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Question:
Do you have a suggested, ideal timeline for case workers to follow?
Yes! Please see Steps to Completing an Initial SOAR SSI/SSDI Application. This guide is intended to help you complete a SOAR SSI/SSDI application in stages so that you aren’t overwhelmed.
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Question:
Does an individual have to be homeless for SOAR to file for them?
SOAR is a model developed to help those who are experiencing or at-risk for homelessness, so they don’t need to fit the literal definition of homeless. At-risk for homelessness can include those who are in transitional housing, couch-surfing, exiting jails/institutions without somewhere to live, and those in permanent supportive housing who are entirely supported by grant funding.
Our Definitions of Homelessness page has further clarification on the definitions used by SOAR and SSA.
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Question:
Does DDS use GAF (Global Assessment of Functioning) scores in their decision?
The disability adjudicators do not use GAF scores specifically in their assessment, since the disability criteria are not the same as the DSM.
DDS basis their decision on the extent to which the “Listings” (Disability Evaluation Under Social Security) are met. For mental impairments they are looking for A) the diagnosis and B) the functional impairment. The main focus is on how the person's illness affects their functioning in four areas: Acitvities of Daily Living (ADLs); social; concentration, persistence and pace; and decompensation. DDS needs evidence that the person has marked impairment in at least two of these areas, or moderate impairment in at least three areas. It is more important for them to have clear, detailed descriptions with examples of how someone is functioning.
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Question:
Does the medical summary report have to be in sections? For example, does the legal history have to be in a seperate section or paragraph from the medical history?
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.
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Question:
During the ALJ hearing, is it okay to have your client physically demonstrate simple movements to show physical limitations that records may not document?
Not really. There are many reasons for this. Firstly, hearings are tape recorded and physical movements won’t show up on audio. As well, any physical limitations that are the basis of a disability claim must have medical records to back it up, not just an ALJ’s observations. Courts have discounted “sit and squirm” opinions from ALJs who “eyeball” the client, and say they have no back problems, for example, because they sit in a hearing for two hours in no obvious discomfort. DDS is supposed to consider the claimant’s capacity to perform work activities on a sustained basis, not just on what they can or cannot do on a one-time basis. (See Social Security Rulings 96-8p and 96-9p) https://www.ssa.gov/OP_Home/rulings/rulfind1.html#YRT1996)
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Question:
For the SSI application under in-kind support, do you include SNAP benefits? If so, what would be a good estimate if amount is unknown?
SNAP benefits are accounted for in question #58 on the SSA-8000 and, therefore, would not count as in-kind/cash support for Questions #37a-b.
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Question:
How can I access Social Security documents in Spanish?
The Social Security Administration publishes Spanish versions of all their forms. There is also a Spanish version of their website: https://www.ssa.gov/espanol.
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Question:
How can I find more information on Fibromyalgia? Is there a Listing?
Since Fibromyalgia is not a listed impairment, SSA offers guidance for how to evaluate. Here is the link- https://www.ssa.gov/OP_Home/rulings/di/01/SSR2012-02-di-01.html
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Question:
How can I find the date of onset?
We recommend using the applicant’s last day of work as their date of onset when helping someone apply for SSI/SSDI. The Social Security Administration (SSA) will examine the applicant’s medical records and prior work history to determine if any of the previous work attempts were unsuccessful (i.e.: the applicant was unable to sustain work for more than a few weeks or months due to disabling mental or physical health conditions).
If the applicant is currently working, enter the date that he or she believes the condition(s) became severe enough to prevent him or her from performing substantial gainful activity.
For individuals who have never worked, such as youth exiting foster care, SSA’s guidance is to “enter the date when he or she believes the condition(s) became severe enough to keep him or her from working.” Since youth can work before age 18, you can enter dates prior to their 18th birthday if that is relevant.
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