Aspects of Disability Decision Making: Data and Materials

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C. Continuing Disability Reviews13. Number of CDRs Processed—Fiscal Years 1990-200921.81.61.41.2Millions10.80.60.40.201990 1992 1994 1996 1998 2000 2002 2004 2006 2008Mailers Medical CDRs TotalContinuing Disability Reviews (CDRs) are conducted for both DI and SSI beneficiaries on a periodicbasis to determine if their disabling condition has improved and if they are still eligible for benefits. SSAuses statistical profiling to identify beneficiaries’ probability of medical improvement; those with higherprobability are scheduled for medical CDRs. Field offices contact these beneficiaries and ask them to provideupdated information on their conditions and their treatment sources. The field offices then send thecases to a State agency for a decision. Beneficiaries with a lower probability of medical improvement aresent mailers with questions designed to raise issues of medical improvement. Beneficiaries send theirresponses to the mailer to a data operations center where they are reviewed. If the answers to a mailerindicate that medical improvement may have occurred, the beneficiary is scheduled for a full medical CDR.18 Aspects of Disability Decision Making: Data and Materials
14. Medical CDR Continuation Rates by Decision Level and Year of Initial Decision14a. SSDI and SSDI/SSI Beneficiaries, 1993-2009100%90%80%70%60%50%40%30%20%10%0%19931994199519961997199819992000200120022003200420052006200720082009Initial Reconsideration Appeals14b. SSI Disabled Adult Recipients, 1995-2009100%90%80%70%60%50%40%30%20%10%0%199519961997199819992000200120022003200420052006200720082009Initial Reconsideration AppealsContinuation rates for medical CDRs vary somewhat by program, but the continuance rate at the initiallevel is high. Beneficiaries who receive an unfavorable decision at the initial level may request reconsideration.The decision at this level is made by a hearing officer at the State agency who may hold a face-to-facehearing with the beneficiary. Beneficiaries who receive an unfavorable decision from a hearing officer mayrequest a hearing before an administrative law judge. The “Appeals” category on these charts includes casesappealed beyond the reconsideration level, but exclude Federal Court cases.The charts show continuation rates at each level of review with an initial decision in the year shown;e.g., the “Appeals” figure for 1995 shows continuation rates for cases with an initial decision in 1995, evenif the appeal decision was rendered in a later year. Data on the charts reflect results as of February 2010and are subject to change until all appeals are final. Concurrent DI-SSI beneficiaries are included in the DIchart. The SSI chart shows SSI-only beneficiaries.Aspects of Disability Decision Making: Data and Materials 19
Page 7: IntroductionIn January 2001, the So
Page 10 and 11: eneficiary populations continue to
Page 12: A. Applications1. Disability Insura
Page 15 and 16: 4. SSI Adult Disability Application
Page 18 and 19: B. Allowances7. Combined DI and SSI
Page 20 and 21: 9. Hearing Decision Allowance Rates
Page 22 and 23: 11. Incidence Rates for DI Worker B
Page 26 and 27: 15. Medical CDR Continuation Rates
Page 28 and 29: D. Terminations17. DI Worker Termin
Page 30 and 31: 19. Study of Beneficiaries Awarded
Page 32 and 33: 21. DI Worker Beneficiaries as Perc
Page 34 and 35: 23. Disabled Worker Beneficiaries a
Page 36 and 37: 25. SSI Children Beneficiaries in 2
Page 38 and 39: F. Beneficiary Characteristics27. I
Page 40 and 41: 29. DI and SSI Beneficiaries with D
Page 42 and 43: 31. Share of SSI Disabled Beneficia
Page 44 and 45: 33. Number of DI Worker Beneficiari
Page 46 and 47: 35. Number of SSI Disabled Adult an
Page 48 and 49: 37. Monthly SSI Individual Federal
Page 50 and 51: 39. State Agency Initial Allowance
Page 52 and 53: 41. Variations in Basis for DI Init
Page 54 and 55: 43. Percentage of State Agency Init
Page 56 and 57: 45. Percentage of State Agency Init
Page 58 and 59: H. State Administrative Arrangement
Page 60 and 61: I. Hearings and Appeals49. Hearing
Page 62 and 63: 51. Allowance Rates at Initial and
Page 64 and 65: 53. Percentage Distribution of ALJ
Page 66 and 67: 55. Cases with Representation at AL
Page 68 and 69: 57. Appeals Council Dispositions—
Page 70 and 71: J. Processing Times59. Average Init
Page 72 and 73: 61. Average Hearing Level Processin
Page 74 and 75:
63. Appeals Council Processing Time
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65. Federal District Court Actions
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L. Data Sources and Notes1. Disabil
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15. Medical CDR Continuation Rates
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32. Average Age of Newly Awarded DI
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52. Percentage Distribution of ALJ
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Part II. Aspects of Disability Deci
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A. How Disability Determinations Ar
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ments is equal in severity and dura
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B. Steps in the Social Security Dis
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C. Chronology of Significant Disabi
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1980 In response to rapid growth of
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Following years of litigation in se
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SSA began an ambitious project to d
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In early 1997, SSA announced that i
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2002 In Barnhart v. Walton, 535 U.S
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D. Important Recent Court Cases and
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■■Hickman (AR 00-02(7)) - Provi
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DISABILITY SERVICE IMPROVEMENT iii,
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Nearly every staff component of the
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■■developing and submitting bud
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Part IV. Bibliography of Materials
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Loprest, Pamela and David Wittenber
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Government Accountability Office (G
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Part V. Glossary
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DI: Disability Insurance under Titl
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in the labor market who provides im
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Marsha Rose Katz, Acting ChairMarsh
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Social Work from West Virginia Univ
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