the status of the claim and whether you need to submit anything else. If your child is approved benefits will begin November 2015, unless you applied on the first of October in which case benefits will start in October.

        Sincerely,
        Kay

        • Reynolds

          I got a letter from medicaid before my decision from SSA it says I won’t be able to get medicaid because my SSI was denied. Doesn’t say nothing about SSDI is it possible to get approved for SSDI if you get denied for SSI?

          • Kay Derochie

            Dear Reynolds,

            If your Supplemental Security Income (SSI) was denied for financial ineligibility, your Social Security Disability (SSDI) claim could still be approved. If the SSI denial was a medical denial, the SSDI will also be denied. The only exception would be if you had a closed period of disability ending before your SSI claim. If that were the case, then you could be approved for SSDI and be paid only back pay, no ongoing benefits.

            Sincerely,
            Kay

  • Jessica

    Hey everyone

    I got a letter about 2 weeks ago listing all the items that they are using to make their decision. But there was no decision in the letter. Just a substantial amount of paper listing all these documents and doctors appointments/assessments I’ve had over the years.

    What does this mean? And how long do you think it will be until I get a decision?

    Thank you for any and all the help you can give.

    Jess M

    • Kay Derochie

      Dear Jessica,

      Decision letters, whether for an initial claim or a hearing, usually list the evidence reviewe. I suggest that you look at the title of the notice and where it came from and then reread to be sure no decision or request is buried in the other information. If there is not, then I recommend contacting Social Security to have them explain the letter to you and to check to be sure nothing is missing from it.

      Sincerely,
      Kay

  • i had applied for disability, had a hearing and then i received a letter from ssa stating how much my attorney can collect from my claim. there was a claim number on this letter. is this a good indication that my disability has been approved?

    • Kay Derochie

      Dear Erin,

      You will not know whether you have been approved until you get a letter from the hearing office saying you have received a favorable or partially favorable decision. I suggest that you call your attorney to see if he or she has received a decision letter for you.

      Sincerely,
      Kay

      • Gloria Young

        Yes Kay, I am wondering about the process also for getting approved. I had my hearing in December of 2015. The judge left my case open for another 30 days because I used and out of state attorney (big mistake) who chose another attorney from my state to go to my hearing with me. He felt like some of my documentation was missing. Anyway the hearing went great, but the judge wanted me to take an CE exam, which I felt did not go well. How much weight does or will that have on my decision? I had a statement from my doctor stating I could not bend, sit or stand long. I have arthritis of the spine and knee. The expert at the hearing also said I could not do any job. Do you think I have a chance at getting approval if the CE doctor give me a bad review?

        • Kay Derochie

          Dear Gloria,

          It is hard to say what effect the consultative exam report will have, especially without knowing why it was ordered or what it will be. I suggest that you discuss the examination with your in-state attorney who was at the hearing as soon as possible to see if he or she thinks any additional action is needed or possible.

          Sincerely,
          Kay

          • Gloria Young

            My case is already being reviewed by the judge per the ODAR office. So I just have to have faith the everything will work out for my good. I am curious to know how long it might take to get a decision since he is reviewing my file. Also how often should I check the status? I just checked last week. Thanks

            • Kay Derochie

              Dear Gloria,

              Please see my response to your first post.

              Sincerely,
              Kay

          • Gloria Young

            Can you please tell me where my first post is located? I cant remember or find it. Thanks

            • Kay Derochie

              Dear Gloria,

              You posted in two places that I could find: “How Long Does It Take to Get a Hearing Decision. . .” under the Hearings tab on the navigation bar at the top of this web page and under “How Will I Know If My Application Has Been Approved. . .” under the After Approval tab.

              Sincerely,
              Kay

  • Melissa

    I have a claim for SSDI. I was looking at MY SSacount yesterday to see if I could find the decision. Yesterday I wasn’t able to veiw my Estimated Benefits. It said it was unavailable due to a case pending. Today it shows all of them as estimated benefits and I have a letter that is suppose to come before March 3rd. I called the SSI office and was told that if I didn’t receive the letter, to call them back. Does it sound like a denial?

    • Melissa

      Dear Ms. Kay, As of yesterday, they updated the first home page of the MySS account but the Verification letter doesn’t have any estimates or anything, doesn’t show that I’m not receiving or if I am receiving and I have a claim number on this letter that has an A behind my ss#. Does that mean anything? Can it mean I have been awarded? Does it mean they just have to wait to update the entire section of the SSacount? Do you have any answers for me? I appreciate anything at all you can tell me.

      • Kay Derochie

        Dear Melissa,

        Please see my response to your previous message. The A behind your name may mean the claim is still pending. If you had been finally approved, at some point it would change from A, meaning your claim is on your own earnings record, to HA meaning a disabled worker.

        Sincerely,
        Kay

    • Kay Derochie

      Dear Melissa,

      Yes, it does sound like a denial; however, the computer updates related to pending claims and hearings at times appear to be inaccurate. If you are denied and disagree with the reasons given in the letter, you can appeal. To do so, it is advisable to get a copy of your claim file to review and to engage 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 your retroactive award before they send your back pay to you.

      Sincerely,
      Kay

  • valencia williams

    Hi I left a comment about a month ago but I can’t find it. OK well I applied for ssi in April of 2013. I use to receive ssi and I stopped in 2010. I was approved in less then 4 months because I was inpatient for 5 years as an teen. OK I decided to get off ssi and get a job I held on to that job for 3 years then my phsycosis and bipolar was triggered and I quit. I tried to get reinstated which I knew little about at the time but my lawyer said I’m not qualified so I left it alone. OK recently I did my research and it said I could have gotten reinstated if I applied under five years after getting off ssi. I stood in front of the judge after him discussing my case and said I use to be on ssi the look he gave me was like wow I wish I would have known that sooner. He couldn’t pull it up at the time but he left the case open for almost 5 months trying to get my records medical and proof I use to receive ssi. What is your intake on this plus I called a few days ago after 5 months he made a decision they said to wait in the mail for it will the decision come directly to me or the ssi office because when I call the ssi office they say he hasn’t made a decision but the adjudication office says he have

    • Kay Derochie

      Dear Valencia,

      The hearing office has more detail on where your appeal is within the hearing decision, so you can trust the information from the hearing office. It can take a few weeks for the letter to be prepared and reviewed by the judge for accuracy. You will be notified directly at the same time as the local office is notified of the decision.

      Sincerely,
      Kay

      • sha

        Hey Kay,
        I was wondering how long does it take to get an approval or denial letter when applying for ssi for a premature baby for low birthweight I was informed by the case worker at the hospital that I qualify I applied in early January and have yet to receive a letter or call when googling I read that I was suppose to receive funds while my case is under review how true is this?

        • Kay Derochie

          Dear Sha,

          If your child’s claim has been flagged as presumptive disability, you should get benefits for up to three months while the claim is being reviewed for a final decision. I suggest that you follow up with your local office about the presumptive payments.

          Sincerely,
          Kay

    • MrDee

      Hello. I had an appeal hearing Oxtober of 2015. I’ve waited months for a decision. As of February 2016 i was told my case was with the judge, then it was pending and then back with the judge.As of to date it’s under final review and being edited. Can you please help me understand?

      • Kay Derochie

        Dear Mr. Dee,

        The post-hearing process is as follows: judge makes decision; letter is written; letter goes back to judge to review for accuracy; judge reviews and letter is mailed or judge reviews and letter is sent to editing for correction. If editing is needed, it goes back to the judge for re-review and is then sent.

        Sincerely,
        Kay

  • Amanda

    I Mischel he applied for SS DI in June 2015. I had a stroke in 2011 At the age of 27 years old with multiple perceptual and physical limitations . However, at the time that I applied I was still working and struggling to do so. I was told by my psychologist that in some cases it is better to apply for disability while you are working as an attempt to prove you have exhausted all options . I quit working in July 2015 – roughly one month after applying for Social Security . The disability determination center sent me to a physician to evaluate my physical limitations as well as a psychologist that performed multiple perception will tests. I was told by the federal office in December that a decision was made on December 14, 2015. However, I was selected for quality review. I call at least once a week and have been told by both my state representative and a federal representative that I was awarded an allowance based on the initial this decision in December 2015 . Fast forward to February 16, 2016 – I still have not received an initial decision and my application is still in quality review – is this normal for an initial to be in quality review for 2+ months ? From everyone I’ve talked to it seems as though the hold up is in determining my onset date where I did apply while working . I would think this would be a pretty easy fix and I’m puzzled as to why it is still in quality review after all this time. Also, what would be the likelihood that a decision would be overturned based upon the information given above. I am at my maximum a stray shin level and definitely feeling the effects financially after not working nor hearing any news in over eight months . Any information you could provide would be greatly helpful and appreciated.

    • Kay Derochie

      Dear Amanda,

      I would have expected the quality review to have been completed by now; however, holiday vacations in December could be a factor. If you are in dire need and haven’t submitted a statement of dire need, you can do that. Otherwise, you have done everything you can.

      Sincerely,
      Kay

  • Susan R.

    Hello. These are the facts of my case: I was diagnosed with Stage 4 breast cancer in June 2015. I have no income or resources, and my husband’s income is so low that I qualify for SSI. However, in 2014, my mother had added me to her checking account so that I could write checks to pay her bills while she was out of state caring for a cousin in hospice. After the cousin passed away, she no longer needed me on the account and I was removed. I received a denial of my SSI claim for the months I was on that account, which I understand. However, it also states I am not eligible for the months when I was no longer on the account, up to and including 2/2016 – and the “resources” part still lists that account for this month, even though I am no longer on it.

    Is it hopeless for me to make an appeal? Will they just always consider that I was on that account at the time I filed for SSI, even though I am no longer on it? Would I have a better chance if I started a brand new claim, since I have an illness which automatically qualifies for SSI? So confused….Thank you.

    • Kay Derochie

      Dear Susan,

      Two possibilities exist in this scenario. The first is that a simple mistake has just been made and the excess resource was not removed when it should have been. In that case, you can just appeal giving the date your mother removed you from the account. Your mother can provide a supporting statement about why you were on the account and that your removal from the account was because she no longer needed your help because she was not longer providing hospice care out of state. You should submit a document from the bank showing the date of removal.

