Skip to main content

QUALIFYING FOR AUTOMATIC DISABILITY BENEFITS IN ALABAMA

Some conditions automatically qualify for benefits under Social Security Disability Insurance (SSDI).  While we can't discuss all of them here, some of the conditions that may get approved "automatically" include.

  • A severe condition that meets one of the Listings in 20 Code of Federal Regulations, Part 404, Subpart P, Appendix 1 ("the Listings").  You must meet the severity requirements given in the appropriate Listing.
  • One of the illnesses listed in the Compassionate Allowance list.
  • Any fatal medical condition expected to result in death within 12 months.

Whenever your legal representative evaluates your claim,(s)he will look for any circumstance where an automatic approval could apply.

Most claimants, of course, will not automatically qualify for disability.  Their application process may take longer and they will often need to go through a lengthy appeal process to be approved.

In Alabama the initial decision is made by a state agency called the "Disability Determination Service" or DDS in Birmingham.  DDS is a rather slow, log jammed agency--fraught with delays and indecision.  On top of that, many of the denials they put forth are legally wrong and can be overturned with appeals (and proper legal representation).

Our Best Advice 

If you are denied, file an appeal within 60 days.  If that appeal (called "Reconsideration") is denied, file another appeal within 60 days.  The second appeal takes you before a federal Administrative Law Judge with wide powers to override lower decisions and give you a totally new review. It's really your best chance.

I am really not soliciting new clients here because I have about as many clients as I can handle.  That said, you will need some legal help in the appeals process.  I take a few new appeal cases and there are many fine lawyers in the Huntsville-Decatur area who handle SSDI cases.  Generally, you will not be charged a fee unless you get approved with past due benefits.

_______________

Author:  Charles W. Forsythe, The Forsythe Firm, 7027 Old Madison Pike, Huntsville, AL 35806.  Phone (256) 799-0297.

 

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...

MUST YOU MEET A LISTING FOR SOCIAL SECURITY DISABILITY?

You hear talk of getting SSDI benefits by "meeting a Listing."  What are the Listings? The Blue Book listings are found in the regulations at 20 CFR 404, Subpart P, Appendix I. The Listings are divided into 12 body systems.  Each severe impairment is listed under its respective body system.  For example, Congestive Heart Failure is listed under Section 4.00 - Cardiovascular System. When you go there, there is a list of severe symptoms, and they are severe.   If you exactly meet or equal the list of very extreme symptoms you will be automatically approved for disability. Here's the problem:  Meeting one of the listings is about as likely as winning the Super Lotto.  It is very, very unlikely that you will do so. Thus, 99 percent of claimants do not and cannot get approved by meeting a listing.  The listings are only for catastrophic, extreme impairments that most claimants simply do not have--or do not have at the severity level demanded by the listings...