Which Statesmake Medicaid Decisions Based On Ssi Standards
Some states use the same eligibility standards as the federalSSI program but insist on making their own Medicaid decisions. In these states,enrollment in Medicaid isn’t automatic when you are approved for SSI, and youmust file a separate application with the state Medicaid agency to get enrolledin the Medicaid program.
These states, called “SSI criteria states,” are:
A Few Basics About Survivor Benefits
There are a few other specifications and things to note about your eligibility for receiving survivor benefits that arent necessarily related to the surviving spouses age. For example, neither the deceased spouse nor the surviving spouse needs to work for more than ten years in order to be eligible. However, the SSA does have a special rule that if youve worked for only one and a half years in the past three years just before your spouses death, the SSA can pay benefits to your children and to you if you are caring for the children.
Even though your deceased spouse was working and paying into Social Security, your survivor benefits will likely be reduced if you are working. This is also dependent on whether your earnings exceed a certain limit and if you are younger than the full retirement age.
If you have remarried and are over sixty years old , you should still be eligible for receiving survivor benefits. However, if you choose to remarry and are under sixty years old, then you are ineligible to collect survivor benefits.
Disability Is Unpredictable And Can Happen To Anyone At Any Age
Disability is something many Americans, especially younger people, think can only affect the lives of other people. Tragically, thousands of young people are seriously injured or killed, often as the result of traumatic events. Many serious medical conditions, such as cancer or mental illness, can affect the young as well as the elderly. The sobering fact for 20-year-olds is that more than 1-in-4 of them becomes disabled before reaching retirement age. As a result, they may need to rely on the Social Security disability benefits for income support. Our disability benefits provide a critical source of financial support to people when they need it most.
Disability Benefits For Veterans
You may be eligible for disability benefits if you’re on disability from your service in the Canadian Armed Forces or Merchant Navy.
You may get social assistance payments from:
- your province or territory
- your First Nation
These payments will depend on your household income, savings and investments.
You may also be eligible for health-related benefits from your province or territory. These benefits may include benefits that help cover the cost of:
- medical aids or devices
Benefits For Dependent Children
Children of Social Security disability insurance recipients are also eligible for dependents benefits, but there are a few stipulations. The maximum family benefit, along with other specifications play a role in how much is allocated to the child, the spouse, or other family members. ;
If the child is unmarried and they are younger than 18, they are 18-19 years old, or they are enrolled as a full-time student in high school, they can qualify for SSDI benefits from their parents. Additionally, if they are 18 years of age or older and they have a recognized disability that started before the age of 22, they are also eligible to receive dependents benefits. ;
If the parent is disabled or retired and they are receiving Social Security disability benefits, their child can receive benefits under their name. Likewise, if the childs parent dies and they have paid Social Security taxes, then benefits can be obtained by the surviving child under these circumstances as well.
The United States Social Security Administration has a limit on the amount of money that can be allotted to a spouse and family, which is known as a maximum family benefit. A child can collect up to 50% of their parents disability or full retirement benefits. Also, up to 75% of their departed parents social security benefit can be afforded to the surviving child, but there are limitations concerning whether a spouse or other relatives are present, which relates to the maximum family benefit that is provided. ;
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Our Tulsa Disability Lawyers Explain How Disability Pay Is Calculated
After you have gone through the five-step evaluation process and qualify for Social Security Disability Insurance or Supplemental Security Income , you may wonder how much money you will receive each month. The Social Security Administration uses a weighted formula to determine how much you are allowed in disability benefits. This formula is complicated and is constantly being adjusted to account for things like inflation, changes to the average income and any other disability payments you collect.
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Dependents And Social Security
One key difference between the two programs is how dependents are treated. Dependents may be eligible to collect Social Security after monthly benefits begin. Family members can receive a combined total equaling 150 to 180 percent of your Social Security benefit after you die. Child eligibility extends to age 18 unless the child is a student, in which case benefits continue until he graduates, or becomes disabled before age 22. Ex-spouses also may qualify two years after the divorce, provided the marriage lasted 10 years and they are at least 62.
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When Will Ssdi Coverage Lapse
You must meet the recent work test and the duration of work test in order to qualify for SSDI. Heres the recent work test: Typically, if you are 31 or older, you must have worked at least 5 of the last 10 years to keep up your SSDI coverage. Put another way, you will need to have earned 20 credits in the 10 years immediately before you became disabled. There is an exception to this rule for certain blind applicants.