      The second possible scenario deals with the law that a person cannot give away money or other resources to get SSI eligibility and get the benefits right away. If your name being removed from the account is being treated as disposition of a resource for no compensation, then the balance on the account on the date your name was removed would disqualify you for a length of time equal to the number of months it would take to use it up for your support at a rate of $733 a month had it not been disposed of. If that is the situation, having your mother’s statement that she removed you of her own accord related to her own needs (see above) and that you had no say in her decision and did not have your name removed to gain eligibility could help you prevail. If you lose the appeal, you can always reapply.

      Sincerely,
      Kay

      • Susan R.

        Thank you Kay. My caseworker already asked me to provide both those things – a document from the bank showing when I was removed from the account, and a statement from my mother explaining the situation – and I have done so. It was only after providing those things that my claim was denied. So assuming that the second scenario you wrote about is that one that is happening, it seems like an appeal would also be denied. I guess my real question is this: if I file a new claim, do they just use the same information from the first claim, or does it start over brand new and fresh? Will a new claim mean they only see what bank accounts I have right now, or will they also see that past account that I have not been on for a long time? Thank you. -Susan

        • Kay Derochie

          Dear Susan,

          I believe that the application forms ask for current bank accounts but also asks if you have disposed of any assets in the preceding twenty-four months. Here is a link to what Social Security regulations say about disposal of resources. https://www.ssa.gov/OP_Home/cfr20/416/416-1246.htm

          Depending on the amount in the account when your name was taken off the account it could be better to file a new claim or better to appeal. If, for example, the account had $3665 in it, then you would be barred from benefits for four months ($3,665 divided by $733) and those four months may have already passed. If there was $7,330 in the account, you would be barred for 10 months, and so on.

          If you appeal, you might have to take it all the way to a hearing, where you could argue that you did not dispose of the resources–your mother simply took back control of the bank account for her reasons, not yours. Another thought occurred to me: you might check with the bank to find out whether you even had the power to remove yourself from the account. Your mother may have made you a signer but not have given you the power to add or subtract signers. If that is the case, it should help an appeal. Also, how she put you on the account matters. If you were on it with power of attorney (as an attorney in fact to act on her behalf), legally the money is not yours.

          Sincerely
          Kay

          • Susan R.

            Thank you so much for this wealth of information!

            • Kay Derochie

              You are welcome, Susan.

  • Karen

    My brother, age 51 years old, started to show changes in behavior around March 2014. Around that time he lost his home and stopped working. Although we believe he did try to start jobs several times after that, the jobs didn’t last. Prior to this change, he was a nurse (LPN) and worked consistently for many many years. Although family members pleaded with him to see a doctor, he wouldn’t.

    At the end of December 2015, my brother showed up. Prior to this we had lost contact with him. He is now temporarily living with me and my family until we can find an assisted living facility place for him and have financial support to pay for it. My brother since 2014 has been living with friends or homeless. He has no income and no insurance.

    He was able to recall his former primary physician’s name, and we paid for a visit with him. His doctor diagnosed him with dementia and declared that my brother was unable to make any medical or financial decisions. My brother is unable to care for himself. His abilities have significantly decreased since 2014. He cannot communicate (uses repetitive statements). He cannot prepare meals. He cannot manage money or shop. He cannot drive. He spends his day briefly watching the news and wandering around our house confused and going for walks with me. We paid for an MRI and it showed normal pressure hydrocephalus, white matter changes, and cortical atrophy.

    We applied for SSI disability and SSI low income on January 8, 2016. On January 19th the SSI examiner called and said that she received the paperwork I completed about my brother’s current state and she asked a few questions. She also said she requested the MRI info and information from my brother’s doctor. I told her about two hospitals my brother may have visited fairly recently. I called about a week later because I forgot to mention my family history of early-onset Alzheimer’s. The examiner was very nice and said she received information from my brother’s doctor and the MRI and was still waiting on information from the hospitals.

    Given the severity of my brother’s situation, should I expect to hear something soon about an approval or denial. My brother really needs to be in an assisted living facility. It’s getting harder and harder to care for him and I worry about him when we are at work and my children are at school.

    • Kay Derochie

      Dear Karen,

      It seems likely your brother will be approved. While you are waiting for a decision, I recommend applying for Medicaid for him at a state social service office. Apply specifically for Medicaid for payment of assisted living. Also start looking for a facility that has open rooms for people paying with Medicaid and tour any potential facility. Hopefully, you will be able to find one near you where you can visit and check on his care.

      Sincerely,
      Kay

      • Karen

        Hi Kay,

        Thank you for your reply. We live in Florida. So when I took my brother to apply for SSI and SSDI, an application for medicaid was also completed at that time. I believe in Florida, if you are approved for SSI and SSDI, medicaid is approved.

        When I spoke to an attorney regarding Power of Attorney and Health Care Surrogate froms, she told me about the Statewide Medicaid Managed Care Long-Term Care which covers assisted living. I had a telephone interview with the Senior Connection Center, and my brother is now on the waiting list and if funding becomes available, he will later be determined if eligible for the Medicaid Long-Term Care. I was told it could be a year or so before he would be considered for eligibility. Does that sound like the right process for Medicaid for assisted living?

        Also, I have found a place for my brother to live and it is two miles from my home. We have been there a few times to talk to them and have turned in everthing needed (application, doctor’s form, etc.). At this time they do have availability. We told them we are just waiting to hear from Social Security. And the facility does accept medicaid.

        • Kay Derochie

          Dear Karen,

          The process you describe seems right. The only thing you mentioned that isn’t quite correct is that Social Security entitlement does not automatically result in Medicaid entitlement, though SSI entitlement usually does.

          Sincerely,
          Kay

          • Karen

            Hi Kaye,

            When I last spoke to the disability examiner during the last week of January, I asked her if there was anything else I could do such as taking my brother to another doctor for more support for his case. The examiner said that there is nothing else needed for me to do at this time. She said she had the information from my brother’s doctor and the mri and was still waiting to get information from the two hospitals he may have visited. When would it be appropriate for me to call again to find out the status of my brother’s case? Was it right for me to ask if there was anything else I could do?

            • Kay Derochie

              Dear Karen,

              Yes, it was appropriate to inquire whether there is anything your brother needs to do to support his claim. Right now, he could contact the medical records departments of the hospitals to be sure they have the requests and to get an estimate on when the records will be sent. Then he could give that information to the disability examiner. (Note that some hospitals have separate record departments for inpatient stays and emergency room visits.)

              Sincerely,
              Kay

          • Karen

            Hi Kaye,

            Yesterday in the mail, my brother received information that he now has medicaid. But we haven’t received any news on SSI or SSDI. We live in Florida, and I thought that he had to be approved for SSI before receiving medicaid.

            So today I called the local social security office. The man said a decision has been made, but he does not know what decision was made. He told me that if I haven’t heard anything by March 4th, to call again.

            If a decision was made, and my brother was never called in for a consultative examination, does that seem as if the examiner had enough information and he was approved?

            • Kay Derochie

              Dear Karen,

              Based on the information that you have provided, I think the Medicaid approval may be independent of the pending Supplemental Security Income (SSI) claim. A claim can be either approved or denied without a consultative examination if there is enough information in file for a decision.

              Sincerely,
              Kay

          • Karen

            Hi Kaye,

            I just wanted to let you know that my brother was approved for both SSI and SSDI. We already received a check for January and February 2016 for SSI, but I was told once the SSDI payments start, he will no longer receive SSI. I’m glad he was approved. He is moving into the assisted living facility very soon. I’m so relieved. They can offer him the support that I cannot at this time.

            • Kay Derochie

              Dear Karen,

              Thank you for providing an update on how things turned out for your brother.

              Sincerely,
              Kay

    • ShayG

      Hi Kay, I was approved for SSD in June 2015 going back to March 2013. I’ve received my monthly benefits check as well as my back pay, however my sons were never added. On sept 21st they called and got all info for my kids and their direct express card numbers. They told me I should expect their benefits to start up within 60 days. I’m still waiting. They keep saying its at the Social Security Disability payment center in Maryland and i just have to wait. They sent an “In dire need” letter to them but said they have no way for men to contact them directly. How long does this process take and is there anyway to speed it up on my end? Thx !

      • Kay Derochie

        Dear Shay,

        In theory, the children’s benefits should have been started by now. Occasionally the manager in the local office can make a “manager to manager” inquiry to the payment center, though it will not necessarily speed things up. You might contact your congressperson’s office to see if they will make an inquir on your behalf.

        Sincerely,
        Kay

  • Debbie B

    Dear Ms. Kay,
    I was unfortunately denied for my SSDI (Grrrr) I have been fighting with Social Security since 2007 , I finally retained a lawyer after my first denial with a ALJ .I started all over again with my claim , another ALJ hearing and another denial (even with a lawyer) also pretty frustrating when half of my conditions I suffer are under the Adult Disability check list as a disability, but my lawyer decided to take this last claim of denial to the civil court level , but advised me to reapply again , so I did back in August 2015 (only for SSI) the whole time I’ve been fighting my disability I never received a letter from Social Security saying that they’re sending a fee petition to my attorney so my question is by having received this letter from Social Security saying a fee petition has been sent to my attorney ,is that good sign that my claim has been approved??

    I really hope so because after the first judge denied my claim and when I had to start the process over again my credits ran out so basically I’m only stuck with applying for SSI (If approved) even for that until I reach the age 65 to get SSDI which really ticks me off being I’ve been working since the age of 19 ..

    Kind Regards

    • Kay Derochie

      Dear Debbie,

      If the fee petition document is related to the federal district court appeal, it might mean approval.

      Sincerely,
      Kay

  • Carol

    Hello Kay
    I went before the judge in December 2015 for my social security disability , i am now awaiting my decision. At my hearing the judge ask me questions about my disabilities and discuss my job history,job function,rfc,etc… The Judge asked the VE due to my age and limitations, what other job can she do? The Vocational Expert said none, my lawyer verified the information, the judge then asked my lawyer would he like to call his witness, judge told him that it was up to him too call his witness, so my lawyer decline to call our witness cause he said i cover everything. So the judge ended the hearing, and told me that he would notify me and my lawyer with decision by mail. I wonder, will i get my decision before my 60 days are up, this week make six weeks. i called the hearing office last week, was told that my case was been written up, after that the judge will review,after that a decision will be mail out. If the VE states that their is no other type of work i can do, then it should be a good chance of approval? What do u think?

    • Kay Derochie

      Dear Carol,

      If the judge finds that the evidence in your claim file supports the limitations you claim, your claim will be approved based on the vocational expert’s opinion. It can take from a couple weeks to a month or more to have the letter written and reviewed by the judge, so I can’t predict whether you will get a decision earlier than sixty days.

