The SSDI process can involve several stages, from the initial application through administrative and court appeals.
Step 1: Submit Your Initial Application
You can apply for SSDI online at ssa.gov, by phone at 1-800-772-1213, or in person at a local Social Security office. The initial application provides SSA with information about your medical conditions, treatment providers, medications, work history, education, and functional limitations. Medical records and accurate descriptions of previous jobs can be important when SSA evaluates whether you can continue working.
Step 2: Texas Disability Determination Services Reviews Your Claim
SSA first confirms nonmedical requirements, such as work credits and current earnings. It then sends the claim to Texas Disability Determination Services (DDS), the state agency that makes the medical disability decision for SSA. DDS may request additional records or ask you to attend a consultative examination if more information is necessary. After reviewing the evidence, SSA sends a written decision approving or denying the claim.
Step 3: Request Reconsideration, If Your Initial Claim Is Denied
If your initial claim is denied, you generally have 60 days after receiving the decision to request reconsideration. SSA assumes you received the notice five days after the date printed on it unless you show otherwise. A different DDS examiner reviews the claim and considers the existing record along with applicable new evidence.
The appeal should address the reason for the original denial. Depending on the circumstances, that may mean providing updated medical records, additional evidence about your limitations, or more complete information about your previous work.
Step 4: Request a Hearing Before an Administrative Law Judge
If reconsideration is unsuccessful, you can request a hearing before an administrative law judge (ALJ). You generally must request the hearing within 60 days after receiving the reconsideration decision. At the hearing, the judge may ask about your medical condition, treatment, daily activities, work history, and the limitations that prevent you from working.
An attorney can help prepare you for the hearing, submit relevant evidence, address weaknesses in the record, and present your case to the administrative law judge.
Step 5: Request Appeals Council Review or File in Federal Court
If the ALJ issues an unfavorable decision, you generally have 60 days after receiving it to request review by the Social Security Appeals Council. The Appeals Council may deny review, decide the case, or send it back to an ALJ. If the Appeals Council denies review or issues an unfavorable decision, you generally have 60 days after receiving its notice to file a civil action in federal court. For Midland residents, that court is the U.S. District Court for the Western District of Texas.
SSA may extend an appeal deadline if you had good cause for missing it. For example, a serious illness may have kept you from filing, or you may never have received the notice. Without an extension, a missed deadline often means filing a new application, which can affect the past-due benefits available.