Once you receive approval for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI), the journey doesn’t end there. Understanding what happens next is crucial for beneficiaries, as it involves periodic reviews to ensure continued eligibility for benefits. These reviews can create uncertainty, but knowing the process can help alleviate concerns.

Walker Firm, operating under the client-facing brand Casa de la Justicia, helps Spanish-speaking clients with their Social Security Disability Insurance (SSDI) claims. Based in Los Angeles, CA, and founded in 2022, we maintain a remarkable over 70% hearing win rate, surpassing the national average of 55%. With our robust media strategy, we attract over 2,000 clients annually. In addition, we partner with other local attorneys to ensure the thousands of injured Latinos that call us daily have access to experienced Spanish-speaking attorneys for all their needs, including worker’s compensation, auto accidents and slip and fall cases. For expert SSDI support and broader legal services, we are your go-to resource.

The Importance of Continuing Eligibility

The Social Security Administration (SSA) aims to provide financial support to individuals who are unable to work due to a disability. However, it also has a responsibility to ensure that benefits are allocated correctly and that recipients still meet the criteria for disability. This is where continuing disability reviews (CDRs) come into play. The Social Security Disability in California periodically evaluates the status of beneficiaries to confirm they still qualify for assistance.

Types of Reviews

The frequency and type of review you may face depend on the nature of your disability:

  1. Medical Improvement Expected (MIE): If the SSA believes your condition is likely to improve, you will be subject to a review every six to 18 months.
  2. Medical Improvement Possible (MIP): If your condition may improve, reviews occur every three years.
  3. Medical Improvement Not Expected (MINE): If your condition is expected to remain unchanged, reviews typically happen every five to seven years.

The Review Process

The review process generally includes a thorough evaluation of your medical records, work history, and any additional information pertinent to your disability. The SSA will often send you a “Continuing Disability Review Report,” which asks for updated information regarding your health and work activities. This form must be completed and returned promptly.

In some cases, the SSA may require you to attend a consultative examination (CE) with a doctor to assess your current condition. It’s essential to prepare for this examination just as you would for any medical appointment, as the findings can significantly impact the review outcome.

What Happens If You Pass the Review?

If the SSA determines that you continue to meet the disability criteria, you will retain your benefits. The review process may also result in an increase in your benefit amount if your situation has changed in a way that affects your financial needs. In such cases, the SSA may reassess your income and assets, especially if you are receiving SSI.

What Happens If You Don’t Pass the Review?

If the SSA concludes that you no longer meet the criteria for disability, you will receive a notice explaining the decision. You will typically have 60 days to appeal this decision. It’s advisable to seek assistance from a disability advocate or attorney during this process, as navigating the appeals can be complex.

Tips for Beneficiaries

  1. Keep Detailed Records: Maintain accurate and up-to-date medical records, including treatment plans and medication lists, to support your ongoing disability claim.
  2. Report Changes: Notify the SSA immediately if there are significant changes in your medical condition or your ability to work. This transparency can help prevent complications during the review.
  3. Stay Informed: Regularly check the SSA’s website or consult with a representative to stay updated on any changes to policies or procedures that might affect your benefits.

Social Security Disability reviews are a critical part of the SSDI and SSI systems, ensuring that benefits are provided to those who genuinely need them. While the review process may seem daunting, understanding what to expect can help beneficiaries prepare and navigate this essential aspect of disability support. Remaining proactive and informed is key to maintaining your benefits and ensuring your financial stability.

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