      Sincerely,
      Kay

      • Carol

        Thanks Kay

        I heard from Social Security Adminstration today, I was approved for benefits. Thanks you very much for your input.

        • Kay Derochie

          You are welcome, Carol.

  • Michael

    Small question. Had hearing in November. Called today. Was told it was sent to the “underwriters” do approved and denied go through the “underwriters”?

    • Kay Derochie

      Dear Michael,

      I wonder if you were told “letter writers,” not “underwriters. After the judge makes a decision, the claim goes to the letter writing department for letter preparation.

      Sincerely,
      Kay

      • Michael

        No. They said “underwriting” because I thought it was a little weird. So I asked them to repeat. When I have heard underwriting before it was for insurance or loans.

        • Kay Derochie

          Dear Michael,

          I really don’t know what it means as related to a Social Security claim. If you find out, please let me know.

          Thank you,
          Kay

          • Michael

            Sure will.

            Thank you!

            • Kay Derochie

              You are welcome, Michael.

    • Alicia

      Once the disability is approved it goes to the underwriters. So if you had your interview and they are telling you it’s with the underwriters then most likely you were approved. We were told that it could take up to 60 days to get the letter from them and then another 60days to start getting the actual benefits.

      • Kay Derochie

        Dear Alicia,

        The people who review medically approved Social Security Disability claims for non-medical factors of eligibility are called claims representatives, claims authorizers or benefit authorizers, not underwriters.

        Sincerely,
        Kay

    • Michael

      Are there two different “letters”? An “Approval” letter and an “Award” letter? Or is there just one letter that covers the topics of both?

      • Kay Derochie

        Dear Michael,

        There will be a decision letter from the judge that will say whether you are approved or not. Then when benefits are calculated and paid, you will get an award letter that outlines the payment amounts. Often the award letter comes about a week after payment starts if payment is direct deposit to a bank or to a DirectExpress card.

        Sincerely,
        Kay

        • Michael

          So I just received a letter that says:

          “Notice of Decision- Fully Favorable”.

          Now common sense makes me think that means I was approved. But our government has a crazy way of doing things. LOL. Has anyone else gotten a letter like this?

          • Kay Derochie

            Dear Michael,

            “Fully favorable” is the standard language for a full approval as opposed to a partially favorable decision, which means payment duration is limited or based on a less advantageous date of disability.

            Sincerely,
            Kay

          • Michael

            Thanks. Like I said I thought that’s what it meant. But being in the military and dealing with the government. They do some crazy things. Thanks for all your answers.

            • Kay Derochie

              You are welcome, Michael.

  • dee

    i called the ODAR today, i ask the status on my case, the respond was the underwriter has it and it will go back to the judge and from there it will go to Baltimore Maryland and they will send me a decision, he asked me to verify my address to ensure the decision is routed to correct address. I’m confused, this is for social security disability. Don’t understand what that means, i dont live no where close to baltimore maryland. Do you think a decision has been made about my case? What’s a underwriter is he someone that makes the decision on a case?

    • Kay Derochie

      Dear Dee,

      Your appeal may be in the process of being approved. Baltimore is the location of the Social Security Disability payment center. You will not know for sure until you are notified.

      Sincerely,
      Kay

      • dee

        Thank you for input!

        • Kay Derochie

          You are welcome, Dee.

    • Dana

      I was told the same thing this week. My decision has been made and once the judge signs off my case will be sent to the Central Operations in Baltimore. My decision is also coming from this location. Does anyone know if this is a good sign. Do only approvals come from Baltimore?

      • Kay Derochie

        Dear Dana,

        After some research I located a POMS (Procedural and Operations Manual Systems) reference. Approved hearing decisions are sent for payment calculation to a Processing Center, one of which is located in Baltimore. Denied hearing files in all areas are sent to a mega-center in Virgina. So, unless your hearing was incorrectly routed, it appears it has been medically approved.

        Sincerely,
        Kay

        • Dana

          Kay, Thank you!

          • Kay Derochie

            You are welcome, Dana.

        • Dana

          Kay

          My ODAR office in California told me that the judge signed my decision and the case is closed as of yesterday! She told me that I should receive the decision within 7-10 business days. I know that you researched The Office of Central Operations In Baltimore. This is where they said the notice is being sent from. Which looks like could be a possible approval. However, I read somewhere that this is also the processing center for denials for people 54 and older. Is this true! I am 54 1/2…Thank you for any input!

          • Kay Derochie

            Dear Dana,

            It is always possible that there has been a recent change; however, currently Social Security’s procedural operations manual states that denial hearing decisions go to the Office of Appellate Operations (OAO) Mega-Site in Springfield, VA, where they are retained for 180 days. If no appeal is filed, the claim is forwarded to SSA’s National Record Center in Missouri.

            Sincerely,
            Kay

  • catherine

    I just got off the phone from calling the 1-800 number for disability to ask about my claim status and the lady said all my paperwork is in the Tallahassee office and that they are still getting reports back from my doctors and hospitals. She said that they usually have an answer in bout 60 days from the time I sent back all the forms they sent me to fill out which i sent in on dec.21,2015. Is the Tallahassee office where they generate the disability checks? Is this a good sign that I will get approved? I applied for disability in october 2015.
    I have type 1 diabetes, diabetic ketoacidosis, neuropathy, diabetic nerve pain in my hands and feet. I was in hospital in april 2015 thinking i was having a stroke and was diagnosed with Bells Palsy.. Thank you for your help.

    • Kay Derochie

      Dear Catherine,

      I cannot predict whether you will approved, but it is possible. The office in Tallahasee is the Disability Determination Services (DDS) that reviews your claim and makes the decision regarding whether you are disabled according to Social Security law. Social Security Disability (SSDI) benefits are authorized by a payment center in Baltimore. If you also applied for Supplemental Security Income (SSI) and are medically approved, payment will be authorized by your local Social Security office.

      Sincerely,
      Kay

      • catherine

        Thank you for your help in answering my question. I did not apply for SSI ,only disability. When I was in the hospital numerous times the doctors had me listed as disabled so I am thinking that will help my case. Thanks again.

        • Kay Derochie

          You are welcome, Catherine.

  • Jeremy cooper

    I went to court on Dec17th. I called Jan 5th and was told the decision was in writting. Is this a good sign or a bad sign for that short amount of time?? How long before I get a decision letter in the mail??

    • Kay Derochie

      Dear Jeremy,

      Well, it is very good that you are getting a decision so quickly without having to wait a long time; however, how fast a decision is made is not an indication of approval or denial.

      Sincerely,
      Kay

      • pam landry

        Hi Kay,
        I filed for disability in July2015 on Dec9th had an appt with a phocologist per ss request a decision was made on Dec29 as of today I still didn’t get my letter but I called yesterday and they told me call my local office well I did that 30min ago and they said they had a copy of it and they will put it in the mail today…my question is does that sound like and approval or denial?

        • Kay Derochie

          Dear Pam,

          I cannot say for sure whether the letter will be a medical approval or denial. If it is an approval, you will have to wait for the payment center to calculate and authorize your payment.

          Sincerely,
          Kay

          • pam landry

            I called the 800# yesterday to find out how long it would take to receive my determination letter and the guy told me I wasn’t approved, should I wait on my letter before appealing their decision?

            • Kay Derochie

              Dear Pam,

              You have to receive the denial letter to appeal. Social Security must receive your appeal within sixty-five days of the date of the letter. I suggest that you also request a copy of your claim file to see the exact reasons for denial so that you can address those reasons in the appeal.

              Sincerely,
              Kay

        • I just got a letter from social security about a application summary what this mean dose mean I’m app are denie

          • Kay Derochie

            Dear Mike,

            An summary of the facts of your application would not constitute a denial. I suggest, however, that you contact Social Security with the letter and clarify the purpose of it to be sure.

            Sincerely,
            Kay

  • Jessica

    I applied for benefits on December 8,2015 for anger anxiety depression and being bipolar… They sent 3 packages asking questions about my everyday life and previous jobs and things like what I do from the time I get up and the morning til the time I go to bed…I filled it out and sent them back….I haven’t heard from the yet..do this sounds like I will be denied or what?

    • Kay Derochie

      Dear Jessica,

      I cannot predict whether you will be approved. The forms you completed were part of your application. It can take two to five months to get the claim reviewed and a decision.

      Sincerely,
      Kay

      • Jessica

        Since I haven’t heard anything back as of yet can you tell what process they are on after receiving those papers back?

        • Kay Derochie

          Dear Jessica,

          I can’t provide any specific information about your claim. Generally, all the forms will be reviewed and medical records or other medical information will be requested and evaluated.

          Sincerely,
          Kay

  • catherine howell

    I was diagnosed with type 1 diabetes in 2007 at age 47, I also have peripheal vascular disease, neuropathy, diabetic nerve pain in my hands and feet, diagnosed with bells palsy in 2015. I am in extreme pain everyday and I have not worked since nov. 2011. I applied for disability in oct. 2015 and i filled out all the papers, pain questionaire, job history for last 15 years and 3 people contact list they sent me in dec. 2015. How long before a decision is made or what happens next? Thank you for your help.

    • catherine howell

      I also have diabetic ketoacidosis.

    • Kay Derochie

      Dear Catherine,

      The request for additional information indicates your claim is in review. It could take another week or so or even a couple months. It is hard to predict.

      Sincerely,
      Kay

      • catherine howell

        Thank you for your help. I applied for disability when I was diagnosed with type 1 diabetes only and I was denied within 1 week. All my other health issues came later and since I can’t work I applied again in Oct. 2015 and listed all my health issues I have now. Hopefully since my claim is in review that means something will happen and I will get an answer soon so thank you again for your help. I check my claim status often and it keeps saying a decision has not been made yet. What happens after the review?

        • Kay Derochie

          Dear Catherine,

          If your claim is medically approved, the next step will be for the payment center to calculate and authorize payment, which can take a month or more.

          Sincerely,
          Kay

          • catherine howell

            My last question for you is how long a review takes? You might have already answered this in my 1st question.. Thank you for all your help, I greatly appreciate it.

            • Kay Derochie

              Dear Catherine,

              The claim review can take from two to five months.

