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Disability Redesign Prototype

Summary

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In most states, the first level of appeal after denial of a claim for Social Security Disability Insurance (SSDI) and/or Supplemental Security Income (SSI) is a process known as "Reconsideration." However, a different system is being used in Alabama, Alaska, California (Los Angeles area), Colorado, Louisiana, Michigan, Missouri, New Hampshire, New York (Albany and Brooklyn areas), and Pennsylvania. If you are a resident of any other area, the first level of appeal is known as Reconsideration. See Reconsideration.

Disability Redesign Prototype is a trial program that is evolving and changes are being made as this program is fine tuned. The following should therefore be checked before being acted upon.

The concept behind the program is that if a reviewer is about to deny your claim, he or she contacts you to let you know that your request is about to be turned down. A date is then set for an interview during which you have a chance to add to the information the reviewer has before a final determination is made.

For purposes of this program, the reviewer is known as a Single Decision Maker (SDM) .

Maximize your chances of getting an approval by:

  • Not providing any substantive information during the first conversation with the SDM.
  • Collecting new evidence.
  • Presenting the new evidence in the most favorable light.

If, after the conversation and a review of new evidence, the SDM decides to deny your claim, your file is sent back to Social Security to notify you of the denial.


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