Understanding Disability Redetermination

Disability redetermination is the Social Security Administration’s (SSA) way of periodically reviewing your case to ensure that you still meet the medical and non-medical requirements for benefits. Unlike a simple update of your income or living situation, a redetermination is a full review of your eligibility.

There are two types of reviews:

• Medical Continuing Disability Review (CDR): Focuses on whether you still meet the medical criteria for disability benefits.
• Redetermination of Non-Medical Factors: Looks at your income, resources, and living arrangements to confirm ongoing eligibility.

In Michigan, as in other states, this process is part of routine program integrity checks by the SSA.

Why Does Redetermination Happen?

The SSA conducts redeterminations to:

• Confirm that beneficiaries continue to qualify.
• Detect and prevent potential overpayments.
• Update records with the most current information.

You might be selected for a redetermination:

• At regular intervals, typically every 3 to 7 years, depending on the likelihood of medical improvement.
• If there’s a change in your circumstances, such as returning to work or changes in income.
• Through random selection as part of SSA’s routine checks.

What to Expect During a Redetermination in Michigan

If you’re selected for redetermination, you will receive a notice from the SSA asking for updated information. Here’s what typically happens:

• Receive a Notification:
  The SSA will mail you a letter explaining the review process and requesting documentation.
• Provide Information:
  You will need to submit:
• Updated medical records.
• Details about your current treatments and healthcare providers.
• Information about your living arrangements.
• Details of your income and resources.
• SSA Reviews Your Case:
  The SSA will examine your information to determine if you still meet the criteria for benefits.
• Decision:
• If you continue to qualify, your benefits will continue without interruption.
• If the SSA believes you no longer qualify, they will notify you of their decision and your right to appeal.

Tip: Always respond promptly and thoroughly to requests for information to avoid delays or potential suspension of benefits.

How Long Does Redetermination Take in Michigan?

The redetermination process can take a few months, depending on the complexity of your case and how quickly you provide requested information. In Michigan, cases are processed by local field offices and Disability Determination Services (DDS), which may vary in workload and response time.

What Happens If Your Benefits Are Denied?

If your redetermination results in a denial of benefits:

• You have the right to appeal the decision.
• Appeals typically start with a reconsideration request and may proceed to a hearing before an administrative law judge.
• If you file your appeal within 10 days, you may be able to continue receiving benefits while your case is being reviewed.

It’s crucial to act quickly and seek legal assistance if your benefits are at risk.