              Sincerely,
              Kay

          • Monica Portis

            My ssi claim was approved the same day of my hearing.I received a letter of full favored decision 7 days later.SSA told me to take my letter to the local office along with my bank routing #.the rep.on my case was to buisy to see me .even though I was advised to to come there .how long do you think it will take before I receive any benefits.my case was closed and my onset date was approved for Oct 2011.I need specialist say my doctors and I can’t afford to pay.they are calling me every day to give me special testing for neurological problems and cardiovascular issues before its to late.Kay what should I do?

            • Kay Derochie

              Dear Monica,

              Please provide more information so I can respond. How long ago did you get the letter and how long since you provided the bank account information? And, were you approved for Social Security Disability, Supplemental Security Income (SSI) or both?

              Sincerely,
              Kay

  • Lovely

    Hello, I hope you can answer my question. I am an epileptic, have sleep apnea, anxiety and depression. I applied for SSI and SSDI back in May 2015, I was denied and did a reconsideration in August got a lawyer and all that. While I have been waiting on a decision I had a seizure going up the steps broke my toe. Then a couple days later had one coming down the steps and fractured my vertebrae and arthritis is now set in my spine. I have seizures every day have lost every job since I ever had since i was 16, and I am now 37. I took me so long because I’m stubboring and thought I could keep working and i’ve tried to cope with them. But I didn’t want to keep putting my kids through alot of things so I decided to listen to my family and apply.
    Today I called my DDS examiner and he said that he did make a decision yesterday and that I should receive a letter within 2 weeks. If not to call my local social security office. Is this a good sign? I can’t take to much more stress it’s not good for my seizures. I’m trying to stay calm. I guess I’m just scared of being denied again and have to wait even longer to go to an ALJ. Its very hard trying to take care of small children with no income. Can you shed some light? Thank you.

    • Kay Derochie

      Dear Lovely,

      Hopefully, you let the examiner know about the falls and injuries due to seizures after filing your claim. If you did, I think there is a good chance your claim has been approved. I suggest following the advice of the examiner and call your local office if you have not received a letter or been contacted within two weeks. Tell the office that you were told a medical decision had been made but you have not received any notifications.

      Sincerely,
      Kay

      • Lovely

        Thank you so much Kay, I did let the examiner know and he said he did receive it that is why it took so long for the decision because he received that information of my falls and arthritis on the 29th which was very important. So I hope this is it and one less thing I have to stress about. Also my doctor supports me with disability and she has me at no working and no driving and for me to get plenty of rest. I don’t know if that is important or not but she did fill out the forms while i was at an appointment.

        • Lovely

          I called my local office today and they said a letter was sent of the decision yesterday. I’m so nerves it seems so quick I feel like I’m going to be denied. And he just made the decision on Tuesday. What do you think? Your opinion please.

          • Kay Derochie

            Dear Lovely,

            It is not possible for me to predict whether your claim has been approved or denied.

            Sincerely,
            Kay

  • April

    Happy holidays
    My case is at the hearing level and I have a question. I called the ODAR office and was told that my case was worked up and on the list for a court date. I also called my local office because they are a bit nicer and was told I’m in the first level of preparing my case and a decision could be made without going in front of the ALJ. I’m confused I thought once it go to the hearing office I just have to wait for the ALJ to see me. How many levels do the case go through at the hearing office before I see the ALJ. My disability Man depression PTSD anxiety.

    • Kay Derochie

      Dear April,

      Your claim has moved out of waiting its turn to being worked on. The judge will review the full claim file; and if he or she can approve your claim, you will be approved without a hearing. If a hearing is required (as in most cases), a hearing date will be set.

      Sincerely,
      Kay

      • April

        Thank you

        • April

          If I’m schedule for hearing how long do it usually take to get the court date? I live in Fayetteville North Carolina and was told that my name went on the list 23 of November

          • April

            Sorry I meant to say if I’m on the list to be schedule for court date how long does it usually take to get the dates? I’ve been on the list for a court date since the 23rd of November and I live in Fayetteville North Carolina.

            • Kay Derochie

              Dear April,

              Please see my response of earlier today.

              Sincerely,
              Kay

          • Kay Derochie

            Dear April,

            The wait is about nineteen months in the Fayetteville hearing office.

            Sincerely,
            Kay

        • Kay Derochie

          You are welcome, April.

          • MANISHA

            Hello, I would like to know what is a proctor letter. Maybe I heard the word wrong, but it’s a document that social security will mail to me to review all medical evidence received after my claim. Can you please explain this better and does it mean that I’m close to a decision being made?

            • Kay Derochie

              Dear Manisha,

              I am not familiar with the term “proctor letter” or “reviewing all the medical evidence received after your claim.” I suggest that you ask the person who told you about it to explain what it is and what its purpose is.

              Sincerely,
              Kay

          • tara

            i applied for my social security disability benefits with premiere disability lawyers in either feb or march of 2015 i was told i was approved in june of 2015 and all of a sudden the disability office sent me a norice to go to their social security doctors and i did i waited longer then all of a sudden social security disability senr me another doctor now i have been waiting for 11 months and no body seems to have an answer every body keeps telling me i am in quality review why so long

            • Kay Derochie

              Dear Tara,

              Your claim was randomly selected for a quality assurance review. Apparently, the review resulted in an assessment that your claim was approved without sufficient documentation to support the approval. I can’t explain why it has taken so long to get the examinations scheduled and a decision made other than claim backlogs. You can call the office that sent you to the exams to ask the status–have they gotten everything they need for the review.

              Sincerely,
              Kay

  • Sean

    My mom called for status of her claim…first person she spoke with said a decision had been made a few days ago and she would receive a notice soon. She called back within 10 minutes for another question and was told the claim was still pending. Also, thru the entire process (initial and recon) her online benefits letter has always shown her old benefits she collected as a dependent at her childhood home…two days ago it updated with her current mailing address and indicated that the claim was still being worked on to see if benefits will be paid out or not…then it changed back to the old information. Do you have any idea/suggestion as to what is happening behind the scenes?

    • Kay Derochie

      Dear Sean,

      I’ll take a guess at part of what you described. I think the second person she spoke to, when saying the claim was pending, may have used that word because no payment had been issued, not that a medical decision had not been made. The first change in the online information would be compatible with my guess. I don’t know why it would have changed back. It might be helpful for her to call the Disability Determination Services (DDS) that does the medical review. They will know whether it is still pending with them or has left them, but they will not give out the medical decision over the phone.

      Sincerely,
      Kay

      • Sean

        Hi again…my mom called again for status last week since she was told over 2 weeks ago that a decision had been made. This time after the rep asks the normal verification questions she advises my mom that she should hear something by March 26, previously whenever she called they would tell her she would hear something by Jan. 13. She then follows with “you haven’t received anything yet? Any idea why she would ask that question after she had just said she would have a decision by March 26th…and also…any idea why the change from Jan 13 to march 26?

        • Kay Derochie

          Dear Sean,

          I really don’t know why the dates would be changed so much unless the claim has been medically approved and it will take another couple months after approval for the benefits to be paid.

          Sincerely,
          Kay

      • Delkela

        Hi i was recently in a car crash back in 2012 where i broke my leg n lost my knee bone i now have a plate pins and rods inside my leg i have trouble standing walking and bending my leg i filed oct 2015 i recieved paper requesting that i see a doctor for a examination 3months later however its been 2weeks since the examine and i havent heard anything my case is going on day 120 does this lengthy time means i am denied or does it simply mean they are still working on it

        • Kay Derochie

          Dear Delkela,

          The Disability Determination Services is still working on your claim. They may not even have received the consulting physician’s report as yet and it can take a month or more after that to get a decision.

          Sincerely,
          Kay

  • I am a 35 year old suffering from severe diabetes I was told by the doctor that my levels are the highest he has seen I’m the office.I have carpal tunnel my legs give out on me and I fall in the street.I have major back problems and anxiety attacks and suffering from serious depression.I’m on 12 different medications which now I suffer from fatigue.I applied for disability in November I seen a nerve doctor and a therapist for ssd in December. I called the other day and I was told that claim is still pending but my call back date is for March.she also said if I don’t hear from th or receive a payment by then call back around that time.what does that mean

    • Kay Derochie

      Dear Tiffany,

      The information you were given means that your claim has not been decided and it could take as long as to March.

      Sincerely,
      Kay

      • I called them today and they told me a decision was made and my papers is at my social security office.she stated that they were still writing up my paper and to expect it in like two weeks.does that sound like an approval?

        • Kay Derochie

          Dear Tiffany,

          Please clarify a point so I can try to respond. What kind of paper was being written up and who was going to do it, the Disability Determination Services or your local Social Security office?

          Thank you,
          Kay

  • Amber

    I have one question if I applied for my child in September how long does it take for them to say if it was approved or denied???

    • Kay Derochie

      Dear Amber,

      New claims take two to five months to process.

      Sincerely,
      Kay

  • Tanya

    So I have received my approval letter from the ALJ. My lawyers sent a letter telling me to call SSA or go to my SSA local office to file a claim to add my dependent to my benefits. I was given a time and date for phone interview, and SSA did not call me and lied about having called twice and left me a message. I had my phone all day long, watching it like a hawk. So I opted for an interview at my local office. The next available face-to-face interview is January 6, 2016. Will this delay the payment center from calculating my monthly and back pay amount? When I filled for disability, my dependents were one of the things I filled out on their questionnaire. I also gave the lady information such as his social security number, birth date, and so forth over the phone.

    • Kay Derochie

      Dear Tanya,

      Your own benefit should not “lose its place in line” in the payment center while waiting for the application for your children. Listing the children on your application makes their filing date the same as yours if you follow through and file the actual application for them.

      Sincerely,
      Kay

      • Tanya

        Thanks so much for responding.

        • Kay Derochie

          You are welcome, Tanya.

    • Nicole N

      Hey Tanya
      what did you have to do at the interview at the local office. I was approved day of my hearing. received approval letter. then recieved a message from my local office that said they were sending me a letter in mail that has time and date for me to come into office to start my benefits. Just wondering what i need to expect and to bring with me.

      • Kay Derochie

        Dear Nicole,

        This site is not set up for visitors to answer one another’s questions; however, I will respond. If you applied for Social Security, your interview may be for you to provide banking informationor to complete your children’s applications. If you applied for Supplemental Security Income (SSI), you will be asked to confirm and document your income and assets and your addresses and living arrangements from the time you applied up to present.

        Sincerely,
        Kay

  • Toni

    I was diagnosed with Stage 4 Metastasic Breast Cancer in July and my application was approved in September. However, I’m reconsidering going back to work. I have not received any SSD payments yet. If I return to work and some where down the line my health is compromised, how difficult will it be to get SSD again. Also, my application was fast tracked because of the diagnosis, but why the long waiting period before you can get money? Thank you.

