What are the Top Mistakes Made When Applying for Social Security Disability in Arizona?

What Can I Do To Improve My Chances of Getting the Social Security Benefits I Deserve?

You have worked diligently and hard all your life, but now you find yourself in a dire situation where you must apply for Social Security disability benefits. This is a challenging and sometimes emotional decision, but you earned these rights, and they’re meant to be there when you need the

Every year, millions of Americans and their families face this issue, and if you currently have a disability from an accident or illness, you need these benefits now. However, when starting the application process, it can be overwhelming. Even if you make a mistake on any of the numerous documents needed, you could have to start over or just be denied benefits.

Therefore, it’s always prudent and wise to consult with a disability law firm and obtain their professional assistance throughout the process. Your SSD lawyer is experienced and well-versed in knowing how to analyze your case, what to include in the application, and what is required to get the benefits you are entitled to.

Each case is unique, but the items below will improve your chances of getting the needed benefits.

  • File your claim as soon as possible – Never hesitate to start your application, as you need benefits now, which could be a lengthy process.
  • If you must appeal, do it within 60 days – If you are initially rejected, your lawyer will expedite your appeal while your case is still active.
  • Provide full and inclusive disclosure of your medical history and treatment – Thorough and detailed medical information is vital to approve your claim; your SSD lawyer is an expert at gathering what’s necessary.
  • Provide recent proof of your current treatment – This is vital information that helps prove that you are still suffering from your injury or ailment and being actively treated.
  • Report all your symptoms accurately, don’t exaggerateBe accurate in all your information, but do not embellish or lessen it.

Your case is unique, and more may be needed, but these documents, forms, and information must be complete, in-depth, and comprehensive. Ensuring all these forms are filled out correctly is mandatory for your SSD approval, and consulting with your Social Security Disability lawyer will significantly increase your chances of getting the benefits you need.

What Are Some of the Most Common Mistakes When Applying For Social Security Disability Benefits?

Filing for Social Security Disability benefits is always challenging and usually highly frustrating if you try to do it alone. There’s also the chance that you are missing benefits that your lawyer would know about and, therefore, you don’t get what you deserve.

For example, if denied, many people fail to appeal or don’t follow through on the ongoing medical care they need. Although the SSA does outline how to apply for disability benefits, the wise move is never to attempt to apply for these benefits on your own.

The most common mistakes that people make when applying are;

  • Always thoroughly do your researchDo your research and find out all the available benefit options, check to see if you qualify, and get organized.
  • Check the status of your claim regularly – Even minor issues may delay your case, but if you’re aware of them and they are corrected, this will move your case along much more rapidly.
  • Missing appointments or deadlines – Deadlines on all applications are critical. For example, if you are denied, you have 60 days from receiving your denial notice to request an appeal or start over.
  • Never exaggerate your illness or disability – Always be as truthful as possible about your disability and the dire impact it has had on your life. Honesty is critical in your application process.
  • ·Continue to receive your medical treatment – Solid and current evidence must prove that your medical condition doesn’t allow you to work at your current job.

The most common and harmful error you can make is believing you can handle your application and case alone. This is the most common reason your claim may be denied. Therefore, if you want your application done precisely, correctly, and rapidly, you should always enlist the help of a qualified, professional San Diego Social Security Disability lawyer to assist in this process from beginning to end.

If My Application Is Incomplete, Will I Automatically Be Denied Benefits?

Unfortunately, yes, that may be the case. Filling out your application is your first (and possibly last) chance to tell your story to the SSA. So, it would be best if you were specific and detailed in the application and process.

The SSA will only use the information you initially provide to evaluate your claim. You could be denied if you miss or don’t provide enough detail.

The SSA will use the names, dates, and contact information you provide to search your medical records. They will usually order records up to 1 year before you tell them that your disability began. If you omit past medical providers’ contact information, they will not be able to get records in that period; this will almost always hurt your case and impact their final decisions.

Remember, you are entitled to these benefits, but you will only get what you deserve if the SSA has a complete list of your conditions. Applying correctly, with all the proper information, is critical to receiving your benefits, and your skilled, thorough, and experienced SSD lawyer is well-versed in this challenging matter.

What Does the SSA Use To Make Decisions on My Eligibility For SSD Benefits?

Deciding on your benefits is a highly detailed process, as the SSA must determine if you are genuinely disabled and receive benefits.

They usually start with your job and if you still can perform it. They must also know if you learned other skills while doing your recent job. The SSA will not deem you disabled (or provide benefits) unless your illnesses, injuries, or conditions prevent you from doing your job.

All information regarding your education and training is vital to this process. They may feel you can’t do your current job, but you might be suitable for other work due to your age, education, training, and work experience.

