Understanding Supplemental Security Income (SSI)-- Continuing Disability Reviews (2024)

Understanding Supplemental Security Income Continuing Disability Reviews -- 2024 Edition

CONTINUING DISABILITY REVIEWS


WHAT IS A CONTINUING DISABILITY REVIEW?

Social Security periodically reviews your medical impairment(s) to determine if you continue to have a disabling condition. If we determine that you are no longer disabled or blind, your benefits will stop.

We call this review a Continuing Disability Review (CDR). The law requires us to perform a medical CDR at least once every three years, however, if you have a medical condition that is not expected to improve, we will still review your case, once every five to seven years. We will reach out to you to obtain updated information about your condition using the SSA-454 (Continuing Disability Review Report) or SSA-455 (Disability Update Report) form.Those who receive the SSA-455 now have the option to complete the Disability Update Report (SSA-455) form online.

Understanding Supplemental Security Income (SSI)-- Continuing Disability Reviews (1) During the CDR, we will also review your income, resources, and living arrangements to ensure that you continue to meet the non-medical program requirements. We call this periodic review a Redetermination. For more information on SSI redeterminations, see our chapter on REDETERMINATIONS.

HOW DO WE CONDUCT CONTINUING DISABILITY REVIEWS FOR A CHILD?

For a child, SSA initiates a CDR at least once every 3 years if we expect the child’s medical condition may improve. We may also initiate a CDR if we do not expect the child’s condition to improve.

If we decided the child was disabled based on low birth weight, we will generally initiate a CDR by age 1. However, if we initially decide that medical improvement in the child’s medical condition(s) is unlikely to occur by age 1, we will schedule the child’s CDR after age 1

During the CDR, we may ask the child’s representative payee to provide evidence that the child is, and has been, continuing treatment that is medically necessary and appropriate for their medical condition.

If the child's representative payee refuses to provide the necessary evidence without good cause, we may look for another representative payee. We may also decide to pay the child directly, if he or she is old enough to receive their own benefits.

Understanding Supplemental Security Income (SSI)-- Continuing Disability Reviews (2)See representative payee for more information.

WHAT HAPPENS TO MY CHILDHOOD DISABILITY AT AGE 18?

If you are eligible for disability benefits as a child, 2 months prior to attaining age 18, we will review your case. During this review, we will determine if your current medical condition(s) meets the disability requirements as an adult. When we initiate the medical redetermination, we will use the adult criteria to determine if you are eligible for disability benefits. We use the same criteria for adults who file new SSI applications.

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Understanding Supplemental Security Income (SSI)-- Continuing Disability Reviews (2024)

FAQs

Understanding Supplemental Security Income (SSI)-- Continuing Disability Reviews? ›

WHAT IS A CONTINUING DISABILITY REVIEW? Social Security periodically reviews your medical impairment(s) to determine if you continue to have a disabling condition. If we determine that you are no longer disabled or blind, your benefits will stop. We call this review a Continuing Disability Review (CDR).

Should I worry about a continuing disability review? ›

Should I Worry about a Continuing Disability Review? Generally, you should not worry about a Continuing Disability Review if you're still disabled and can not work. However, if your disability has improved or resolved entirely, the SSA may terminate your disability benefits.

How long does a social security continuing disability review take? ›

Others must complete the long-form, SSA-454, the Continuing Disability Review Report. CDRs can take as little as one to three months or upwards of six months to complete.

What is the difference between Supplemental SSI and disability SSI? ›

The main difference between Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) is that SSI is an entitlement program with no work-related requirements, whereas SSDI is an earned benefit that has work requirements to qualify. Both programs pay monthly benefits to people with disabilities.

What questions are asked during a SSI review? ›

At the review, we'll ask how your medical condition affects you and whether it's improved. We'll ask you to bring: • Your doctors' names, addresses, and phone numbers. Any patient record numbers for any hospitals and other medical sources that have treated you since we last contacted you.

What not to say in a disability review? ›

While it's essential to be thorough when discussing your disability, you should avoid mentioning unrelated medical issues or conditions. Only discuss the disabling medical problems directly related to your disability claim. Bringing up minor or unrelated issues may confuse or distract the SSA representative.

How many people pass a CDR? ›

Do most people pass a CDR? Yes, more than 90% of recipients pass continuing disability reviews. It is much more difficult to get disability claims approved in the first place than it is to pass a CDR.

Is a continuing disability review for mental illness? ›

As such, they are usually labeled as Medical Improvement Not Expected (MINE). Beneficiaries with permanent psychological disorders are generally subjected to CDR once every five to seven years. But if the SSA determines your mental disability is treatable, you will be scheduled to a CDR more often.

Has the SSA suspended all continuing disability reviews indefinitely? ›

As of April 10, the SSA suspended all continuing disability reviews indefinitely and advised SSI and SSDI recipients not to schedule doctor's appointments or request medical information for these reviews at this time.

What is the backlog of the Social Security continuing disability review? ›

We consider the cases for which we do not conduct a timely (3 year) periodic CDR as backlogged until we are able to initiate the CDR for those cases. SSA ended FY 2018 with no backlog. Section 1614(a) (4) of the Act gives us discretionary authority to conduct periodic CDRs on SSI recipients.

Can I get both Social Security and SSI? ›

Many people who are eligible for Supplemental Security Income (SSI) may also be entitled to receive Social Security benefits. In fact, the application for SSI benefits is also an application for Social Security benefits.

What is the most approved disability? ›

What Is the Most Approved Disability? Arthritis and other musculoskeletal system disabilities make up the most commonly approved conditions for social security disability benefits. This is because arthritis is so common. In the United States, over 58 million people suffer from arthritis.

Which is better SSI or disability? ›

SSDI can provide more income depending on your earning history, but you must have paid into the system to be eligible for it. On the other hand, you don't need a specific work history for SSI, but you can't qualify for it if you make too much money or have too many financial resources.

How do I pass a disability interview? ›

Being consistent in your responses is essential to build credibility. Prepare for Questions – Expect questions about your medical history, work history, and daily routine. Be ready to discuss your diagnosis, symptoms, treatments, and any adjustments you've had to make due to your disability.

What happens when SSI reviews your case? ›

Social Security periodically reviews your medical impairment(s) to determine if you continue to have a disabling condition. If we determine that you are no longer disabled or blind, your benefits will stop. We call this review a Continuing Disability Review (CDR).

What are the different types of SSI reviews? ›

Social Security Administration (SSA) reviews disability cases periodically to see if the person with a disability still meets SSA disability rules. SSA performs two types of reviews, a medical continuing disability review and a work continuing disability review.

What triggers a CDR review? ›

Triggered CDRs

Your medical evidence indicates that your condition has improved. A third party informs the SSA that you are not following your treatment protocol, or. A new treatment for your disabling condition has recently been introduced.

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