FAQ

It is unfortunate when we run across physicians who are unwilling to help people access the benefits that they are entitled to, although it is a common problem.  Many doctors will say that they have not seen a person enough to support a report such as the MSR.  Sometimes doctors on ACT (Assertive Community Treatment) teams or in PSR (Psychosocial Rehab) programs may be willing to co-sign reports. When you can’t find a doctor to cosign the report, we recommend you submit the MSR as collateral information along with the medical records that you have collected that document the diagnostic information from a physician.  

You may want to find out why they are refusing to sign the report. Is it because they feel they don't know enough to sign it?  Or that it wasn't written by them so they don't want to sign it?  Are there other reasons?  One of the things we find is that the doctors often misunderstand what we are asking them to do. They believe that, by signing the report, they are "approving" the person for disability benefits. DDS makes that decision. What they're doing is simply attesting that the information contained in this report is true. It's fine if they even write a statement that they believe the information in this report is true. 

You might remind the doctor and the clinic/hospital that when someone is approved for SSI/SSDI they are also going to be eligible for Medicaid/Medicare which means retroactive reimbursement for services provided and ongoing payment for treatment and services in the future.  

One SOAR program contacted the state medical association for the names of retired physicians and asked if anyone was willing to do one assessment pro-bono.  It was fairly successful.

Trying to write the Medical Summary Report (MSR), a key component of the SOAR approach, can seem challenging at first. Everyone is going to have a different approach to writing that works for them.

We recommend starting with the Medical Summary Report Worksheet as a template.  Work on only one section in each sitting.  Breaking it up into smaller chunks can take some of the pressure off of writing a long report. It may also help if you don't set a target length. Think about just writing a letter that tells all you know about someone's Personal History, Psychiatric History, or Functional Information. If you can get a couple sections complete and then put them together, you will likely see that the MSR comes together easier than you anticipated.

For more information about Medical Summary Reports, see the SOAR Library.

The CEUs offered by the SOAR Online Course are approved by the National Association of Social Workers (NASW).

We estimate that it will take 16-20 hours to complete the Online Course.  This includes the completion of the Practice Case in which you will submit an SSI/SSDI application packet for a fictitious client to the SOAR TA Center.

If you go back to the Practice Case in Class 2 you should be able to delete the documents you uploaded and re-upload the correct versions.  If you have already submitted your entire application packet in Class 7 you will not be able to make any of the changes online.  However, you can email the correct forms to soaronline@prainc.com. 

Individual providers can choose whatever title works best for themselves and their agency.  Some examples that we have seen include SOAR practitioner, SOAR benefits specialist, SOAR case manager, and SOAR specialist. Others will use their traditional title (e.g. social worker, case manager, outreach worker) and say that they are SOAR trained or certified in the SOAR process. 

The SOAR online course is available free of charge. Anyone interested in SOAR training is welcome to enroll at any time. The course is self-paced and you can receive support and assistance by contacting your SOAR TA Center Liaison or SOAR state/local lead.

We recommend using headings throughout the MSR to divide information so that DDS can quickly find the evidence they are looking for. These headings typically include: personal history, employment, physical health, psychiatric health, and functional information. You can include sub-headings in these categories to further organize the information if you’d like.

Naturally, information may overlap in some of the sections. For instance, in legal history you may talk about how an applicant’s incarceration was related to their symptoms and then add extra information about symptoms in medical history. In these areas of overlap, there’s no need to repeat information you have already provided. By avoiding excessive repetition in the MSR and grouping the information using broad headings, we can help walk DDS through the documentation of how the applicant meets the disability criteria.

The SOAR TA Center is available to review Medical Summary Reports from SOAR practitioners. To submit your MSR for review, email soar@prainc.com and attach your MSR with the applicant’s name, birthdate, and Social Security number removed for HIPAA compliance.

Upon successful completion of the practice case in the SOAR Online Course, you will receive a Certificate of Completion and 20 continuing education (CE) contact hours from the National Association of Social Workers (NASW).

Once you submit your case study packet in Class 7, your application packet will be reviewed by SOAR TA Center staff who will provide you with feedback. If your application packet is complete and without major errors or omissions, you will receive your certificate. This can take up to 10 business days. If there are significant errors/omissions, you will be invited to revise your packet and resubmit it for a second review. If the errors/omissions have been corrected, you will receive a Certificate of Completion with your CEs.