Always remember that each SSD case differs, but your skilled disability lawyer is highly familiar with how the SSA makes decisions and will provide all the documents and proof possible to validate and successfully prove your case and receive the benefits you deserve.

I Should Apply For Social Security Disability Benefits; How Should I Proceed?

At any moment, illness or injury can cut you off from earning a living for yourself and your family. This is when Social Security Disability benefits become vitally important to your future. However, this application process is daunting, overwhelming, and complex and involves stacks of documents, medical records, and much more.

Consulting with an experienced, knowledgeable, empathetic, and thorough San Diego Social Security Disability lawyer will help to ensure you file correctly and comprehensively the first time.

The disability lawyers at Roeschke Law, LLC understand how complex this process is, especially while coping with a dire medical condition. But they stand ready to provide you with professional representation in a caring, professional, communicative, and detailed manner.

Call them today at (800) 975-1866, and they will help to ensure you obtain the disability benefits you need and rightfully deserve.

Woman sitting with SSDI attorney

What Medical Conditions Qualify Someone for SSD Benefits?

Nobody wants to be dependent on the government to make ends meet. But when medical conditions prevent you from working, few other options exist. 

Social Security Disability (SSD) exists to provide for those unlucky few who are incapable of making a living due to a medical condition. But because it is a government program, there is a lot of red tape involved with getting SSD benefits.

The first requirement is having a condition that qualifies. Not all medical conditions that limit your ability to work will qualify you for SSD. And some conditions may qualify you only if you put in the extra effort. When navigating SSD, it is best to get advice from a disability attorney.

Social Security Maintains a List of Qualifying Conditions

The Social Security Administration (SSA) maintains a list of conditions that qualify for SSD. This list includes:

  • Immune system disorders
  • Mental disorders such as depression or autism
  • Musculoskeletal problems
  • Impaired vision, speech, or hearing
  • Respiratory dysfunction
  • Neurological disorders like epilepsy
  • Blood disorders
  • Cardiovascular conditions

If you have one of the conditions on this list and it impairs your ability to work, you qualify for SSD. This list is specific to adults. Children can also qualify and have a nearly identical list that also includes growth impairment.

Proving Your Condition Qualifies

Just because you know you have a medical condition that qualifies, that doesn’t mean the SSA is aware. To receive SSD benefits, you need to prove that your condition qualifies.

To prove your condition qualifies, you will need a physical examination from a doctor. An examination from your personal physician is usually sufficient to prove that your condition exists but may not be sufficient to prove it impairs your ability to work. For the latter, you will likely need to be examined by an independent physician.

No matter who is examining you, the more evidence you can provide to the SSA, the better. The best evidence comes from the results of tests like:

  • MRIs
  • CAT scans
  • X-rays
  • Blood work panels

Unlike the opinion of a doctor or therapist, this type of evidence is more difficult to refute.

Medical Conditions Not on the List

If you have a medical condition that isn’t on the approved list, you may still qualify for SSD benefits. However, to do so, you have more work to do.

The main hurdle is that you need to prove that your medical condition significantly limits your ability to work. A doctor will test your capacity to function for extended periods to determine this. 

These tests are both for active work and sedentary work. Thus, if you can effectively sit at a desk for eight hours a day, it doesn’t matter that you can’t perform physical labor for that period.

If the tests reveal that you have minimal or no ability to work for extended periods, then it doesn’t matter if your medical condition is not on the official list. That is all of the proof you need that your medical condition qualifies you to receive SSD benefits.

Appealing a Decision by Social Security

Even if you should qualify, you might be turned down for benefits by the SSA. If this happens, you can appeal the decision. Before you appeal any decision, you should hire an experienced Social Security attorney.

Social Security attorneys are familiar with what evidence is most likely to get you benefits and know how to navigate the system. Your chance of succeeding on an appeal is much higher if you have a Phoenix, AZ, disability attorney from Roeschke Law, LLC, representing you. Get in touch with our office today.

Older woman upset about being scammed

Social Security Scams and How to Avoid Them

Scam artists can strike anyone, young or old. New scams are being reported all of the time and are becoming more sophisticated. Social Security scams are well-documented. With millions of people each year receiving benefits, it’s not surprising that these people become victims.

The most common tactic is for a scammer to impersonate someone who works for the Social Security Administration (SSA). The goal of any contact made by a scammer is to obtain and then exploit legitimate Social Security numbers and personal information. 

Common Ways Scammers Make Contact

There are several ways in which scammers will try to trick you into giving them your information. Most often, they will reach out to you as if they are a government employee. They may even have some of your information that makes them seem to be more legitimate. 