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How Does The Ssa Define Disability
According to the SSA, a person is disabled if she or he suffers from a;physical impairment;or;mental impairment;that has lasted or is expected to last 12 months or more or result in death. The claimant must also be unable of performing any substantial gainful activity . In particular, the SSA considers an individual disabled if a claimant cannot perform the work he or she did before and cannot adjust to other work because of his or her medical condition.
Additionally, there are number of impairments that are included in the SSAs listing of qualifying medical conditions, including but not limited to:
- Degenerative disc disease
- Intellectual disability
- Personality disorder
It is important to note that you may still be eligible for benefits if you have a condition that is not included in the listing but medically equal to one of these impairments. Moreover, the SSAs definition of disability is different than other programs such as private long-term disability insurance. Social Security pays only for total disability and benefits are not available for partial disability or for short-term disability.
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How Have The Number And Share Of People Receiving Disability Benefits Changed Over Time And What Accounts For These Changes
There has been little change over the past two decades in the share of nonelderly adults receiving Supplemental Security due to a disability. In 2011, 2.4 percent of nonelderly adults received Supplemental Security for a disability, compared to 2.1 percent in 1996. This comparison does not, however, take into account demographic and economic changes, particularly the aging of the population and the increase in poverty, which both have increased the number of people who are potentially eligible for Supplemental Security.
Controlling just for income, participation in Supplemental Security by working-age adults who are potentially eligible because of low income has actually declined over the past decade and a half. In 2011 there were 17.6 nonelderly adults receiving Supplemental Security for every 100 nonelderly adults with incomes below 100 percent of the poverty line, compared to 18.5 nonelderly adults in 1996. In other words, the number of nonelderly adults receiving Supplemental Security grew at a slower rate than the number of nonelderly adults with very low incomes.
The share of nonelderly adults receiving Disability Insurance has increased over time. This is largely due to demographic factors, including:
A number of factors account for this one-percentage-point increase in the disability-prevalence rate after accounting for the changes in the age and gender distribution of the workforce, including the following:
What Are Social Security Retirement Benefits
Over 70% of the people receiving Social Security benefits are receiving retirement benefits. The retirement benefit is only available for those who are at least 62 years of age. Eligibility for retirement benefits requires that the recipient has earned at least 40 work credits, with four credits available for each year worked. In 2015, the method of calculating eligibility for work credits changed, assigning one work credit for every $1,220 in earnings as opposed to the amount of time worked.
Social Security retirement benefits can be affected by your age, when you begin to draw benefits, and the average of your 35 highest-earning working years. Theres also a cap on how much can be received as a retirement benefit. Partial benefits can be paid at age 62, with full benefits available at age 65 to 67, depending on your birth year. In most cases, retirees benefit most from waiting until they can receive a full benefit at age 70 because the amount of the benefit increases by up to 8% each year between age 62 and age 70. However, there can be exceptions to this rule and households with retirees who retire at different times should research their options carefully. The difference can mean tens or even hundreds of thousands of dollars in Social Security benefits that you may or may not receive as a household, depending on your choice.
Workers who become disabled later in life may also have the option of filing for disability benefits as opposed to retirement benefits.
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Find Out About Nebraska’s State Supplemental Payments Plus How To Appeal A Denial Of Social Security Disability Or Ssi And Whether You Qualify For Medicaid
By Bethany K. Laurence, Attorney
If you live in Nebraska and you can no longer work due to a long-term physical or mental disability, you may be eligible for Social Security disability benefits or Supplemental Security Income . To apply for SSI or SSDI, you can contact the Social Security field office nearest you or you can call Social Security at 800-772-1213. You can also start your application online, if you’re applying for SSDI only.
