The Compassionate Allowance List (CAL)

Posted November 4, 2016 by Premier Disability Services, LLC® Social Security has an obligation to provide benefits quickly to applicants whose medical conditions are so serious that their conditions obviously meet disability standards.

Compassionate Allowances are a way of quickly identifying diseases and other medical conditions that invariably qualify under the Listing of Impairments based on minimal objective medical information. Compassionate Allowances allow Social Security to target the most obviously disabled individuals for allowances based on objective medical information that we can obtain quickly. Compassionate Allowances are not a separate program from the Social Security Disability Insurance or Supplemental Security Income programs.

CAL conditions are selected using information received at public outreach hearings, comments received from the Social Security and Disability Determination Services communities, counsel of medical and scientific experts, and research with the National Institutes of Health (NIH). Also, SSA considers which conditions are most likely to meet the current definition of disability.

A list of CAL conditions: https://www.ssa.gov/compassionateallowances/conditions.htm

By: Joyce Trudeau of Premier Disability Services, LLC^®

Why does it take so long to get a Disability Hearing?

Posted October 27, 2016 by Premier Disability Services, LLC® It is no secret that the Social Security Administration (SSA) has a significant backlog of cases right now, and it seems that it is taking the Agency an absurd amount of time to schedule a hearing before an Administrative Law Judge (ALJ). It is estimated that people nationwide are waiting an average of 525 days at the hearing level before appearing before a judge. ALJs oversee the hearing process through the Office of Disability Adjudication and Review (ODAR). Below are four reasons that it is taking so long to be scheduled for a hearing:

1. ODAR is understaffed. ODAR currently does not have enough workers to handle all their cases. In fact, ODAR is currently operating at a 31% staff deficiency per volume of cases compared to their staffing situation from a decade ago.

2. SSA has a hiring freeze. In spite of the growing backlog, SSA has a hiring freeze that is further impacting wait times. SSA has consistently had to deal with budget cuts that have prevented the Agency from staffing their offices to handle the volume of cases assigned.

3. ODAR has had to change the way that they write decisions. It has become more time-consuming to write a hearing decision. The District Courts have encouraged SSA to add more detail to their hearing decisions to make them tougher to appeal. Thus, the ALJs have to provide more instructions to their writers and inject more details in the decision letters to make them ironclad should an appeal be filed.

4. Duplicate records and last-minute submissions create problems for ODAR. When attorneys or claimants submit the same materials over and over or bombard the ALJ with sizable submissions a few days before the hearing, it creates havoc for the ALJs and their staff. Thus, they have asked all attorneys and claimants to avoid submitting duplicates and have prohibited attorneys from submitting evidence for the final five business days before the hearing.

Are you or a family member applying for benefits? Give us a call. We will answer any questions that you have and will offer a free case evaluation to determine how we can help you through the process. Also you can take look at your individual state hearing information and statistics here.

Source: http://socialsecuritydisabilitynews.blogspot.com/

By: Thomas A. Klint of Premier Disability Services, LLC^®

Social Security Revises Criteria for Mental Disorders

Posted October 21, 2016 by Premier Disability Services, LLC® On September 26, 2016, the Social Security Administration published a final rule, “Revised Medical Criteria for Evaluating Mental Disorders.” This regulation reflects the most comprehensive revision in over 30 years to the criteria used to evaluate disability claims involving mental disorders.

With the publication of this final rule, standards for evaluating claims involving mental disorders will reflect up-to-date standards and practices used in the mental health community. The rule becomes effective on January 17, 2017. The most significant changes from the Administration’s current rules include:

–Updating the titles of most of the listings;

–Keeping the structure of the “paragraph A” criteria from prior rules in all of the listings (except for 12.05 and 112.05), and updating the paragraph A criteria;

–Renaming the titles of paragraph B1 (understand, remember, or apply information) and B3 (concentrate, persist, or maintain pace) to be linked by “or” rather than “and”;

–Removing all references to using standardized test scores for rating degrees of functional limitations for adults (except for listing 12.05);

–Indicating that the greatest degree of limitation in any part of a paragraph B1, B3, or B4 area of mental functioning will be the degree of limitation for that whole area of functioning;

–Retaining the 5-point rating scale that was used in prior rules for rating degrees of functional limitations in adults;

–Reorganizing the listing criteria in listings 12.05 and 112.05, intellectual disorder, to reflect the three diagnostic criteria for intellectual disability; and

–Creating new listings, 12.15 and 112.15, trauma- and stressor-related disorders, to reflect the updates in medical understanding reflected in the DSM-5.

The rule reflects information from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, which is the mental health profession’s standard for classifying mental disorders. Criteria for evaluating intellectual disability generated significant public interest. Besides reflecting comments from members of the public, the rule reflects the expertise of disability policy experts, adjudicators, psychiatric professionals, and vocational experts, who provided input at every phase of the rulemaking process.

If you or someone you know is unable to work due to mental illness, please contact us for a free evaluation of your claim.

Source: http://www.disability-links.com/social-security-revises-criteria-mental-disorders/

Full version of Final Rule: https://www.federalregister.gov/documents/2016/09/26/2016-22908/revised-medical-criteria-for-evaluating-mental-disorders

By: Joyce Trudeau of Premier Disability Services, LLC^®