Common ways a scammer will contact you include:

  • Phone calls that warn of improper Social Security activity and threaten jail time or fines
  • Friendly phone calls trying to sell SSA services
  • Phishing emails that appear to be from the SSA
  • Fake letters that purport to be from the SSA

At times, it can be difficult to determine what is fake and what is real when it comes to scammers and their artistry. They set out to be deceptive and are quite adept at seeming legitimate.

Ways to Recognize a Scam

There are certain times the Social Security Administration may reach out to you by phone, but telltale signs can let you know when a caller is not with the SSA. When Social Security makes contact, they will never:

  • Make any kind of threat to you
  • Ask for your Social Security number
  • Suspend your Social Security account or number
  • Require that you make an immediate payment
  • Ask for payment by cash, wire transfer, prepaid debit card, or gift card

Social Security may also contact you by email or text messages to make you aware of certain services. SSA will never ask you to return a phone call to an unknown number. 

What to Do if You Suspect You Are on a Fake Call

Social Security scam artists can sound convincing. They can give themselves fake but official-sounding titles, some of which are authentic. Some things to keep in mind if you receive a fake phone call include:

  • Be skeptical if someone calls claiming to be from the SSA
  • If you feel uneasy, simply hang up the phone
  • Call Social Security customer service at 800-772-1213 to ask if someone was trying to reach you
  • Do not click on any email links in a purported SSA email

You may not always know when you’re giving information to a scammer. Following the above tips can help you avoid the unintended consequences of sharing your information with someone whose intention is to exploit your identity.

What to Do if You’ve Been Scammed

If you think you have been the victim of a Social Security scam, you should report it immediately. Call the customer service line listed above and they can connect you with the SSA Office of Inspector General Fraud. You can also report the scam at oig.ssa.gov.

Other steps to take include:

  • Set up credit monitoring — banks sometimes provide this service for free
  • Place a credit freeze on your account with the all credit reporting agencies
  • Place a fraud alert on your credit report — this requires businesses to contact you if someone tries to open an account
  • Contact a Social Security attorney

Roeschke Law in Phoenix, AZ, handles Social Security disability claims. If you receive SSA benefits and have been the victim of fraud, call today.

Injured Man Filling Insurance Claim Form

How Chronic Pain Is Evaluated in Social Security Disability Claims

Chronic pain can make everything about your life more difficult, from working to taking care of your family and even preparing a meal. Many people with chronic pain may seek disability benefits from the Social Security Administration (SSA), only to be denied. 

If this has happened to you, an experienced legal team may be able to help you get the benefits you’re entitled to. Read on to learn about the process of collecting SSA disability benefits.

Qualifying for SSA Disability Benefits

The SSA has a list of medical conditions and injuries that automatically qualify an individual for benefits, but unfortunately, a state of chronic pain is not one of them. Instead, even if the pain is debilitating enough to impact your ability to work, you must prove that the pain stems from an underlying medical condition that the SSA covers.

Medical conditions that cause chronic pain listed in the SSA Blue Book of qualifying disabilities include:

  • Inflammatory Bowel Disease (IBS)
  • Back and spinal injuries
  • Inflammatory arthritis
  • Neurological disorders
  • Somatoform disorders
  • Chronic renal disease or kidney failure

To support your claim with the SSA, you’ll need to have your medical condition verified, including medical records, X-rays, tests, documented results of a physical exam, and a diagnosis from one or more doctors. If you have a second opinion that diagnoses you with the condition, that will bolster your SSA disability claim.

Can I still get benefits even if I don’t meet the SSA criteria?

Even if you don’t meet all of the criteria in the SSA Blue Book, you may still qualify for partial benefits if you can prove that your condition prevents you from working. The SSA will then assess your highest functioning capacity to determine whether you’re capable of performing any work at all.

The Residual Functional Capacity (RFC) assessment determines the persistence, intensity, and other effects of your pain, including:

  • The location, intensity, and frequency
  • Any factors that make the pain worse
  • Whether your pain management regimen or medications can alleviate pain

The assessment covers work-related tasks, including standing, sitting, walking, and remembering information, as well as the impact of your pain on your ability to complete these tasks. If the assessment indicates that you’re unable to complete essential, basic job functions, then you may qualify for benefits.

Establishing Your SSA Disability Case

Your credibility goes a long way toward the outcome of your case. You’ll be asked about your abilities to complete daily activities, from bathing and grooming to caring for your children, cleaning your home, or preparing meals and shopping for groceries. You’ll also be asked for a list of things that you can accomplish on your own, even if you need modifications, such as a wheelchair or frequent breaks.

