Claimants are required to prove they are disabled by providing medical and other evidence of disability. However, the Social Security Administration (SSA) is responsible for making every reasonable effort to help the claimant get medical reports from medical sources. The Agency considers all evidence in the claimant’s case record when it makes any determination.
Improve the Timeliness and Quality of the Disability Process
Under the Medical Improvement Review Standard (MIRS), an individual’s disability continues unless the (1) disabling condition has improved since the last favorable disability determination and (2) individual can engage in substantial gainful activity.
Disability determination services (DDS) in each State or other responsible jurisdiction perform disability determinations under the Social Security Administration’s (SSA) Disability Insurance and Supplemental Security Income programs. DDSs are required to perform such determinations in accordance with Federal law and regulations. Each DDS is responsible for determining claimants’ disabilities and ensuring adequate evidence is available to support its determinations.
In November 2010, SSA released its Strategy to Address Increasing Initial Disability Claims Receipts. The strategy outlined four objectives to address the increase in initial claims and the growing pending levels.
We initiated this review at the Dallas Regional Commissioner’s request. Our objectives were to determine whether (1) indirect costs claimed for Federal Fiscal Years 2011 and 2012 were allowable and properly allocated and (2) applicant travel expenses were reasonable, properly authorized, and adequately supported.
The Social Security Administration (SSA) conducts continuing diability reviews (CDR) on Disability Insurance (DI) beneficiaries and Supplemental Security Income (SSI) disability recipients to determine whether they remain medically eligible for disability payments. Individuals profiled as having a high likelihood of medical improvement undergo a full medical CDR by a disability determination services (DDS).
On November 5, 2012, the Senate Committee on Homeland Security and Government Affairs, Permanent Subcommittee on Investigations (PSI), requested a review of disability denials in three specific counties.
Good afternoon, Chairman Lankford, Ranking Member Speier, and Members of the Subcommittee. Thank you for inviting me to discuss the Social Security Administration’s (SSA) management of its disability programs. I appreciate your continued interest in this and other Agency-related issues.
Our objective was to analyze certain characteristics of claims with representatives at the disability determination services (DDS).
Good morning, Chairman Lankford, Ranking Member Speier, and Members of the Subcommittee. I have appeared before Congress many times to discuss the Social Security Administration’s (SSA) disability programs, and how my office helps improve the effectiveness and integrity of those programs. I thank you for the invitation to testify today about these issues of critical importance to American taxpayers.