    • Kay Derochie

      Dear Toni,

      It typically takes one to two months for benefits to start after medical approval. I can answer your question about returning to work and getting benefits later if you can provide me with some dates. First, what is the date of disability that Social Security established for you? Second, have you worked since that date and if so for how long and how much did you make that month.

      Sincerely,
      Kay

  • Adry Garcia

    Good evening! I had recently applied for SSDI benefits on October 14th, 2015 & around the 1st of December, I received a letter stating that I was “informally denied” SSI benefits because on my SSDI application, I accidentally said I did not want to apply for those SSI benefits as well. Does that mean that I would have been approved SSI if I initially applied for them as well as SSDI? That same week, I received the adult function report, supplemental pain questionnaire, and third party contact sheets starting they needed a little more information about my disabilities. I was diagnosed with Chiari Malformation, fibromyalgia, cardiomegaly, 2 herniated discs, facet disease, disc disease, renal cyst, kidney stones, follicular cysts, frequent syncope, parathesia, and I have PROBABLE Multiple Sclerosis (not 100% diagnosed but have all signs from by mri & lumbar puncture except for the o-bands not being present in my spinal fluid). I’ve had most since birth, but symptoms started about 20 months ago, after I had my son. A few days after I received all those papers with the function report, I received a piece of mail from social security marked URGENT on the front of the envelope which had a cardiac disability questionnaire. I had to go to the ss office to change my onset date because I was confused about that when applying online and entered the incorrect date and the man told me he had to check if my application was at the office of the DDS or if it were at their office and it was at the DDS office and they had received my fax back with all the paper work I filled out and faxed back. He had me talk to a claims examiner to fix the date and to apply for SSI. My question for this is, since he didn’t know if my claim was at the DDS office or at their office, does that mean my claim was approved since he thought it may be back at their office already and had to check? Is it a good sign that I wasn’t denied right off of the bat and sent additional papers to fill out and send back? I am only 27 years old and was just laid off from my current position due to medical issues. I’m very much in need of being awarded disability, as I can’t take care of myself without help everyday from friends and family, yet alone take care of my son at all by myself. I can’t drive anymore or shower by myself or wash my own hair or go to the bathroom by myself, etc. Do you know how long it should take for a decision since the man said the DDS had reviewed my answers on the paperwork I faxed back in already, on Monday? Please help.

    Thank you,
    Adry.

    • Kay Derochie

      Dear Adry,

      It is hard to interpret specific verbal statements. Usually I would say that the local office would not have known that the most recent forms had been reviewed unless a decision had been made; however, because you were changing your claimed disability date, there might have been some communication between the local office and the DDS that revealed the information even though a decision had not been made. Changing the claim date of disability will require at least some additional review, especially if it is earlier than the date previously claimed. A medical decision could be rendered with a few days or a few weeks of their receiving everything.

      Supplemental Security Income (SSI) disability requires the same level of disability as Social Security and the claim has to go through the same medical review process, so you would not have been automatically approved for SSI had you filed at the same time as you filed the Social Security claim. The difference is that the SSI will be paid more quickly and does not have a five-month unpaid waiting period.

      Sincerely,
      Kay

  • Miss P.

    Hello, questions.
    mental and physical disability claim. Originally tried to get DARS in Tx to find me work suitable for my bipolar and ptsd as well as HNP and other physical issues. He sent me to have CE with psych and functional, had those assessments done back in June 2015, I guess or around there. Nothing panned out for work anywhere. Got one job, lasted a month before they term’d me due to excessive issues having to do with my disabilities. That ended in August 2015. AFter still not being able to find any other work, my DARS counselor suggested I go ahead and apply for disability to secure my situation and get some better help. I ended up in psych ward for about a week, couldn’t get it together. Finally officially filed in Sept with my psych office doing the paperwork for me, as a rep for me.
    I got sent to DDS within a month. Through all my appts and MRI’s and testing and therapy, I stayed in touch with my DDS gal, making sure if I needed to, that I got her stuff to her. I talked to her today, she finished my case this morning and sent back to the SSA for the decision letter. She said she didn’t know how long until I received my decision letter due to the holidays.
    They were in contact with my DARS counselor and I am sure he told them my stuff dealing with him and all that with the consultations,etc. They never sent me to any additional ones. She said she had stuff from my pulmo, ent, pcp, testing folks, psych, neuro, cardio, etc. I filled out all the ADL and work and medical histories.
    My question is, does it seem as if she probably was able to approve me? She told me if I need to wait for a letter or try to call the SSA office to get more information if they are able to give it to me, she said she wasn’t sure if they could over the phone??
    I have two kids, single mom, last long term job over 6 months was in 2012. my dr wanted specific work adjustments, my employer did not accomodate them, I eneded up resigning, going on unemployment because the unemployment officer told my employer that they shouldnt deny my unemployment if they were unable to accomodate my disability. I have tried so many different jobs since then. at least ten in 2014. Lasting anywhere from 2 days to only 3 months. It looks really bad but I tried to find something, I have two kids for goodness sake. I am just so nervous and anxious to know if it looks as if maybe that wording she used may indicate perhaps I was approved medically??
    What else does going back to SSA mean, like what else do they need to do I guess is what I mean? Once medical is complete? sorry, I am a bit disorganized in thought, hope you understand my questions.
    Thanks so much.

    • Kay Derochie

      Dear Miss P.,

      I can’t say for sure whether your claim has been approved or denied, but the wording of the DDS employee seems to indicate that you may have been approved.. If you have been denied, you should have a letter within a week. If you filed a Supplemental Security Income (SSI) claim, the local office has to calculate payment amount and then send the letter. If your filed a Social Security Disability (SSDI) claim, a central payment center has to release payment and send notice. If you filed for both SSI is paid before SSDI. If your filed for SSI and the local office has not contacted you within about a week, I suggest that you check to see whether they have received the file back and ask whether they need anything from you. That might allow you to find out verbally whether you have been approved.

      Sincerely,
      Kay

      • Miss P.

        Thanks for replying so fast, I appreciate it. And my advocate at the mental health center says they always file for both for the patients. I had enough on my SSD to get about 1050 I believe and my family about half of that. I have worked all ten years in one thing or another. I also gave them old psych and neuro paperwrk from 2000 stating on paperwk I was totally disabled and a few papers from older psych stays (older than 10 yrs) she submitted that. I gave the same to the CE that DARS sent me to for the psych eval for DARS back in the summer before he did his exam.
        I have one more question, if they see I was disabled and qualified for a year back since i left my last full time job in 2012 due to the employer (was with them for 4 yrs) not accomodating medical direction from my dr about the sitting and other stuff so i had to resign and now, since, i havent had a job last longer than 3 months, will they put the onset date to a year back and give me back pay perhaps? I ask this because i think the advocate/rep only put the date i applied and no other date??? does SSA change dates themselves to benefit the patient if they get enough medical evidence to see the disability?

        • Kay Derochie

          Dear Miss P.,

          I recommend that you contact Social Security and correct the disability date you are claiming to the 2012. You will not be paid that far back; but the earlier onset date, if established might qualify you for Social Security Disability, not just Supplemental Security Income. When you correct the date, do it in writing and also provide the dates of the short jobs you have had since then and why you left each.

          Sincerely,
          Kay

          • Miss P

            Hi, adding on…I spoke with SSA local office finally. Was told I was approved medically and deemed disabled by the DDS and now am awaiting processing. Any idea if it sounds as if my case is approved? What else would they need to do now?

            • Kay Derochie

              Dear Miss P.,

              You have been told that your claim has been approved. You are now waiting for payment to be calculated and paid, which can take from a month to two months or more.

              Sincerely,
              Kay

          • Kathy

            Hello, I applied for ssdi on June 16, 2015. Talk to my case examiner & was told a decision was made on Dec 16 but now I learned my claim is being review by quality control. Does that mean I was denied & how long does that take?

            • Kay Derochie

              Dear Kathy,

              The quality assurance review will determine whether the decision previously reached to approve your claim was correctly determined or not. If the review agrees that the decision was correct, it will be upheld. If the quality review determines more information was needed to make a determination, more review will be done and possibly more evidence requested. The last possibility is that the quality assurance review could result in a denial. The review can take from a couple weeks to a month or more.

              Sincerely,
              Kay

  • Precious

    Hello! So I filed for ssi online in July for my son, (he’s autistic), but I had to wait for all the paperwork from early intervention and his doctors to go in the local office and file (it said to go to a local office when I finished the application online). So it took awhile and I went in November. I wanted to know if they will consider July or November as the filing date to receive payments. Thank you

    • Kay Derochie

      Dear Precious,

      The filing date will be in July.

      Sincerely,
      Kay

  • Robert N.

    Hi there,

    Quick question…I applied for SSDI in August for my wife. She is Bi-Polar and has Paranoid Anxiety, Depression, Anger and back issues. She has been fired from multiple jobs for not being able to adjust to a working life style and not being able to complete simple job tasks, show up to work or work with others. She went to her appointment with the Psychologist on November 11th, I talked with the Disability Determinations guy today and he said that he closed her file on the 2nd of December and it has been sent to the Federal office, then off to the Social Security office and then we will receive a letter. Does this most likely mean she’s been approved? Thanks for any input!

    • Kay Derochie

      Dear Robert,

      The information that you have is too vague to know whether your wife has been approved or not. If she has been denied, I recommend appealing with 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 sending your back pay to you.

      Sincerely,
      Kay

  • Christine

    Hello Kay,
    I applied for SSI for my 23 year old daughter at the local Social Security Office in July of 2015. She has Apergers and a long history of anxiety, and personality disorder symptoms. She has been unable to hold a job since graduating high school.
    The Determination Office received the case at the beginning of August, and called me with a quick question. Two days later I called them back to ask them a question. They said they were done at their end, and the case was sent back to the local social security office, and I should direct my question to them.
    I still haven’t heard anything yet. Should I assume the ssi will most likely be denied because they were done reviewing her case in two days? And if they did deny it right away, would it take 4 months to send a denial letter?
    Thanks, Christine

    • Kay Derochie

      Dear Christine,

      First, check to be sure your daughter did not receive a letter. If not, something has fallen through the cracks. Either a letter was sent that didn’t reach your daughter or the claim was medically approved and the local office hasn’t taken action to pay it. I suggest that you and your daughter go into the office to check on it. If it was denied, she needs to go on record with a written statement that the day day you and she went into the office was the first notice she go. This is important if she wants to appeal.