Whether you sought medical treatment or not is also important in establishing your eligibility for benefits. The SSA may not believe that you’re suffering from severe pain if you haven’t been to the doctor for help.

A Social Security Disability Lawyer Can Help

Obtaining benefits if you’re living with chronic pain can be difficult. You’ll need plenty of evidence to build your claim if the SSA initially denies it. We can help. 

Roeschke Law, LLC of Phoenix, AZ, is a team of Social Security disability attorneys fighting to protect your rights and get you the benefits you deserve.

We work with you through every step of the process and help you find medical professionals in your area who understand the underlying medical conditions that cause chronic pain. 

Call Roeschke Law today or visit us online to learn more and schedule a free legal consultation.

Man filling out SSD application

When Should You Reopen an SSDI Claim?

If you’ve applied for Social Security Disability Insurance (SSDI) benefits and had your claim denied, you have only a small window of time to appeal the decision and review your claim. If you miss the deadline or decide that you don’t want your claim reviewed, the Social Security Administration (SSA) closes your case.

However, you may still have a chance to receive your disability benefits, even if your initial claim was denied. An experienced Arizona Social Security and disability lawyer can help you explore your options and ensure that your rights are protected.

What are the reasons to reopen a disability claim?

People who receive disability benefits typically receive back pay to the date of the initial application, so it’s often in your best interests to reopen an existing claim rather than file a new one. Many people who successfully appeal their claim will receive a higher amount of back pay.

When can I reopen my Arizona SSDI claim?

In order to reopen a claim, the SSA requires that any changes be related to the new, current claim. For example, if the condition that prompted you to file the initial claim worsens, then you may reopen the claim. 

However, if you have an entirely new medical condition or disability, then you will need to file a new claim. If the two disabilities aren’t related, the SSA won’t reopen the prior claim.

Your ability to reopen the claim also depends on when you filed the first claim. The onset of the second disability must have occurred within the timeframe covered by the first claim.

Reopening the Claim Within 12 Months of the Decision

If you’re reopening a claim within 12 months, you may reopen it for any reason, including if your initial claim was denied by an administrative law judge or the Disability Determination Services.

It’s more difficult to reopen an SSDI claim after 12 months have passed, and you may benefit from legal representation.

Reopening a Claim Between 12 Months and Four Years Later

These claims can only be reopened if the SSA determines there is reasonable cause. The two chief reasons that a claim in this timeframe will be reopened are if there is new, material evidence not available when the initial claim was filed, or if there was a clerical error that resulted in an incorrect determination.

Reopening a Claim More than Four Years Old

It’s very rare that a claim denied more than four years in the past will be reopened. This would only happen, for example, if a witness made false statements, if the claimant was declared dead and was later found alive (very unusual), or if there was an error on the face of the decision.

How can I reopen my SSDI claim?

You will need to file a new application for disability benefits and request in writing that your old claim be reopened. Your application needs to state that the onset date of the disability fell within the timeframe of the initial claim, which, for SSDI applications, is 17 months.

Your Social Security lawyer may request a hearing before an administrative law judge to appeal reopening your claim. They may have a medical expert testify or bring forth new evidence that supports your claim.

Do you need an SSDI attorney?

The Social Security appeals process and the statutes surrounding it can be confusing. The legal team at Roeschke Law, LLC, in Phoenix, AZ, can help. We’ll explain your options and whether you have a chance for a successful appeal or not. 

We charge attorney’s fees only if your claim is approved, and we offer a free, no-obligation consultation about your case. Get in touch with our office today.

SSD attorney sitting with client in wheel chair

4 Things You Should Never Say to Disability Doctors

When you apply for Social Security disability benefits, Social Security will require you to schedule a consultative exam. The doctor who provides this exam is supposed to give an unbiased opinion about whether you qualify. 

However, many of these doctors want to continue to receive referrals from Social Security, possibly making them biased against you. Be wary about what you say because you can’t necessarily trust these disability doctors to be unbiased.

1. Never Be Deceptive About Your Condition

Many people will downplay their symptoms when describing their condition. They may do this to keep up appearances or because they’ve learned to downplay their health to fit in socially. 

Whatever reason you might have to minimize your symptoms, this is the absolute worst thing you can do. You need to explain everything you feel and be clear about how it limits your activity.

Conversely, don’t be tempted to exaggerate your condition. Disability doctors are well trained at ferreting out false symptoms or exaggerated conditions. And once they detect a lie, they will be suspicious of anything else you say. Your disability doctor must also inform Social Security if they catch you in any lies.