Is Di Out Of Sync With The Americans With Disabilities Act
The Social Security Advisory Board, which was created by Congress to advise the President, the Congress, and the Commissioner of Social Security, posed the question of whether the DI program and its test of disability is out of sync with the Americans with Disabilities Act . In April 2004, the Academy;drew on findings of its Disability Policy Panel report, Balancing Security and Opportunity, to testify before the Board as follows:
The need for a disability wage-replacement program does not go away because we have the Americans with Disabilities Act . Nor is the need for such a program eliminated by advances in medicine, changes in the demands of jobs, new assistive technology, or other environmental accommodations. These developments may increase employment opportunities for some categories of individuals with disabilities. For example, the ADA expands opportunity for people who have highly valued skills whose main impediments to work had been based on discrimination, architectural barriers, or other impediments that the ADA alleviates. But other individuals may face increasing impediments to work as the work environment and demands of work change. For example, in an increasingly competitive world of work, emphasis on versatility and speed may impede employment prospects for people with mental impairments. Because the phenomenon of work disability will remain with us in a competitive economy, wage replacement programs remain essential.
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Information You Need To Apply
Before applying, be ready to provide information about yourself, your medical condition, and your work. We recommend you print and review the . It will help you gather the information you need to complete the application.
Information About You
- Your date and place of birth and Social Security number.
- The name, Social Security number, and date of birth or age of your current spouse and any former spouse. You should also know the dates and places of marriage and dates of divorce or death .
- Names and dates of birth of children not yet 18 years of age.
- Your bank or other and the account number.
Information About Your Medical Condition
- Name, address, and phone number of someone we can contact who knows about your medical conditions and can help with your application.
- Detailed information about your medical illnesses, injuries, or conditions:
- Names, addresses, phone numbers, patient ID numbers, and dates of treatment for all doctors, hospitals, and clinics.
- Names of medicines you are taking and who prescribed them.
- Names and dates of medical tests you have had and who ordered them.
Information About Your Work:
- Award letters, pay stubs, settlement agreements, or other .
We accept photocopies of W-2 forms, self-employment tax returns, or medical documents, but we must see the original of most other documents, such as your birth certificate.
Do not delay applying for benefits because you do not have all the documents. We will help you get them.
Myth: If My Doctor Says I’m Disabled That Guarantees I Will Qualify
Not true, according to Proudian. The SSDI decision is a legal one, not a medical one a key point that people often misunderstand, she says. But the doctor who treats you and provides details about your condition must be a credible medical professional, and must provide honest, detailed information. Once that information and other details are filed, the decision is up to the Social Security Administration, she says.
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When Will I Receive My First Ssdi Payment
If the Social Security Disability application is approved, the first benefit will be paid to you for the sixth full month after the date that the disability began.
Monthly disability benefits are wholly based on your lifetime average earnings covered by Social Security. You can receive an estimate here.
Apply For Benefits Online
You should apply for disability benefits as soon as you become disabled. Follow these easy steps to apply online for disability:
- To start your application, go to our Apply for Benefits page, and read and agree to the Terms of Service. Click Next.
- On that page, review the Getting Ready section to make sure you have the information you need to apply.
- Select Start A New Application.
- We will ask a few questions about who is filling out the application.
- You will then sign into your mySocial Security account, or you will be prompted to create one.
- Complete the application.
You can use the online application to apply for disability benefits if you:
- Are age 18 or older.
- Are not currently receiving benefits on your own Social Security record.
- Are unable to work because of a medical condition that is expected to last at least 12 months or result in death; and
- Have not been denied for disability in the last 60 days.
Note: If your application was recently denied, our application is a starting point to request a review of the determination we made.
You may be able to file online for SSI at the same time that you file for SSDI benefits. Once you complete the online process above, a Social Security representative will contact you if we need additional information.
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Wait Time For Decisions And Hearings
The amount of time it takes for an application to be approved or denied varies, depending on whether it is an initial decision or a decision based on an appeal. In fiscal year 2019, it took an average of 120 days for SSA to make an initial determination on a disability claim. The figure increased following the COVID-19 pandemic and, for months in fiscal year 2021, the average wait time for an initial decision is 165 days.
The high number of cases and long wait times for a hearing before an Administrative Law Judge has drawn significant attention from Congress in recent years. Congress provided additional funding for this workload and the number of cases and wait times have declined. In fiscal year 2020, the average wait time for a hearing was 386 days .
For some cases, SSA will expedite disability determinations. These include Quick Disability Determination and Compassionate Allowance cases. These are cases where statistical models or medical diagnoses indicate the person has an extremely severe medical condition. These cases can often be processed in under 30 days. Additionally, many cases involving military veterans are expedited.