      Sincerely,
      Kay

      • Christine

        Thank you, Kay.

        • Kay Derochie

          You are welcome, Christine.

      • Dear tinya

        I went to court March 11th .I was denied awhile ago.but then I got a court date I’ve had two back surgeries with another surgery pending on back I’ve had a surgery one every year for past 4 years .my Dr sent a letter saying I suffer from conic back pain .along with pain management .at the hearing the social security man stated he has no job for me with the no lifting over 5 pounds I suffer from dizzy spell off balance 4 bulging disc .arthritis. ,and degenerative spine ,went to court March 11th 2016 I has no lawyer but they said I provided every thing they needed from all dr’s and surgeries .how much longer will it take to hear something or receive a letter.do u think I have a change of being approved

        • Kay Derochie

          Dear Tinya,

          The guideline is for you to get a decision withing sixty days of the hearing. From the information you provided, I would say that Whether or not you are approved will depend on your ability to work in a job with no lifting.

          Sincerely,
          Kay

    • Joe

      I used to be on SSDI, but missed the required medical appointment about a year and a half into receiving benefits. Therefore they revoked my benefits. I reapplied and am still waiting on a decision. I used to get paid a good amount per month with SSDI, enough to pay health insurance and medicines.

      On my new application I put my new bank account and haven’t received any deposit yet, or letter that it’s been approved. HOWEVER, I just received a deposit to the account I used to have linked to my SSDI payments, but the deposit is very low, much lower than I was receiving.

      What might this mean?

      • Kay Derochie

        Dear Joe,

        It is possible that you have been medically approved and that you applied for both Social Security Disability (SSDI) and Supplemental Security Income (SSI). SSI payments are made first, are often lower than Social Security, and stop when the higher SSDI starts. You should get a letter within seven to ten days. In the meantime, you can call Social Security at 1-800-772-1213 to find out if the payment is SSI.

        Sincerely,
        Kay

  • Chelsea

    Dear Kay,

    I am currently on SSI, and have been for about 5 years. I have an inherited connective tissue disease and mental health issues. I have tried to work time and time again, but my repeated surgeries and declining condition have made it impossible to keep a job, and I feel it would be in my best interests to apply for SSDI. I am at the point that I have accrued enough credits I’m now eligible for SSDI. My question is, if I apply for SSDI, will I have to submit my medical documentation all over again? Or is there a different process for those already approved for SSI? Thank you.

    • Kay Derochie

      Dear Chelsea,

      I believe that Social Security will adopt the SSI medical decision for your Social Security Disability (SSDI) claim. If so, you have to file a claim, but there will be no medical review.

      Sincerely,
      Kay

  • Mike

    I received my 6 months of EXR SSDI June through Nov. 2015. SS office has determine me a disabled, but are still in the process on making a decision. I called the office and the national line to see if they determine to reinstate my SSDI benefits a number of times. I have received many different answers, the last answer was that it’s now at the “processing money center”. Is this a good sign that I will be reinstated?

    • Kay Derochie

      Dear Mike,

      If you claim is in the processing center for payment, it means that your application for expedited reinstatement of benefits has been medically approved.

      Sincerely,
      Kay

      • Mike

        Kay,
        Question, could I be denied from the processing center. Here is my concern, I made no income 2011,2012,2013, but I made income $46 k (self employed) in June 2014, after making the money, my disability effect my work again, so since then I didn’t work or make any income. The SS office said my case was unique? not sure what they meant by that. It’s now 2 months and did not receive an answer to denied or approved. What do you think the hold up is? SS local office and Nat’l line did say it takes up to 60-90 days, but if I was not approved wouldn’t they let me know ASAP?

        • Kay Derochie

          Dear Mike,

          I am assuming that you claimed disability before your work in 2014. My response is based on that assumption. The payment processing center could stop approval of your claim if your 2014 work was considered an indication that you are in fact able to work. However, if the disability determination services or judge was aware of your work and approved the claim after June 2014, it is less likely that would occur. The unusual situation is that few people earn $46,000 in one month, especially when not working before or after than month. If you were paid $46,000 in one month for work you did over several months, your work activity over those months would be evaluated. If you were disabled less than twelve months before you started the work and your work activity was less than three months or under some circumstances less than six months, it could be treated as an unsuccessful work attempt. If you were disabled twelve months before working, the work months could be applied to a Trial Work Period. In either case, benefits could be paid. Lastly, the sixty to ninety days is mostly waiting your turn and is not an indication of approval or denial.

          Sincerely,
          Kay

          • Mike

            Kay,
            It’s now 2/12/2016 and I have not heard back from SS on my decision, last reinstatement payment made on Nov. 2 2015. Is this usual for them to take so long? I have had a number of calls with the National line and the SS office in mass, they tell me it’s at the processing center, but it’s been there for almost a month. My situation, end stage renal disease, so I’m getting close to running out of money to pay for medications, The SS office in Mass. doesn’t really respond well, they just tell me” you just have to wait”, plus the agent handling my case never return my calls and never spoke to me (always when I call they patch me to their line and I get a answering machine). . At least at the National level, they did say they put a rush on it because it’s a “Dire Need Situation”. But they have done that 3 times, they told me to call back in 2 weeks. any suggestions on what I should do?

            • Kay Derochie

              Dear Mike,

              Because of your medical condition, I suggest that you contact your congressperson’s office to see if they will follow up for you. Explain that you have been medically reinstated and are awaiting pay. Be sure to have dates of when you got notice of medical approval for reinstatement.

              In the meantime, check with your doctor to see if any medical samples are available and start checking with the pharmaceutical companies that manufacture your medications to see whether they will provide a temporary supply. Some companies will do so.

              Sincerely,
              Kay

  • LaTonya

    Hello!

    I finally had my hearing for ssd / ssi on November 16, I called today and was told an decision was mailed out to my Po Box on November 25, the lady from SS asked if I had check my box, I told her the last time I checked it was on Saturday, she asked if I had trouble getting to my Po Box I told her no, she went on to tell me of the “FAVORIABLE DECISION” was made in my behalf 🙂 she also stated that some from SS will call me for an interview, my question is, does this mean that I am approved or should I not get my hopes up until I receive something in writing.

    • Kay Derochie

      Dear LaTonya,

      It is unusual for the hearing office to give you the decision over the phone, but there is no reason not to believe that you have been approved.

      Sincerely,
      Kay

      • caren helmich

        Well i have been diagnosed with severe ptsd dependent personality disorder and severe insomnia and depression.. i also have mersa, as well as glacoma. I was working on my disability application. A lady from social security wanted to ask me questions, however it wasnt finished yet. It now is and i will be calling the lady back today. Is this a good sighn that my disability claim will be aproved? If not whats next?
        Thank you
        Caren

        • Kay Derochie

          Dear Caren,

          I do not have enough information to render an opinion. Usually claims decisions are not revealed over the phone, so you may need to wait for a letter.

          Sincerely,
          Kay

  • patricia jones

    I applied for ssi for my son who has chronic asthma and was recently diagnosed as a diabetic. I called the claim agent who was handling the case and he stated that he made his decision Nov 17, 2015 and that my son file was sent back to our local office. I waited a couple of days and one person said that I should get a letter within a couple of days. The next 2 people I spoke with said his claim was still pending and I should call back on Dec 1. My question is, is this a good sign or a bad sign? Thanks for your input.

    • Kay Derochie

      Dear Patricia,

      The computer system may show the claim as still pending even though the medical decision has been made. If you do not have a notice of decision by December 5, follow-up with the local office to find out whether they received the file and how to get a duplicate letter released.

      Sincerely,
      Kay

  • Hello Kay:
    I had a hearing on the 5th of November and as I thought that everything went well and the judge told me that he may or may not keep my case open for two weeks. After the Vocational Expert said that there were no jobs I could no longer perform. Asked my lawyer did he want to add anything he said no if you are going by the RFC findings. So the judege states that he would still need my records from my nuero but he wants to go ahead and get it to the writers……well I thought this was ok since I changed my onset date also…..but today I receive a letter from my lawyer’s office asking for authorization of my mental records…..why would they be asking this after my hearing!? Totally confused……HELP

    • Kay Derochie

      Dear Cathy,

      At the hearing the judge was saying he was going to approve the claim and send it for letter writing but might decide to keep the case open [for additional evidence to document the decision]. Apparently, he decided that he needed the records and he or the attorney needs an authorization to get them.

      Sincerely,
      Kay

      • Thanks Kay for all of your post and advice it has been hard for me and my family especially being a victim of a violent crime….. My stress level is through the roof. But I still smile and I called the attorney office and they needed and updated authorization form due to it being expired…. So that’s what they told me….
        Thanks a million
        Cathy

        • What is depending decision writing

          • Kay Derochie

            Dear Cathy,

            Pending decision writing means the judge has made a decision and a decision letter is being prepared.

            Sincerely,
            Kay

        • Kay Derochie

          You are welcome, Cathy.

  • lesa

    hello, i have a few questions i called binder and applied for ssi and ssd they said my case sounds like they could take it on because i have bi polar, sever anxiety panic attacks agoraphobia mood disorder i just was recently diagnosed with SMI (seriously mentally ill) i also have a herniated disc in my lower back ive had many back injections and all have failed also chronic pain and fibromyalgia…the person that went over my application said to call SSA so i did well i have a phone interview coming up next week what should i expect? i have serious anxiety just thinking about the whole situation.. what are your thoughts on it? is it even worth trying to pursue? do i have a case? thank you for your time

    • Kay Derochie

      Dear Lesa,

      I suggest that you follow your attorney’s advice and pursue the claim.

      Sincerely,
      Kay

  • tamara

    Hi i applied for ssi for my daughter july 21 2015.. They did not know they had all the paperwork til i called and they looked thru them which was the beginning of november. I has a account but closed it they tild me to call the local office i did. She told me that i couldnt keep the account anyway because it was not in my daughter name. I wanted to know hiw long will it take to get a decision letter and will it take long then normal because of all these issues they have had with my case
    Thanks in advance

    • Kay Derochie

      Dear Tamara,

      There has already been a delay in the processing of your daughter’s claim so it is going to take longer than normal. It may take a couple months from now. The account needs to be set up with a title “your daughter’s name by your name, representative payee.”