2. Do Not Reveal that You Have Ignored Doctor’s Orders

Not all treatments work. And sometimes, a prescribed treatment will aggravate a condition rather than mitigate it. When that happens, you are perfectly within your rights to ignore your doctor’s orders — especially if you aren’t able to get new instructions quickly.

However, this is something you never want to tell a disability doctor. Suppose your disability doctor becomes aware that you are ignoring your doctor’s orders. That information will be relayed to Social Security and will be used against you in any disability determination.

3. Avoid Discussing Non-Medical Information with a Disability Doctor

At some point, the Social Security agency will probably delve into your finances, history, and current living arrangements. But this is not information a disability doctor needs to know. 

Your disability doctor should not be asking you questions about personal topics not directly related to your disability. And if they are, politely refuse to answer and redirect them back to the exam.

Similarly, try not to reveal limiting aspects of your living arrangement due to your disability. 

For example, you shouldn’t tell the disability doctor that your condition prevents you from climbing the stairs in your home or that you’re exhausted by climbing the stairs in your home. 

The doctor may note that you could resolve your condition by moving to a new location. Instead, just say that your condition makes it difficult or impossible to climb stairs.

4. Do Not Threaten to Contact a Lawyer

Some disability doctors are not subtle about being biased against you. They may ask very aggressive questions or be obvious about the fact that they doubt the truth of your statements. 

If this happens, you might be tempted to threaten to get a lawyer. Don’t do this. This will only make the disability doctor more antagonistic and might create animosity where none exists.

Instead, if you suspect unfair treatment by a disability doctor, the best option is to simply take careful note of everything they do and say. Remain calm, cordial, and honest, but pay close attention. 

Once the exam is over, immediately contact an Arizona Social Security disability attorney, like the team at Roeschke Law, LLC in Tempe, AZ. A social security disability lawyer can use the information you carefully recorded to impeach the opinion of the disability doctor and appeal a negative decision by Social Security.

Disabled woman with crutches

What Happens If an Original Work Injury Leads to a Second Injury?

Many issues surrounding your Social Security Disability Insurance (SSDI) benefits arise when one injury leads to another. If this happens, you may have concerns about whether you can still get benefits. If you already receive benefits, you might wonder whether you need to reapply with a new injury.

You might also receive compensation for your second injury. You may not know whether to report this compensation to the Social Security Administration (SSA) or how it may affect your SSDI benefits.

With these factors in mind, here is some information about what can happen if you suffer a second injury after an original work injury.

Eligibility for Social Security Benefits

To receive SSDI benefits, you must meet certain qualifications. You must:

  • Work long enough and recently enough to have paid into the Social Security system
  • Have an illness or injury expected to last at least a year or lead to your death
  • Suffer a resulting impairment that prevents you from continuing to work or training for new work

SSA does not restrict benefits to those who suffered a work injury. Any long-term disability that prevents you from working or training will qualify. 

For example, cancer can lead you to become eligible for SSDI benefits, regardless of the cause of your illness.

How to Handle a Second Injury After an Original Injury

Frequently, one injury will cause another. For example, weakness in your legs from spinal stenosis could cause you to fall and suffer a traumatic brain injury. Your chemotherapy treatment could cause peripheral neuropathy.

How you handle the second injury depends on whether you already receive SSDI benefits or become eligible for SSDI benefits based on the second injury.

If You Already Receive SSDI Benefits

If you already get SSDI when you sustain the second injury, your benefits will not change. Your first injury already qualified as a disabling condition and sustaining a second injury will not change that fact.

SSA requires you to report all changes in your medical condition. You should report the second injury to:

  • Satisfy your reporting requirement
  • Create a record of the second injury in case it worsens
  • Preserve the possibility of extending your SSDI benefits

The last point is important. Suppose that your second injury provides an independent ground for meeting the SSDI eligibility requirements. If your original injury improves, you can continue to receive SSDI benefits until the second injury also improves.

You could go even further than simply reporting your second injury. SSA allows you to reapply for SSDI benefits while you are currently receiving SSDI.

If your second injury qualifies as disabling, you should consider reapplying. SSA can reapprove your SSDI benefits for both your original condition and your new condition. That way, if the first condition improves, you continue to qualify for SSDI with the later condition.

If You Do Not Yet Receive SSDI Benefits

If you were not receiving SSDI benefits when you sustained your second injury, you might qualify as a result of your second injury. When an applicant suffers from multiple disabilities, SSA evaluates them based on the cumulative effect of all of the impairments they face.

This means that you could receive SSDI benefits with two injuries if:

  • The original injury qualifies and the second does not
  • The second injury qualifies and the original does not
  • Both injuries qualify independently
  • The cumulative effect of the two injuries leads to eligibility

The only way you would not receive benefits is if the original injury, second injury, and cumulative effect all fail to qualify. You should speak to a lawyer about applying for SSDI benefits after sustaining a second injury for this very reason.

