What is Disability Determination?
The process by which Social Security evaluates whether an applicant meets the legal definition of disability and qualifies for SSDI or SSI benefits.
Understanding Disability Determination
SSA uses a five-step sequential evaluation: 1) Are you working? 2) Is your condition severe? 3) Does it meet a listed impairment? 4) Can you do past work? 5) Can you do any other work? Most claims are initially denied and require appeal.
Examples
- 1Initial application reviewed by state DDS agency
- 2Denied claim appealed to Administrative Law Judge
- 3Consultative examination ordered by SSA
Related Terms
Residual Functional Capacity (RFC)
An assessment of the most an individual can do in a work setting despite their physical or mental limitations from medical conditions.
SSDI
Social Security Disability Insurance provides monthly benefits to people who cannot work due to a severe disability and have paid into Social Security through payroll taxes.
SSI
Supplemental Security Income is a needs-based program providing monthly payments to disabled, blind, or elderly individuals with limited income and resources.
Help Your Clients Understand Their Case
Quilia makes it easy to communicate complex legal concepts to your clients.