Icon faq FAQ

Find answers to frequently asked questions.

Question:
How can I get our local hospital involved in our SOAR effort?
Question:
How can I help someone apply for survivor benefits?

Here is some more information about Survivor’s benefits: https://www.ssa.gov/benefits/survivors/ifyou.html

There is helpful information about who might be eligible to receive benefits.

They’ll need to call SSA to apply for survivor’s benefits, as it can’t be done online. We don’t have a guide, but it is straightforward (reporting the death to SSA via the funeral home is most common). SSA can look up whether the individual is eligible to receive benefits.

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Question:
How can someone receive SSDI (Title II) benefits if they have never worked?

If an individual becomes disabled before the age of 22 and one of his/her parents is either deceased or receives disability or retirement benefits, the "Disabled Adult Child" may receive benefits based on their parent's earnings record. SSA has an easy to use FAQ page about this topic: https://www.ssa.gov/planners/disability/qualify.html

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Question:
How can we track Medicaid reimbursements?

Most SOAR programs that have a hospital collaboration will work with the hospital’s billing department to collect information on reimbursed expenses for each SOAR applicant approved. Some are able to separate out Medicaid and Medicare reimbursements; others have just a total for all reimbursements. The information isn't any more complicated than: "We helped 100 individuals get approved for SSI/SSDI and the hospital has been reimbursed $500,000 in the past year in Medicaid/Medicare expenses for these individuals."  It can be helpful to also collect the totals for unreimbursed expenses for those same individuals for the year prior to approval to use as a comparison.  One SOAR provider looked at emergency room usage for the year prior and the year after approval to see if there was a reduction. They found a 24 percent reduction in ER usage and 52 percent reduction in psychiatric ER usage.

Some SOAR providers will meet monthly with the billing department and collect reimbursement data, others will do it quarterly.  We would recommend doing whatever works best for the staff at the hospital and the SOAR staff.  

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Question:
How can you expedite an ALJ hearing?

To help expedite a hearing, the applicant or their representative can submit a letter of "dire need" to the Office of Hearing Operations (OHO).  The letter should describe the applicant's conditions, how they have worsened since the reconsideration was filed, and why they will worsen still if they are not granted an expedited hearing. You need to explain how the applicant is unable to get shelter, medical care, and/or food. Be as specific as possible and provide examples of the applicant's functional impairment.  If you can reference medical records, that is very helpful. There is no guarantee that the administrative law judge will grant an expedited hearing, but it is worth trying.

Occasionally elected officials will send a form letter (a dire need letter of sorts) to OHO to inquire about the claim and to ask for an expedited process.  

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Question:
How do I assist a client who already has a pending SSI/SSDI application that was submitted without a case manager's assistance? Is it best to fill out ROIs to learn more about the determination or withdraw?

The SOAR process can definitely be used to assist applicants with a pending initial or reconsideration level SSI/SSDI claim. To confirm the correct claim level, you will submit the SSA-3288: Consent for Release of Information to the SSA field office.

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 submitting the SSA-1696: Appointment of Representative form to the SSA field office, gathering additional medical records, noting previously unreported medical conditions, writing a Medical Summary Report, and assisting with SSA forms specific to the initial and appeal process.

However, if you learn that the applicant is at the ALJ level of appeal, you will need to discuss with the applicant whether they wish to continue to appeal at the hearing level or withdraw their current application to submit a new initial application using the SOAR model with your representation.

You can learn more about this by reviewing the article, "Prior or Pending Applications."

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Question:
How do I become involved in SSI/SSDI cases that are already in process? What about cases that have been going on for a long time, such as those waiting for a hearing or appeal?

If the case is pending at the initial or reconsideration stage, you can become the applicant's representative via submission of the SSA-1696: Appointment of Representative form. You will then be able to communicate with SSA/DDS about the application and request access to the materials that have been submitted. After reviewing the person’s file, you'll know what needs to be addressed, just as when you are starting anew with someone. If the person isn't willing to have you be the representative, ask if they have one - if so, try to assist that person with what needs to be addressed.

If the person is waiting for an appeal hearing, it may be necessary for you to secure legal representation for them through agencies such as the state Protection and Advocacy organization, Legal Services, Legal Aid, or another kind of pro-bono legal service.

Read more at Prior or Pending Applications.

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Question:
How do I download SSA forms from the SOAR Online Course to my computer where I can complete them?

All of the forms required for the SOAR online course are located in Class 1 Practice Case page, “Meet your Client”. Right-click on each file, choose "Save Target As" (or "Save Link As"), and save in an easily-accessible location on your computer. The forms may also be opened as pdfs and then completed and saved. The course will instruct you on when each form needs to be completed and uploaded to the website. If you have any trouble uploading the completed forms, you can see our Troubleshooting Tips.

If you are looking to download and complete SSA forms outside of the SOAR Online Course, many forms can be found in our Library or on the SSA website.

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Question:
How do I get started writing the medical summary report? It is so intimidating.

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.

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Question:
How do I print my SOAR certificate?

When you log-in to the SOAR website, go to your Profile page.  There, you will see a link to access the Certificate of Completion that was e-mailed to you when you passed the course.

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