Introduction |
Your Social Security Disability Companion | 1 |
Medical and Legal Questions | 2 |
Medical Listings | 3 |
Quick Disability Determination (QDD) | 5 |
1 What Is Social Security Disability? | 7 |
A Two Different Programs | 8 |
B Defining Disability | 19 |
C Contacting the Social Security Administration | 22 |
D Frequently Asked Questions About Social Security Disability | 23 |
2 Applying for Disability Benefits | 27 |
A Preparing to Apply | 28 |
B Applying for Disability Benefits | 28 |
C The Role of Health Care Professionals | 75 |
D How Other Disability Payments May Affect Social Security Benefits | 77 |
E Availability and Disclosure of Confidential Records | 80 |
F Fraud and Other Crimes | 86 |
3 Disability Benefits for Children | 89 |
A Three Benefit Programs for Children | 90 |
B Applying for SSDI or SSI Benefits | 93 |
C Disability Evaluation | 105 |
D Continuing Disability Reviews for SSI Children | 109 |
E Other Health Care Concerns | 110 |
4 Getting Benefits During the Application Process (SSI) | 113 |
A Applying for Presumptive Disability | 116 |
B Impairments Qualifying for Presumptive Disability by Field Office | 116 |
C Qualifying for Presumptive Disability Through DDS | 119 |
5 Proving You're Disabled | 121 |
A Acceptable Medical Sources | 122 |
B Medical Evidence From Treating Sources | 123 |
C The Role of Consultative Examinations in Disability Determination | 133 |
D Evidence of Symptoms | 137 |
E Other Evidence | 140 |
F Expedited Determinations | 140 |
6 Who Decides Your Claim? | 149 |
A DDS Basics | 150 |
B DDS Claims Examiners | 151 |
C DDS Organization | 151 |
D Medical Consultants | 153 |
E If Your Claim Is Granted | 156 |
F If Your Claim is Denied | 157 |
G DDS Corruption and Incompetence | 158 |
H Quick Disability Determination Unit (QDD) | 165 |
7 How Claims Are Decided | 167 |
Step 1. Are You Engaged in Substantial Gainful Activity? | 168 |
Step 2. Do You Have Severe Impairments? | 168 |
Step 3. Do You Meet a Medical Listing? | 169 |
Step 4. Can You Do Your Prior Job? | 171 |
Step 5. Can You Do Any Other Job? | 172 |
8 Whether You Can Do Some Work: Your RFC | 173 |
A RFC Analysis for Physical Impairments and Abilities | 175 |
B Mental Impairments and Abilities | 185 |
C Claims With Both Physical and Mental RFCs | 189 |
9 How Age, Education, and Work Experience Matter | 191 |
A Age | 193 |
B Education | 195 |
C Work Experience | 198 |
D Use of Vocational Analysts | 203 |
E Vocational Rehabilitation | 205 |
10 When Benefits Begin | 207 |
A Medical Evidence | 208 |
B Work Experience | 209 |
C SSDI or SSI Claimant | 210 |
11 Reasons You May Be Denied Benefits | 213 |
A You Earn Too Much Income or Have Too Many Assets | 214 |
B Your Disability Won't Last Long Enough | 215 |
C The SSA Can't Find You | 215 |
D You Refuse to Cooperate | 216 |
E You Fail to Follow Prescribed Therapy | 216 |
F Drug Addiction or Alcoholism Contributes to Your Disability | 221 |
G You Have Been Convicted of a Crime | 223 |
H You Commit Fraud | 223 |
12 Appealing If Your Claim Is Denied | 225 |
A Deciding Whether to Appeal | 226 |
B Review the Rationale and Your File From the SSA | 231 |
C Appeal Basics | 235 |
D Your Right to Representation | 237 |
E Four Levels of Appeal | 238 |
F Reopening of Decisions | 293 |
G Refiling an Initial Claim | 293 |
13 Once You Are Approved | 295 |
A Disability Benefit Payments | 297 |
B Reporting Changes-SSDI Recipients | 302 |
C Reporting Changes-SSI Recipients | 314 |
D Returning to Work | 319 |
E The Ticket to Work and Work Incentives Improvement Act | 329 |
F Participation in the Ticket to Work Program | 332 |
14 Continuing Disability Review | 343 |
A Frequency of Reviews | 344 |
B How the SSA Contacts You | 347 |
C Medical Improvement Review Standard | 365 |
D Children and CDRs | 375 |
E Appealing a CDR Decision | 376 |
15 Your Right to Representation | 377 |
A When Do You Need an Authorized Representative? | 378 |
B What Can an Authorized Representative Do? | 379 |
C Who Can Be an Authorized Representative? | 380 |
D Should Your Authorized Representative Be an Attorney? | 381 |
E How to Find a Disability Representative | 382 |
F Notifying the SSA of Your Choice for Representative | 383 |
G When and How Your Representative Is Paid | 384 |
H Keeping Up on the Law Yourself | 389 |
Appendixes |
A Glossary of Bureaucratic Terms | 391 |
B Examples of Technical Rationales for Denials | 395 |
Form SSA-4268, Denials From Initial Application | 396 |
Form SSA-4268, Denials From Continuing Disability Review (CDR) | 400 |
C Medical-Vocational Rules | 411 |
D How to Use the Medical Listings on Nolo.com | 419 |
List of Files on Nolo.com | 420 |
Index | 421 |