      Sincerely,
      Kay

  • Krystee

    Hello, not sure if I am posting in the right area, but I have a question. My fiancee applied for disability back in January or February of this year(we can’t remember) anyhow, we never got a letter or email or anything telling us whether or not he was denied or approved. Well, today he got a letter in the mail from social security that (in a nuttshell) said that he has indicated he has/or intends to collect workers comp, and that they need to know if they are paying him the right amount. Now, he never mentioned anything about workers comp when applying, or ever to them, but the letter suggests he is getting disability. We are excited and confused. What does this mean? We checked the website, but it says he isn’t receiving benefits. Can’t find any way to check if there is any pending approvals or anything. Did he get approved and we didn’t know?

    • Kay Derochie

      Dear Krystee,

      I believe that your husband has been approved and the payment center is checking to be sure workers compensation offset does not apply. I suggest that your husband respond to the letter as directed saying that he has not received workers comp and doesn’t expect to (if I understood correctly) or send proof of his workers comp rate and dates of benefits if he is getting workers comp. Then also visit the local office with the letter or call 800-772-1213 and ask whether the letter is an indication of medical approval.

      Sincerely,
      Kay

  • rose bell

    I an so confused i went thru the whole ssi process and ended up in court well it was oct 13 2015 i got a notice on 11/6/2015 judge agreed and gave me a fully favorable Decision im confused on whats next what should i be doing im in the process of losing everything and i need to get the money rolling can anyone tell me what to do

    • Kay Derochie

      Dear Rose,

      I suggest that you contact your local Social Security office and ask them to submit a dire need notification to the payment center to see if that can speed up payment, which usually takes about sixty days to start after a hearing. In the meantime, I suggest that you talk to your creditors and show them the judge’s approval letter. Maybe they will hold off on any repossessions once they know you will have income and back pay to catch up the arrears.

      Sincerely,
      Kay

  • MARY

    Hello
    My name is Mary I had my hearing friday Nov 20th my medical problems are severe osteoarthritus ,Spondyloepiphyseal dysplasias and dwarfism I am only 4 ft 7 I had a total hip replacement in july of this year. I was in front of the judge for an hr also I think I had a crappy lawyer. the judge ask the voc rehab guy three questions adding and taking away thinga one answer was high one was low jobs and the last was 0 jobs I was wondering what that meant and how will that effect my answer. I tried to talk to my lawyer but he was in to big a hurry to answer all he said was I did good and that it started out good and then he left I have really no clue what went on

    • Kay Derochie

      Dear Mary,

      To know what “high” and “low” meant, I would have to know the questions asked.

      Sincerely,
      Kay

      • MARY

        I couldnt hear the judge very well but he kept taking and adding things to the questions I know the first answer from the voc rehab was 8000 jobs open the second question he took away limitations and the voc rehab guy said 300.000 jobs then the judge added a list of limitations and the the voc rehab guy said 0 I have still tried to reach my attorney with no luck so I am guessing that my answer will be a NO

        • Kay Derochie

          Dear Mary,

          If the judge believes your claim supports the limitations you have say you have and the vocational expert said you cannot perform any jobs because of the limitations, your claim will be approved.

          Sincerely,
          Kay

  • Angie

    I applied July 17, 2015 and found out today that a decision was made on Nov.18th. They said it was sent back to my local office. I called my local office and she said a determination was made and they have until Dec.2nd to send my letter and if I haven’t received my letter by then to give them a call. Does this sound like a denial? I have carpal tunnel, disc out of place in my back, swelling of knees and legs, can only sit and st an for an hour at a time.

    • Angie

      I just wanted add that this is an initial claim.

      • Angie

        Well i got my denial letter today.

    • Kay Derochie

      Dear Angie,

      I can’t be sure, but the information you received does sound like a denial. Otherwise, you might have been asked for some additional information that was needed to set up payment. If you are denied and disagree with the decision, when you get the letter you can appeal. If you do so, it would be helpful to get a copy of your claim file so you can see the exact reasons for the denial and address why the reasons are wrong.

      Sincerely,
      Kay

      • Diana waddell

        Kay,
        I applied October 2015. I called social security and they told me to contact local office i called local office and they told me my letter was sent November 17 2015. The decision was fast what does that mean? I was diagnosed with degenerative disc desease and cervical stenosis of spine.

        • Kay Derochie

          Dear Diana,

          How long the decision pended doesn’t determine the outcome. The quick decision probably means that the Disability Determination Services (DDS) in your area is current in their workload and that you either submitted a lot of supporting information about your condition or your physicians responded very quickly to requests for information.

          Sincerely,
          Kay

      • Na Thomas

        Kay

        I was recently diagnosis with Stage 3 Colon Cancer. The DDEO ladies at the hospital applied for SSDI and SSI for me. I have no insurance and cannot afford chemotherapy or any of the medical test I am being sent to. I called SS and was told my case is at State Level for determination. Can you please help me understand how much longer I have to wait for a decision. Thank you

        • Kay Derochie

          Dear Na,

          New claims typically take from two to five months for a decision. I suggest that you apply for health insurance through the Affordable Care Act. The annual open enrollment period is in progress now through January 31. If you apply by the end of December, insurance coverage will start in January. If your family income is low enough, you may be eligible for Medicaid or a government subsidy to help cover premiums for another insurance. you can get more information at http://www.healthcare.gov.

          Sincerely,
          Kay

          • Na Thomas

            I recently was hospitalized this week and was told I have full coverage Medicaid starting the month of December 2015. I received no letter or medicaid card in the mail about this decision. Does this mean I am approved for SSI also if so how long does it take to receive a letter.

            • Kay Derochie

              Dear Na,

              If you did not apply for Medicaid separately from your Supplemental Security Income (SSI) application, you may have been approved for SSI. If so, you should be getting your first payment and approval letter soon. If you haven’t checked your bank account recently, I suggest doing so because often the first payment is received before the letter is sent.

              Sincerely,
              Kay

          • Natasha

            Dear Kay
            I went to my hearing in September 2, 2015 and I haven’t recieved a letter of decision yet. But call Monday on 30 of Nov. the representative at Social Security told me I’ll here something from them before they will. So I call back Thurs.on Dec 3 and she turn me off so nasty after she ask for my information and told me I was denied but still I haven’t recieved a letter yet.

            • Kay Derochie

              Dear Natasha,

              It is unusual that a denial decision would be given out over the phone. I suggest that you call the hearing office, where you can probably get more reliable information about whether or not a hearing decision has been made and, if so, whether the letter has been sent.

              Sincerely,
              Kay

  • Precious

    I was supposed to receive a telephone interview and they never called… What should I do?

    • Kay Derochie

      Dear Precious,

      If you were given a specific date for a phone interview and Social Security did not call, you need to call Social Security or visit your Social Security office right away to report that you waited for the call, that it didn’t come in, and that you want to reschedule it.

      Sincerely,
      Kay

  • Hi Kay,

    My husband is 31 and we have a almost 16yo son…anyhow I applied for SSDI for him on 9/22/15 and on 11/5/15 they called and said he was approved! They asked for some info about our son and said I would receive a approval letter and some info on the mail, anyhow it’s only been a few weeks and online I can see that my husband has been approved, along with a verification letter and his amount, but I can’t see anything about my son at all…is this something I should worry about or just wait longer to see if they ever mail me anything like they said?

    • Kay Derochie

      Dear Pink,

      Dependent benefits are usually paid after the disabled worker’s benefits have started. If you haven’t received benefits for your son by a month after your husband’s benefits start, I suggest asking the local office to follow up with the payment center.

      Sincerely,
      Kay

      • susan

        Hi mrs kay I was try to figure out wat are the step in getting disability I applied 2 months ago a week ago they call to get my date I became dis abbliy and the want my check stubs . They told me it just went to the medical board. Wat does it mean.

        • Kay Derochie

          Dear Susan,

          The office apparently wanted your pay stubs to be sure you were insured for Social Security Disability and/or your income is low enough for Supplemental Security Income (SSI). The information apparently allowed them to determine that you meet the non-eligibility criteria and, therefore, they sent your claim for medical review. (This long delay in sending the claim for medical review is not typical.) I can take two months or more to get the medical decision.

          Sincerely,
          Kay

          • Nicole Pinkel

            The Judge deterimined m de fully disabled, My attorney adviised me to wave my SSI ,because my benefits are more,
            Eligible for for SSi because I waved rights, and after review not elegible and not eligible for any SS. Does that include ineligible for my SSD.

            • Kay Derochie

              Dear Nicole,

              The way you have worded your question, I am not sure of your situation. I can’t tell whether you accidentally withdrew both your Supplemental Security Income (SSI) and Social Security Disability (SSDI) claims or you received a letter with form language in it that says not eligible for other benefits. I suggest that you take the letter to your local Social Security office and check to be sure that your Social Security claim is still being processed for payment. If it is not, get in touch with your attorney right away.

              Sincerely,
              Kay

  • celina abreu

    Hi My son was just approved for ssi, I went on Tuesday for an interview for the living arrangement. They told me they can not send out a check that I needed to make a checking account for my son with in a week I did the account yesterday and called them today giving the Information, the lady told me that December payment would go on the account. I told her but they told me the back pay they told me It would go on the account, and she said if you want to believe that you can but it been process. So my question is will I receive a check or get direct deposit, and how many days will it take we are already ending the month

    • Kay Derochie

      Dear Celina,

      I think you may have a typographical error in the middle of your post so I am not clear on exactly what the representative told you about the back pay, but I think you are saying that she told you that the back pay would come by check and the December monthly payment would go to the bank account. In any event, I suggest that you both watch the mailbox and check the bank account frequently.

      Sincerely,
      Kay

  • Courtney Taylor

    My case was approved and now I’m waiting to get an interview to become my daughter payee. I was wondering how long is this process and when will I be notified ?
    After I do payee paperwork how long will it be til I received the money

    • Kay Derochie

      Dear Courtney,

      If you have been approved for Social Security Disability, usually your benefits will be started before the dependent’s benefits are processed; however, the local office may take your payee application before then. If have not been contacted within about two weeks of the medical approval, contact your local office and request an appointment for the interview. (It can take a month or two to get your benefits started.)

      Sincerely,
      Kay

      • Courtney Taylor

        Are you saying that I could receive a check even though I have not done payee paper work?

        • Kay Derochie

          Dear Courtney,

          No, you will have to complete a payee application; however, the timing on when that is requested can vary.

          Sincerely,
          Kay

          • Courtney Taylor

            Okay thanks for taking your time to explain the answers to me……

            • Kay Derochie

              You are welcome, Courtney.

