Filing for a Ssi Disability Claim in South Dakota Reviews

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REHABILITATION SERVICES

disability determination services

Mission Argument

Nosotros are committed to providing accurate, impartial and timely disability decisions for South Dakota citizens.

The South Dakota Disability Conclusion Services (DDS) is the State Agency that makes the inability decisions for the Social Security Administration (SSA), co-ordinate to federal guidelines. When SSA added protection for individuals with disabilities in 1954, the Congress wrote into the law that the inability decision had to exist made by a Country Bureau and non by a federal office. SSA pays the State to run the part and make the determination. The DDS is responsible only for the medical eligibility portion of the disability claim. SSA is responsible for the application process, any other eligibility criteria, and the calculation of benefits if awarded.

The DDS staff gathers medical data from the sources listed by the claimants and any new sources discovered in that procedure. The agency evaluates that evidence against Social Security Inability criteria . These criteria are very specific. They substantially say that the claimant must take a medically determinable physical or mental impairment that will last for at least 12 consecutive months, and which prevents them from performing the work-related activities of their previous jobs or any other jobs which they might exist able to perform based on their age, education, and work experience, or is expected to effect in death. Please follow this link to see how DDS decide if you are disabled under the rules of Social Security .

South Dakota DDS Values:

• We accept pride in the timeliness, accurateness and cost efficiency of the decisions
• We respond to the claimants in a dignified, courteous and respectful manner
• We embrace change and challenge
• We arm-twist and value client input
• We demonstrate on an ongoing footing that employees are the virtually valued asset

Due south Dakota DDS Goals:

• To employ a highly trained, motivated and productive squad
• To provide outstanding public service in the do good procedure
• To enhance partnerships with the medical and educational communities
• To utilize country of the art applied science

Full general Data:

The South Dakota DDS employs approximately 22 disability claims analysts and specialists, xv physicians, and 10 authoritative and clerical staff. The DDS makes over 9,000 medical decisions for Social Security Disability annually.

The DDS'southward address is at 3109 West. 41 ^st St, Ste. 100, Sioux Falls, SD 57105-8155.

Social Security Inability Programs

There are 2 Social Security disability programs . They are Social Security Disability Insurance (SSDI, also known as Title II) and Supplemental Security Income (SSI, also known as Title Xvi). There are some differences and some similarities in the two programs.

The definition of disability under Social Security is the same nether both programs. Disability is divers in Social Security law as the inability to appoint in any substantial gainful activeness by reason of whatsoever medically determinable physical or mental harm (or combination of impairments) which can be expected to event in death or which has lasted or tin be expected to last for a continuous period of non less than 12 months.

When you utilise for either plan, the DDS will collect medical and other information from yous and make a decision near whether or not you meet Social Security's definition of disability.

SSDI pays inability benefits to you and certain members of your family if you are "insured" significant that you worked long enough and paid Social Security taxes. In one case eligible, there is a five month waiting menses before payments begin and Medicare benefits can start no sooner than ii years subsequently existence immune.� At that place are several types of SSDI benefits:

Disability Insurance - These benefits pertain to those people under retirement historic period who have insured status based on their ain earnings.

Disabled Widow(er) - These benefits pertain to people whose deceased spouse paid into the arrangement. This benefit is restricted to people between age 50 and threescore. Upon reaching historic period sixty, a widow(er) is no longer eligible for benefits under this category as they are eligible for survivor benefits.

Child Disability - These benefits pertain to people whose parent paid into the system. Eligibility for these benefits can begin at historic period 16, just in most cases people will not exist eligible until they are eighteen. In gild to receive these benefits, a person must be found to have been disabled prior to his or her 22 ^nd birthday.

SSI pays disability benefits based on financial need. In that location is no waiting period for payments to brainstorm or Medicaid benefits to get-go.� There are several types of SSI benefits?

Disabled Individual - These benefits pertain to people over 18 whose Income and Resource fall below a level gear up by the SSA. Bullheaded Private benefits pertain to people who are eligible for Disabled Private benefits because of blindness.

Disabled Spouse- These benefits pertain to those people who have a spouse who qualifies for Championship XVI benefits.

Disabled Kid- These benefits pertain to children from nativity to age xviii whose family income and resources autumn below a level set by the SSA. Bullheaded Kid benefits pertain to children who are eligible for DC benefits because of blindness.

Basic Steps in the inability conclusion process

1. Use for disability benefits under Social Security:

• Online
• By calling the Social Security Administration (SSA) at 1-800-772-1213 (TTY ane-800-325-0778)
• In-person by being seen at your local Social Security Office

2. One time all application materials have been returned, your local SSA office sends your file to the Disability Determination Services (DDS) office.

3. The DDS gathers information from the medical and vocational sources that you lot listed within your application paperwork.

iv. The DDS may arrange for a medical examination at DDS expense if records are deemed insufficient to make a medical determination.

v. When records are sufficient, the DDS accesses the most you lot tin can practice despite your limitations .

half dozen. The DDS evaluates all of the evidence , work experience and compares it to SSA Program Rules .

7. The DDS makes the medical disability determination.

8. The DDS then sends your claim back to SSA.

9. SSA contacts yous with the final results later on they made the final conclusion of eligibility for benefits.

The DDS may contact you to:

• Ask for your assistance in obtaining medical evidence;
• Request clarification about your medical, work or school data in your file;
• Inquire you to become for a specific medical test at DDS expense

The DDS may likewise contact your medical sources and people you have told us about who know how your condition affects your daily life.

