FAQ

A general privacy release can be used to communicate about the applicant to friends/relatives/other service providers, etc. This can be the SOAR sample (even if it is not for medical records) or a more generic one. Here is another example from CSH.  Most agencies have a privacy release that they use at intake or for these purposes. 

If you forget to enter “SOAR” in the remarks sections of SSA forms, they may not be directed to the SOAR liaison at your local SSA office (if one has been identified). However, there are other ways you can indicate that the application was completed using the SOAR model, even after you have submitted the online disability report:

1. Ensure that SOAR is written in the remarks section of the SSA-8000 (SSI application) that you deliver to your local SSA office;
2. When you deliver the paper SSA forms to the local SSA office, notify the claims representative that you are using the SOAR process;
3. Call the SOAR liaison at your local SSA office (if one has been identified) and notify him/her that you have submitted an application using the SOAR process.

Not all SSA offices have a SOAR liaison or know about the SOAR process. Remember that the most important part of the SOAR model is providing a complete, high-quality application with medical records and a Medical Summary Report (MSR). These elements, rather than the SOAR label on forms, will ensure that the application is processed efficiently by SSA and DDS.

At age 18, young adults who were eligible for SSI as children are evaluated to determine if they qualify for benefits under the adult definition of disability. This redetermination process is essential to many youth who continue to need the support of SSI.

For children, disability is determined by “marked or severe functional limitations,” whereas for adults, disability is measured against the ability to perform substantial gainful activity (SGA), an income level set annually by SSA. Due to this, an age 18 redetermination is considered a new medical decision for eligibility based on adult standards. Using SOAR, we can help youth with this redetermination process by writing a comprehensive Medical Summary Report regarding the applicant’s functioning with respect to performing substantial gainful activity and completing an SSA-1696, Appointment of Representative form.

More information can be found in the article, Age 18 Redetermination.

Absolutely - when applying for SSI/SSDI you should include all physical and mental health conditions/diagnoses. A person can be approved based on impairments from one or a combination of illnesses.

The SOAR process can definitely be used to assist applicants with appeals, as SOAR practitioners are often well positioned to assist given their relationships with applicants and knowledge of their impairments and related functional limitations. SOAR case managers can help by gathering additional medical records, writing a Medical Summary Report, and assisting with SSA forms specific to the appeal process. More information on assisting applicants with appeals, including a full issue brief with tips for practitioners, is available in the SOAR Library.

You can assist someone to apply for Social Security benefits even if they do not have identification. SSA has a set of questions they can ask the individual to verify their identity. (Name, SSN, DOB, mother’s maiden name, contact information)

That said, it is great to help someone obtain their identification documents so that they have them available for other uses. This can be done in parallel with the SSI/SSDI application process. Our partner organization, the Homeless and Housing Resource Center (HHRC) has a great resource on their website, Helping Individuals Experiencing Homelessness Obtain Identification Documents: https://hhrctraining.org/knowledge-resources/toolkit/1926/helping-obtain-ID

First, here is some information about overpayments and how to help prevent them in the future: Avoiding and Managing SSI/SSDI Overpayments. Reporting earnings is absolutely essential to prevent overpayments. SSA has some options for requesting waivers of overpayments and can set up payment plans if they deny the waiver request. 

Deciding whether to quit or cut back their hours depends on the person’s circumstances. No matter what, they need to report their earnings. Those earnings will impact SSI and SSDI differently (read some basic information about SSA Work Incentives). For some people, they can earn a lot more income by working and if they are feeling well and are able to work, that is probably what they should do (their decision!). For others, the stability of their SSDI payment is important and so they work under SGA each month to keep their benefit. Ultimately, I would recommend that they talk to a Benefits Counselor to discuss their options.

1619(b) is continued Medicaid coverage for those individuals that were receiving SSI benefits prior to returning to work. You can find more information on SSA's website here: http://www.socialsecurity.gov/disabilityresearch/wi/1619b.htm

The SAMHSA SOAR TA Center considers a "SOAR application" to be one in which all (or most) of the SOAR critical components are done. These include serving as the person's representative with the SSA-1696, collecting medical records and writing a Medical Summary Report documenting the person's functional impairment. If the SOAR provider is unable to get all of the records or is unable to get the Medical Summary Report signed by a treating physician, it would still be counted as a SOAR application because all was done that could be done.

Read more about SOAR application critical components.

SSA’s definition of disability differs from a solely medical definition in that it encompasses the child’s ability to function as compared with the functional abilities of a child of the same age who does not have impairments.

According to SSA, a medically determinable physical or mental impairment is an impairment that results from anatomical, physiological, or psychological abnormalities that can be shown by medically acceptable clinical and laboratory diagnostic techniques. A physical or mental impairment must be established by objective medical evidence from an acceptable medical source. 

SSA uses the Listing of Impairments to define the criteria for disability eligibility. The Listings are categorized by body system (i.e., cardiovascular, musculoskeletal, mental disorders). Developmental delays can be found in the following Listing: 112.14 Developmental disorders in infants and toddlers. The Listing can be found here: https://www.ssa.gov/disability/professionals/bluebook/112.00-MentalDisorders-Childhood.htm#112_14