  • RON

    HELLO AGAIN KAY, I AM FUMING TONIGHT. AFTER WAITING 3 MONTHS FOR A DECISION ON MY RECON FOUND OUT FROM ANOTHER EXAMINER THAT MY EXAMINER LIED ABOUT SENDING PAPER TO MY DOCTOR FOR TECHNICAL DEVELOPMENT. HE SAID NOTHING WAS DONE SINCE AUG AND WAS SENDING EMAIL TO LIGHT A FIRE. I THINK HE DENIED ME BECAUSE HE GOT IN TROUBLE. THE LETTER STATES THAT THE PRIOR DECISION WAS CORRECT BUT IT STATED MY CONDITION WAS NOT SEVERE THEN AND I NEEDED TO FIND ANOTHER JOB. THE NEW LETTER SAID MY IMPAREMENTS ARE SEVERE BUT NOT ENOUGH TO LAST 12 MOS IN A ROW. I HAVE MED SOURCE STATEMENT STATING FAILED ALL TREATMENT IMPROVEMENT NOT LIKELY DUE TO SPECIFIED IMPAREMENTS AND SCS WILL BE NEXT TO MASK PAIN. I NOW HAVE STIMULATOR IMPLANTED A MONTH AND HAVE BEEN OUT OF WORK FOR 9 MOS. I DONT THINK HE USED ANY UPDATED RECORDS OBTAINED AFTER MY INITIAL APPLICATION BECAUSE I HAVE MET THE LISTING FOR SPINE DISORDERS 1.04A AND NEUROLOGICAL 11.00C 11.04B AND 11.14. IF I AM CORRECT SEVERE IMPAREMENT MEANS CONDITION THAT PREVENTS INDIVIDUAL FROM DOING ANY GAINFUL ACTIVITY

    • Kay Derochie

      Dear Ron,

      All you can do now is file an appeal disputing the reasons for the denial that were given in the last denial. If you meet the listings (the diagnosis and the specific clinical or test findings detailed in the listing, you would be eligible for benefits if the condition has lasted or is expected to last twelve months.

      Sincerely,
      Kay

      Sincerely,
      Kay

  • Taylor

    I had a hearing on august 12th and the judge requested more medical records for my son. He has severe ADHD. They received the records before the end of august. the judge made her decision on September 29th and it was sent to he decision writer and the decision writer return it back to the judge on October 29th. Now the judge has the information back for review and editing if needed. Question how much longer do I have to wait before I hear anything. Do you think she approved my son case with her making a decision with a months time? Please shed some light on my current situation please.

    • Kay Derochie

      Dear Taylor,

      The amount of time a judge takes to make a decision is not a sign or approval or denial. Your judge made the decision in less time than many, so she may review the letter this month. If it doesn’t need editing, she will sign it and it will go out right after the review.

      Sincerely,
      Kay

  • I called social security today and they told me they made a decision on the 5th of the month however I have not received anything and my claim number is not available. Is something wrong
    I applied July and have been off work since April 2015

    • Kay Derochie

      Dear Janet,

      You should receive a notice of medical approval or denied any day now. If you don’t have the letter by Monday’s mail, I suggest you contact your local office to find out if it has been sent.

      Sincerely,
      Kay

  • Melanie

    Hi,Kay am Melanie I had a question what do it mean if the DDs worker say a desicion been made today but he can’t tell me anything to just wait a few days in call my local office

    • Kay Derochie

      Dear Melanie,

      Decisions are not given out over the phone. Because the examiner said to call your local office, rather than wait for a letter, your claim may have been medically approved and you were told to call because a financial update is needed for a Supplemental Security Income (SSI) claim; however, I cannot be sure.

      Sincerely,
      Kay

  • superstar

    hello i am back again you gave me good advice the first time, so now i am back, so you were right ssi ask hiim to go to a mental exam which was today 11/14/15, at 8:oo now pat has a hard time of being on time but we actually check in at 8:10 after finding the place but i thought that was pretty good for him, usually its a lot latter but i had to be at work too of course, however the lady at the front desk hands him some papers and tells him to complete them and to return it back to her when hes finished seemed pretty normal for me, so pat hands me the papers cause he doesn’t read or write very well so i am filling out these papers asking him the questions and writing down his answers just like the disability papers that we had got, there were 4 papers 2 of them front and back, pat did get up and leave for a couple of min while i was still filling them out, things that i know about him, he comes back i asked him the other questions that i didn’t know. their was one family ahead of us she said her appt was at 8 too, while i was filling out the papers i seen another lady really rushing as if when she was coming in the office and she went into the back (okay she must work here) so we continue to fill it out and these are very detailed questions, the people get seen and come out really fast and leave, we were the only people in the waiting room i filing out the papers with pat, then the lady that came in as if she was in a rush comes out and said really loud YOU are taking to long to fill out 3 little pages your appt is almost over you only have 1 hour, my next patient is coming in 10 min, for one i never knew that the application you fill out was part of the hour, 2 she wasn’t their at 8 anyway she was later then we were, of course i knew when she was yelling the way she did that pat was going to say something cause of his disability and anger issues, then she said why are you yelling and me, i calmed him down cause he did start to yell then the lady went back in her office i really did try to finish the last page but after that i was a little disturbed that i couldn’t finish writing cause i was shaking so i wrote on the back of the page cause i think disability sees that paper that we couldn’t finish because the lady came out and yelled at us to finish, my question is what do i do about this i have never experienced this in my life usually when we go to the doctors they will still call the patient in and i continue to fill it out in their office i really didn’t know that the paper was part of the hour we were in the waiting room i hope this doesn’t stop his disability. also she came back out after the secretary girl gave her the papers and saids i cant see you, we said thats fine i ask for the papers back she wouldnt give them back i ask for her name they wouldnt tell us, so yes i said i think she was being very racist towards us for no reason at all, iam so mad right now i want call and complain to someone.

    • Kay Derochie

      Dear Superstar,

      You and Pat need to report what happened right away to the Disability Determination Services (DDS) claims examiner who asked Pat to attend the appointment. Explain it in the same detail that you explained it to me. This is important because otherwise his claim may be denied for lack of information.

      Sincerely,
      Kay

      • Lauren Muterspaw

        I applied for SSI for my daughters , they were preemies and one has hip dysplasia . I applied October 30TH , in person , and still haven’t heard anything . How much longer until I know ? Their medical bills are PILING .

        • Kay Derochie

          Dear Lauren,

          Processing of new claims typically takes from two to five months. I suggest that you contact your local social services office to see whether the children qualify for Medicaid. Or, they might qualify for insurance under the Children’s Health Insurance Program (CHIP). You can get more information at http://www.healthcare.gov.

          Sincerely,
          Kay

        • Bridgette

          Whats the hotline number

          • Kay Derochie

            Dear Bridgette,

            The phone number for Social Security’s call center is 1-800-772-1213.

            Sincerely,
            Kay

  • Teresa Jones

    Hello

    My name is Teresa, and my question is this. I applied for ssdi on or about July 2015 for various medical problems. On October 5th I received a letter from ssa stating that I was approved for the medical portion and that I would receive a letter after they determine the non-medical. does this mean I am approved? I have not heard anything else from ssa since 10/5/15 p.s I know I have more than enough work credits.

    • Kay Derochie

      Dear Teresa,

      It can take about two months to get Social Security Disability benefits started. If you haven’t received benefits by the end of December, I suggest you follow up.

      Sincerely,
      Kay

      • Teresa Jones

        Thank you Kay for taking the time to address my question.

        • Kay Derochie

          You are welcome, Teresa.

          • Damien

            Question. I applied for ask in july. I got a letter that says I have been approved for benefits. That in two weeks I need to come into local office to update record for pay, ….or something like that I don’t have letter in front of me.

            I have not been askednor given paper work to set up direct deposit.

            What can I expect at my appointment, and how long will it take to get my money. I need a place to live desperately. What’s t h e time frame…will they ask me or have me fill out paper work for direct deposit.

            And when I try to add my bank info on ssa website.it says contact us. It won’t let me add. When I get to the end of the process. And try to submit it.

            It says my estimated benefits are not applicable
            Then below.that says last reported earnings 7000$ in 2014.

            • Kay Derochie

              Dear Damien,

              Take your bank information to the appointment and ask for direct deposit then. Also, at the interview, request dire need processing of your back pay because you need to obtain housing. If you can quantify how much you need for move in costs that might be helpful.

              Sincerely,
              Kay

  • Courtney Taylor

    I applied for ssi for my daughter she was admitted to a clinic and was tested and told she was suffering with bipolar and depression… She stayed a week and a day and was let go with meds. The worker told me to apply for ssi and I did July 15 in Louisiana. I moved to Texas in August and transferd case . She see an outpatient clinic for meds and a therapist comes out once a week to see her. Ssi sent us to there doctor October 29 and now we are waiting on feedback for an answer. I called this morning and was told they couldn’t tell me over the phone. I’m confused does that mean she was denied

    • Courtney Taylor

      I called back and was told by my case worker that a descion was made and I should hear from them next week. Then I called the hotline and was told that a decision was made on the 9th but its not saying if I was approved or denied. She said she would send an email over for them to give me a answer. So what does this mean?

      • Kay Derochie

        Dear Courtney,

        The information you got means that a decision has been made on your claim and that you should be getting a written decision letter soon telling you whether you have been medically approved or denied.

        Sincerely,
        Kay

    • Kay Derochie

      Dear Courtney,

      Usually the Disability Determination Services (DDS) will tell you if a claim is still being worked on; however, decisions are not given out verbally. Given that you were told they couldn’t tell you anything, I believe that a decision has been made on the claim and that written notification is in process.

      Sincerely,
      Kay

      • Courtney Taylor

        Thank you for answering my question.

        • Kay Derochie

          You are welcome, Courtney.

          • Courtney Taylor

            If the case was transfered from DARS back to the office does that mean it was approved

            • Kay Derochie

              Dear Courtney,

              Transfer to the local office does not necessarily mean the claim has been approved, just that a decision has been made.

              Sincerely,
              Kay

      • Erica

        I have a question if the one that’s say you can’t work is he the one that has the saying cause they didn’t tell me if I was approve

        • Kay Derochie

          Dear Erica,

          On an initial claim or first appeal, the Disability Determination Services (DDS) contracted by Social Security makes the decision regarding whether you are disabled as defined by Social Security law. On a second appeal, the judge makes the decision.

          Sincerely,
          Kay