Skip to main content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.


The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Medical Denial Rates for Presumptive Disability Determinations

September 25, 2015

Office Affiliation: The Office of Audit

Audit Report Number: A-07-15-15032

A claimant, including a child, applying for Supplemental Security Income (SSI) based on disability or blindness may receive up to 6 months of payments before the final determination of disability or blindness if he/she is found to be presumptively disabled or blind and meets all other eligibility requirements.

A presumptive disability (PD) determination requires that evidence reflect a high degree of probability that the claimant’s impairment or combination of impairments meets the Social Security Administration’s (SSA) definition of disability or blindness.

According to SSA policy, payments based on a PD determination are not considered overpayments if it is later determined the claimant is not disabled or blind.

This report was issued to evaluate medical denial rates for PD determinations by medical impairment and quantify the associated PD payments.

Read the full report

Read the summary report

Looking for U.S. government information and services?