SSI – Audit Report Update from the SSA Office of the Inspector General

In the report that can be found at this link, Full Medical Continuing Disability Review Cessations Reversed at the Reconsideration Level of Appeal, the (Federal) OIG reviewed 100 reconsiderations of Disability Insurance (DI) and SSI benefits that resulted in the continuation of benefits for people who initially had been denied.  The OIG disagreed with only 2, which were both DI cases.  You probably already do this, but the lesson here is that when clients have been denied benefits, help them apply for a reconsideration.

Background

The Social Security Administration (SSA) conducts CDRs 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). A cessation determination is made when a CDR reveals medical improvement had occurred and an individual no longer meets the requirements for disability benefits.

When a full medical CDR results in a cessation determination, the individual can request a reconsideration. CDR reconsiderations consist of the pre-hearing and disability hearing levels, where a determination is made by a disability hearing officer. 

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