Skip to main content

IS SOCIAL SECURITY STILL FUNCTIONAL?

Social Security Getting Further and Further Behind & Paying Fewer and Fewer Claims

More than one million people are currently waiting for Social Security to review their application for disability benefits according to the nonpartisan data association USA Facts.

At the same time, the average processing time has also hit a new record high—7.5 months. (As recently as 2020, the average processing time was four months.) The percentage of backlogged cases has risen in 44 out of 50, Alabama and Tennessee included.

Social Security says they have has been struggling due to staffing shortages and insufficient budgets. Acknowledging delays in service and long waits for disability decisions, the Social Security Administration (SSA) asked for an increase in funding and Congress allocated the agency a $400 million increase for fiscal year 2022. That's a drop in the bucket toward what Social Security needs.

We have known of claimants waiting more than 2 years to get an initial decision on their disability applications, then having to wait another 2 years for the agonizing appeals process.  In 2022, more than 10,000 claimants died while waiting on Social Security to make decisions on their claims.

But it is not just the backlog that concerns advocates for the disabled.  Approval rates are down at every level of review, according to Social Security’s statistics.

The percentage of people who apply for a hearing and are subsequently awarded benefits has fallen precipitously over the past few years. One reason for the decline is a change in Social Security's regulations implemented in 2017. Judges no longer have to give special weight to opinions from the claimant's treating doctor (who knows the claimant's medical condition better than anyone).  They can give equal weight to one of their own doctors who briefly examines the claimant one time.  This makes it much easier to deny claims and appeals.

There are several conclusions the disabled claimant can take away from these statistics:

1.  You are in it for the long haul.  You must be persistent and keep appealing every denial at every step. It's not quick or easy.

2.  While an attorney or advocate cannot speed up Social Security, they may keep you from making fatal mistakes and give you a much better chance of success, especially with appeals.

3.  The majority of claims in 2024 will have to go before a federal administrative law judge (ALJ) before a final decision is rendered.  I'm not sure it was meant to be that way--but this is what it's come down to.

4.  Social Security will try to deny most claims.  In fact, most claims will be denied twice (at application and again at "reconsideration").  Many of these claims will be paid at a hearing but you must "stay the course" to get there.

5.  Waiting is one of the hardest parts of a disability claim or appeal.  Don't go through this alone; get some help and support because it's a long, hard and overwhelming task.  It doesn't look like the long wait times are going away any time soon.  Prepare for them and don't let them defeat you!

________________

Charles W. Forsythe is founding partner at THE FORSYTHE FIRM in Huntsville, AL.  Call him if you have questions about Social Security disability.  Get straight answers with no cost or obligation.  Call (256) 799-0297 or (256) 503-8151.


 

Comments

Popular posts from this blog

MEETING SOCIAL SECURITY'S DURATION REQUIREMENT FOR DISABILITY

SSDI, or Social Security Disability Insurance, requires a severe impairment which has lasted for at least 12 straight months, is expected to last at least 12 straight months OR is expected to end in death. This 12 consecutive months requirement is called the "Duration Requirement."  Disabilities with a duration of less than 1 year are not covered under the Social Security Act. You do not have to wait 12 months to file a claim. There is no requirement to wait 12 months to file.  But if your disability has not already last for at least 12 months, the nature of the impairment must be such that is can reasonably be expected to last 12 months or longer OR to end in death.  Short term impairments are not covered. What you will need to document for your medical and/or mental impairment(s):   A claimant will require objective medical proof.  This comes in the form of official medical records from doctors, clinics, hospitals, counselors, therapists and other professiona...

SOCIAL SECURITY BENEFITS FOR DOWNS SYNDROME

Downs Syndrome may qualify for automatic SSI disability in children. A child with Translocation Syndrome or Trisomy 21 will usually be classified as disabled from birth. This type of syndrome affects about 98 percent of the Downs Syndrome population. Social Security will want a diagnosis from a medically acceptable source and they will want certain tests.Once the documentation is presented, an SSI award may be automatic.  Those with Mosaic Down syndrome may qualify, but your child would need more than a diagnosis to be approved. Because [according to SSA] people with Mosaic Down syndrome may not have as many intellectual or physical disabilities as those with other forms of Down syndrome, you’ll need to meet another listing in the Blue Book to qualify. Social Security will consider the complications or manifestations of Downs Syndrome in making a decision. If the claimant is a child (under 18), k eep in mind that SSI is a needs-based program for families with limited resources...

A DISABILITY DENIAL IS NOT THE END OF YOUR CASE

By Charles W. Forsythe The Forsythe Firm Social Security denies a lot of applications.  It's expected.  But it's not the end. The good news is:  You can probably win your case on appeal and get paid benefits.  It just takes a bit longer. About 8 out of 10 new disability claims will be routinely denied.  So, it's rather unusual to be approved just by filing an application. An appeal sounds like a last resort or tricky legal maneuver.  It's really quite common--almost  normal--in a Social Security disability case. 8 out 10 claims will be appealed at least once, often twice, before they are paid. The process that pays Social Security disability is not the application, it's the appeal process. Many claimants who don't understand the importance of appeals give up after the first denial.  A serious mistake.  You odds get better in appeals. TIME LIMIT ON APPEALS.  All unfavorable Social Security decisions must be appealed within 60 days.  ...