How SSA Will View Compensation for Your Injuries

SSA can reduce your SSDI benefits when you sustain a second injury and receive compensation for it.

Suppose that you sustained the second injury at work and received workers’ compensation for it. SSA cannot pay benefits if the total compensation you receive exceeds 80% of your average earnings. 

If your workers’ comp plus your SSDI exceeds this limit, SSA will cut your SSDI payments.

However, some compensation does not count toward your limit. If you received a personal injury settlement for your second injury, your SSDI benefits will continue unchanged.

Getting Help from a Disability Attorney

A second injury can raise some complicated issues surrounding your SSDI benefits. To discuss how your second injury might affect your eligibility or the amount you receive, contact an experienced disability attorney at Roeschke Law, LLC to schedule a consultation.

social security disability claim

New Conditions Included in the SSA Compassionate Allowance Program

Applications for Social Security disability benefits can take years to wind their way through the system. All the while, applicants suffer from debilitating medical conditions. In addition to what can be chronic pain and discomfort, this benefit applicants also often struggle with loss of income due to the inability to retain gainful work. The stress of such resulting financial strain can be severe. Under certain circumstances, some claimants can put their application on a fast track to approval through the Social Security Administration’s (SSA) Compassionate Allowance program, which has been recently expanded to include even more medical conditions.

New Conditions Included in the SSA Compassionate Allowance Program

Former SSA Commissioner Michael Astrue instituted the Compassionate Allowance program back in 2007. The program was established to help clear through the backlog of cases in the Social Security disability system which was reaching upwards into the thousands. Those in this backlog had often been waiting up to two years to receive a determination or hearing on their applications.

The Compassionate Allowance program is essentially an expedited application process for benefit applicants who have special circumstances. Those suffering from certain conditions can receive benefits assistance in a much more timely manner considering the normal route can be quite lengthy. While a significant portion of the conditions listed as qualifying for the Compassionate Allowance program are rare diseases, some are more common. The list of qualifying conditions has been developed by members of the medical community as well as members of the scientific community. In fact, members of the public are able to suggest conditions that should be added to the list.

Conditions included in the Compassionate Allowance list are considered to not only be serious but difficult to live with. Many of the listed conditions are considered to be terminal illnesses. Part of the justification for including a condition on the Compassionate Allowance list is that these are medical conditions that are very likely to lead to a claimant’s application being approved for benefits.

While the Compassionate Allowance provides a faster, more streamlined application process, there is a process to comply with, nonetheless. You must present evidence of certain facts, particularly relating to your diagnosis of a condition on the Compassionate Allowance list. You will still need to fill out all required paperwork properly and completely as well.

Previously, the list of conditions qualifying for the Compassionate Allowance program sat at 254 conditions. The Acting Commissioner of the SSA, Kilol Kijakazi, however, announced back in August of 20221 that 12 new conditions would be added to the list. The 12 newly listed conditions are:

  • Charlevoix Saguenay Spastic Ataxia (ARSACS)
  • Choroid Plexus Carcinoma
  • CIC-rearranged Sarcoma
  • Congenital Zika Syndrome
  • Desmoplastic Mesothelioma
  • Duchenne Muscular Dystrophy – Adult
  • Pericardial Mesothelioma
  • Refractory Hodgkin Lymphoma
  • Renpenning Syndrome
  • SCN8A Related Epilepsy with Encephalopathy
  • SYNGAP1-related NSIA
  • Taybi-Linder Syndrome

Arizona Social Security Disability Attorney

Do you think you may qualify for the Compassionate Allowance program? Talk to the knowledgeable team at Roeschke Law about your options. Contact us today.

woman with fibromyalgia

Qualifying for Social Security Disability Benefits with Fibromyalgia

Fibromyalgia may be difficult to diagnose, but this disease is very real and the impact it can have on an individual can be truly debilitating. For those suffering from fibromyalgia, maintaining steady, gainful employment may not be possible. These individuals may seek financial support in the form of Social Security disability benefits. With fibromyalgia proving so difficult to diagnose, however, qualifying for benefits may be an uphill, but not impossible, battle.

What Is Fibromyalgia?

Those who suffer from fibromyalgia generally experience tenderness and muscle pain throughout the body. This is also commonly accompanied by other issues with memory, mood, fatigue, sleep issues, restless leg syndrome, sensitivity to light, noise, and temperature, issues with bladder or bowel control, and numbness and tingling in the arms and legs.

