How important is your doctor’s opinion when you apply for Social Security Disability Insurance Benefits or SSI? It is very important.
A treating source is usually in the best position to give an opinion regarding your limitations, such as your ability to lift, carry, sit, stand, walk, pay attention, concentrate, use your hands, climb, squat, stoop, crawl, etc. Social Security does not care if your doctor thinks you are “disabled”, they only care about the limitations placed on you by your doctor.
Social Security drafted regulations that state the weight to be given to a treating source’s opinion. It is called the “treating source rule”. Usually, Social Security will adopt your doctor’s opinion if the medical records support the opinion. Social Security will give little weight to the opinion if the medical records do not support it.
For example, Social Security will likely not pay much attention to your doctor’s opinion if your doctor opines that you could only lift and carry five pounds but your medical records rarely mention any problems that would equate to such limitations. There has to be documentation to support the opinion.
A treating source opinion that is supported by the medical evidence often is the difference between a case be awarded or being denied.
Feel free to contact me if you have a disability claim pending and have questions about your claim.
You applied for disability benefits and were turned down. You appealed the denial and have waited at least a year for a hearing before an Administrative Law Judge. The big day is right around the corner and you start to wonder, “What do I do? What goes on in a disability hearing?”
First off, a hearing is a non-adversarial proceeding. What does that mean? It means there is not another “side” at the hearing trying to prevent you from getting benefits. The hearing is inquisitional, which means it is basically a fact-finding proceeding. The Judge will introduce himself and ask you some basic questions regarding your work history and medical conditions. Many Judges will give you the floor and let you tell them anything that relates to your disability. Other Judges exert much more control over what you can say. The Judge will then ask some questions to a Vocational Expert and allow you to cross-examine the Vocational Expert. The hearing will last anywhere from twenty minutes to one hour.
You might ask yourself whether you need an attorney to represent you at your hearing. Many people do not use an attorney and some of those people win their case. You might be one of those people whose case is so strong that there is nothing to do except show up for the hearing. Unfortunately, most cases are not that strong and need an experienced attorney to review the medical records and help you put your best foot forward at the hearing
Children’s SSI and Autism/Pervasive Developmental Disorders:
I am frequently asked if a child with Pervasive Developmental Disorder (PDD) or Autism is eligible for Supplemental Security Income. The short answer is yes. A child with PPD or Autism may be eligible for SSI depending on the severity of the impairment.
Social Security first looks to their Listed Impairments to determine whether the child is eligible for SSI. Listing 112.10 states the requirements to be found eligible for SSI based on Autism or PDD. The child is eligible if these requirements are met. If these requirements are not met, Social Security determines whether the child “functionally equals” a Listing. What this means is that the Administrative Law Judge will determine how the impairment, in this case Autism or PDD, impacts the child’s ability to pay attention, complete tasks, interact with others, and the ability to care for themselves.
Documentation is the key to show the child is eligible for SSI. Medical records, school records, Individual Educational Programs, statements from family and friends, pharmacy records, and a statement form the physician are all vital to show the impact PPD or Autism has on the child.
If you are in the process of applying for SSI for a child with Autism/PDD or have already been denied, please feel free to contact me to discuss your options.
What is a 504 plan?
A 504 plan is a creation of Section 504 of the Rehabilitation Act of 1973, which states that no one can be excluded from federally funded programs, including elementary, secondary, or postsecondary schooling due to a disability. Section 504 attempts to level the playing field for students with disabilities. A Section 504 disability is a physical or mental impairment that substantially limits one or more major life activities. Diabetes is a prime example of a disability under Section 504. Section 504 applies to all schools that receive federal assistance.
A 504 Plan is a contract between the student/parents and the school that states the accommodations the child will receive.
Please be aware that a 504 plan is not the same as an IEP. An IEP is for children whose disabilities adversely affect educational performance and is much more proactive in that it states services available to the child. A 504 plan is used when the child’s disability does not affect educational performance.
Take the example of a child with diabetes. If the condition does not adversely affect educational performance, then a 504 plan would be utilized. The 504 plan could state that the school would have trained personnel on site at all times who could administer medication to the child, state that the child is able to administer medication to herself if needed, state that the child will have access to food/drink if experiencing a drop in blood sugars, etc.
If your child suffers from a disability, you should speak with the school to see if accommodations are available. If you cannot resolve the issue with the school, please feel free to contact me to discuss your rights.