Q: Do Social Security employees have medical training so they can evaluate medical information for disability application decisions?
A: Local Social Security employees do not make medical decisions for disability applications and do not evaluate medical evidence for Social Security or Supplemental Security Income (SSI) applications.
Whether a person files online or by personal interview, when a disability application is received, Social Security representatives review it to verify that the non-medical eligibility requirements are met. For example, the SSA employee will verify that an applicant for Social Security disability meets the work requirement or that a person filing for Supplemental Security Income (SSI) meets the income and resource requirements of that need-based program. If these non-medical requirements are not met, they will complete the application to a denial since a medical decision would not be required.
When non-medical requirements are met, the local office reviews application materials for completeness, including applicant details to describe the disabling impairments, medical treatment, medical releases and related employment and vocational information.
For the actual medical decision, the disability claim goes to a State agency, usually called a Disability Determination Service (DDS). These state agencies, fully funded by the Federal Government, are responsible for developing medical evidence and making the initial determination on whether or not a claimant is disabled or blind under the law. Samples of DDS decisions from all the States are reviewed within Social Security to maintain national requirements.
Following a national, step-by-step disability evaluation process, DDS employees make the disability decision and return the application to the local Social Security office for additional work as needed. Depending on the decision, this could be to complete any remaining development before payment begins or, if a denial, holding a file for the appeal period.