Additionally, while a physical condition, fibromyalgia is commonly associated with mental illnesses such as anxiety, depression, and post-traumatic stress disorder (PTSD). Although fibromyalgia is a very real disease, it is often diagnosed after ruling out other causes of one’s pain. Currently, the causes of fibromyalgia remain unknown, though many believe there are both environmental and genetic components.

If you suffer from fibromyalgia it can be debilitating and prevent you from being able to work. But luckily, it may also qualify you for Social Security Disability (SSD) benefits.

Qualifying for SSD Benefits

Despite the significant impact that fibromyalgia can have on your life, it’s important to understand that being diagnosed with the disease doesn’t mean you will automatically receive SSD benefits. Rather, it’s the decision of the Social Security Administration (SSA). The SSA will look at its “Blue Book” requirements when making this determination.

Blue Book Requirements

The SSA will look at the Blue Book to see if the applicant meets the following criteria:

  1. A history of widespread pain that has persisted for a minimum of three months. This does not require that pain be constantly present or to the same degree. Widespread pain includes pain in all quadrants of the body.
  2. A minimum of 11 positive tender points on a physical examination. These points must be located on both the left and the right sides of the body, above and below the waist. (The physician must test the tender-point sites per the requirements of the Blue Book).

Qualifying for Social Security Disability Benefits with Fibromyalgia

Fibromyalgia symptoms can closely mirror those of other diseases. Additionally, proper diagnostic testing for fibromyalgia is not always conducted. To compound the difficulty of diagnosing fibromyalgia, there are many self-reported symptoms that are not always visible to those other than the individual suffering from the condition. All of this is to say that insurance companies and those government agencies tasked with distributing disability benefits can view claimants suffering from fibromyalgia with great trepidation.

While difficult, it is still possible to qualify for Social Security disability benefits if you have fibromyalgia. The Social Security Administration (SSA) will want to evaluate your medical condition to see if it equals one of its listings of qualifying medical impairments. If you have a medically determinable impairment and your medical condition prevents you from working in a substantial gainful activity job, you may qualify for benefits.

Because fibromyalgia can be so commonly misunderstood by those in the Disability Adjudication Services office as well as administrative law judges in the Office of Disability Adjudication and Review, the SSA issued Social Security Ruling (SSR) 12-2p to shed light on fibromyalgia as a disabling condition. The ruling defines fibromyalgia as pain in the joints, muscles, tendons, or nearby soft tissue that has persisted for a minimum of 3 months. The ruling requires that for fibromyalgia to be considered a medically determinable impairment, there must be evidence of diffuse chronic muscle pain impacting four quadrants of the body in addition to the spine.

In order to test for fibromyalgia, medical professionals may apply standard pressure to 18 tender points on the body. Should 11 or more tender points to both the right and left side of the body in addition to above the waist yield pain when standard pressure is applied, then a fibromyalgia diagnosis can be issued. SSR 12-2p states that a claimant must not only have a history of diffuse chronic pain but also exhibit six or more repeated fibromyalgia symptoms which may include:

  • Chronic fatigue syndrome
  • Poor restorative sleep
  • Difficulty concentrating
  • Anxiety
  • Depression
  • Temporal-mandibular joint dysfunction (TMD)
  • Chronic migraines or tension headaches
  • Chest pain
  • Nausea
  • Loss or change in taste
  • Irritable bowel syndrome
  • Irritable bladder

Furthermore, SSR 12-2p requires other disorders which may lead to similar symptoms manifesting themselves to be excluded. Adjudicators must take into account the opinions of treating doctors of the claimant as well as other acceptable medical sources including psychologists and psychologists. Additionally, family members and others who know the claimant may make statements that could be informative regarding the establishment of a claimant’s fibromyalgia diagnosis.

HOW TO APPLY FOR SSD & SSI BENEFITS FOR FIBROMYALGIA

Applying for Social Security Disability (SSD) and Supplemental Security Income (SSI) benefits for fibromyalgia can be challenging, as the condition isn’t easily diagnosed through standard medical tests. However, with proper preparation and documentation, you can improve your chances of approval. Here’s a step-by-step guide to help you through the process:

1. Understand the Requirements:

  • To qualify for SSD or SSI benefits, you must prove that fibromyalgia severely limits your ability to work. The condition must meet the criteria set by the Social Security Administration (SSA), which includes widespread pain lasting at least three months, along with other symptoms such as fatigue, sleep disturbances, and cognitive issues.

2. Gather Medical Evidence:

  • Collect thorough medical records from doctors who specialize in fibromyalgia, such as rheumatologists. Include documentation of your diagnosis, treatment history, medications, and how the condition impacts your daily life. Detailed statements from your physician about your limitations are critical.