The DDS cannot:

• Discuss your merits or any of the medical evidence with anyone but you or your designated representative.

• Tell y'all anything about your potential eligibility or payment, as the Social Security must release that data.

You need to phone call the DDS when:

• You have a new telephone number or new address
• You have seen a new doctor or infirmary
• Yous have an appointment to take tests or surgery
• You begin or return to work

How tin can yous expedite your claim?

Make certain that you have proper identification when yous make your claim: Birth Certificate, Social Security Card, Driver's License, etc.

Take time to become over your piece of work history and try to list all of your employers for the last fifteen years. Company names, addresses where you worked, supervisors' names, and any documentation on how much yous were paid will all be helpful.

Know the date that you stopped working due to your impairment. Know the date that your work changed due to your impairment if that is unlike from the date when you finally quit. Explain any special working weather condition that may have been provided past your employer to keep you on the job.

Write down the names, addresses, and telephone numbers of whatever medical source you take seen. The DDS may have trouble identifying the correct doctor if y'all but country "Dr. Smith in Denver," and so it would be about efficient if you would provide authentic names, addresses, and telephone numbers.

If your doctor has given you any written instructions that limit your activities, have a re-create placed in your file. The date the brake started and the date information technology might end are very of import to your decision.

It is also helpful to ask your doctor to write a medical source argument virtually the facts of your medical condition and how your impairments limit your physical and/or mental functional capacity.

Send forms back to SSA and the DDS as rapidly as possible. The vast majority of the fourth dimension it takes DDS to complete a claim is spent waiting on forms and medical reports.

Keep yourself informed near your claim. Ask questions if something is not clear to you. If the DDS or SSA is waiting for something, see if you can make a phone call to help expedite the merits. Many times a doc will respond to a patient earlier they volition respond to a government agency.

The DDS may ask you to explain your "Daily Activities." Answers to these questions are very valuable and may brand the difference as to whether your claim is allowed. It is not the length of the answer that helps. What helps is how specifically you answer the questions. Give examples. Mention any limitations. If the DDS asks "Can you become grocery shopping?" an answer of "I can go to the grocery store, but I have to use the electrical carts and have people identify items in the basket because I tin can't agree on to anything heavier than a soup tin" helps more than but writing "yes" or writing a long paragraph explaining every particular of your experiences.

Appeals Process

Reconsideration Process

If a claimant does not agree with the initial determination, they may file for reconsideration.� Reconsideration can be filed on any merits that is not fully favorable to the applicant.� The almost obvious afterthought filing would be on an initial denial; however, an individual may besides file for reconsideration if they disagree with the disability onset appointment established on the initial determination. You must make your asking to appeal within 60 days from the date you receive our letter. A reconsideration claim is assigned to a different DDS staff. The evaluation process remains the same as the initial claim but special emphasis is placed on the evidence to assure that all information related to an individual's claim is evaluated and whatsoever new evidence is considered in the evaluation of the claim. The claimant is allowed to submit any new evidence they deem appropriate.

Administrative Appeals Process

Once the DDS has rendered a reconsideration decision, the next level of appeal is to file for a hearing earlier an SSA Administrative Police Approximate (ALJ). The ALJ is an chaser especially trained to comport administrative hearings and decides inability based upon interpretation of Social Security law. Generally, y'all accept threescore days afterwards you receive the notice of our decision to ask for any type of appeal.

Appeals Quango

If a claimant does non agree with the ALJ'due south decision, they may request their claim exist reviewed past the Appeals Council. The Appeals Quango is responsible for both quality review of ALJ decisions and reviews requested by the claimant. Yous volition have sixty days from the receipt of the conclusion discover to file an appeal. The Appeals Council cannot overturn an ALJ decision only can only remand the claimant to the ALJ for additional action.

The Appeals Quango is the terminal administrative appeal process. If the claimant continues to disagree with the decision, they may challenge the concluding administrative determination in US District Court.

To file an entreatment, click here to find the contact information to your local SSA Field Office.

Medical Providers

Medical Providers play a vital role in the inability decision process and participate in the process in a diversity of ways:

• As treating sources or other medical sources who provide medical show on behalf of their patients;
• As Consultative Exam sources to perform, for a fee paid by the DDS, examinations and/or tests that are needed;
• As full-time or part-time medical or psychological consultants reviewing claims in a DDS, in one of SSA's regional offices, or in SSA central office; or
• As medical experts who testify at administrative law judge hearings

Consultative Examinations (CE) are obtained when the evidence provided by the claimant's own medical sources is inadequate to determine if he or she is disabled, additional medical information may be sought by re-contacting the treating source for additional information or description, or by arranging for a CE.

Delight contact the Southward Dakota DDS Professional Relations Officeholder at 605-367-5499 or toll-free at 1-800-658-2272 if:

• y'all are a licensed doc, psychologist, physician assistant, avant-garde exercise nurse, optometrist, podiatrist, audiologist, or a qualified speech-language pathologist and are interested in doing exams for Disability Determination Services
• you are a provider of medical records and want to provide them electronically

Useful Links

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Source: https://dhs.sd.gov/disabilitydeterminationservices.aspx

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