3. Track Your Symptoms:

  • Keep a detailed symptom diary, noting pain levels, fatigue, and other daily challenges. This can help provide a clearer picture of how fibromyalgia affects your ability to function and work.

4. Meet the SSA’s Criteria for Fibromyalgia:

  • The SSA uses guidelines that include tender point examinations and evidence of repeated manifestations of six or more fibromyalgia symptoms, such as fatigue, irritable bowel syndrome, and cognitive or memory problems.

5. Complete the Application:

  • Apply online through the SSA website or visit your local Social Security office. Be prepared to provide personal information, medical records, work history, and details about how fibromyalgia limits your ability to work.

6. Be Honest and Detailed:

  • Clearly describe how fibromyalgia affects your daily life and work capacity. The more specific you are about your limitations, the better your chances of approval.

7. Consult a Disability Attorney:

  • Consider working with a disability attorney who understands fibromyalgia and can guide you through the application process. An attorney can help gather evidence, prepare your application, and represent you in appeals if your initial claim is denied.

8. Prepare for a Potential Denial:

  • It’s common for initial applications to be denied. If this happens, don’t be discouraged. You have the right to appeal, and having an attorney can significantly increase your chances of success in the appeals process.

9. Stay Persistent:

  • The application process can be lengthy and frustrating, but persistence is key. Follow up regularly with the SSA and provide any additional information requested promptly.

Applying for SSD and SSI benefits for fibromyalgia requires patience, detailed documentation, and often legal support. Roeschke Law, LLC specializes in assisting clients with complex disability claims, including those for fibromyalgia. Contact us today for personalized guidance and to improve your chances of securing the benefits you deserve.

If you suffer from fibromyalgia and wish to apply for Social Security disability benefits, do not delay in reaching out to Roeschke Law for assistance. We can help you navigate the process, comply with application requirements, and help present the strongest possible case for benefits. Contact us today.

disabled child being fitted for hearing aid

Is Your Child Entitled to SSI Child Disability Benefits?

In some cases, children can be entitled to SSI Child Disability benefits. Should your child qualify and be awarded SSI benefits, then you must set up a separate bank account that is in both your name and your child’s name. SSI back pay is only to be used for things for your child. Let’s talk about more on how you can find out whether your child may be entitled to SSI Child Disability benefits or not.

Is Your Child Entitled to SSI Child Disability Benefits?

The SSA will ask a number of questions to determine whether your child is entitled to SSI child disability benefits. First, it will need to be determined whether your child is engaging in substantially gainful activity. In 2021, this would mean that your child was earning $1,310 or more per month. If this is the case, your child would not be declared disabled and, therefore, would be unable to receive SSI Child Disability benefits.

The SSA will also need to know whether your child has a medically determinable mental or physical impairment or some combination of impairments. Furthermore, the SSA will need to determine whether your child’s mental or physical condition meets or would be considered medically equal to the requirements outlined in the Child Medical Listing of Impairments. Due to the fact that medical listings can be very technical, even more so for children sometimes, a child case may be reviewed by medical experts.

Should your child have a mental or physical impairment that does not meet or equal a medical listing of impairments, there may still be a chance that he or she will qualify for benefits. An adjudicator or Administrative Law Judge will make a determination as to whether the functional limitations created by your child’s mental or physical impairments are the same as those of any of the child medical listings. If this is so, it will be determined that your child’s impairments are functional equivalents to a qualifying listing. In other words, should the combined effects of your child’s impairments be the functional equivalent to a listed qualifying condition, then this could be used to determine that your child is disabled and would qualify for benefits.

To determine whether your child’s impairments are functional equivalents to a child medical listing, then the adjudicator or Administrative Law Judge will look to see whether the physical or mental impairments of your child yield two marked limitations or one extreme limitation among the following areas:

  • Acquiring and using information
  • Attending and completing tasks
  • Caring for yourself
  • Health and physical well-being
  • Interacting with and relating to others
  • Moving and manipulating objects

In order to develop a strong case that your child’s impairments are functional equivalents to a qualifying child medical listing, evidence must be gathered to support this assertion. There are a variety of evidence types that may be used for this, including:

  • Teacher observations noted in questionnaires
  • Notes from after school tutors or daycare providers
  • Individual Education Programs (IEPs)
  • Behavioral modification plans
  • Section 504 plans from schools
  • Findings by treating medical and mental health professionals
  • Testimony from your child
  • Testimony from you as the child’s parent

Arizona Social Security Disability Attorney

If you are trying to get disability benefits for your child, talk to the team at Roeschke Law. Contact us today.