Why Redetermination Happens

There are two main types of redetermination:

• SSI Redetermination focuses on your income, resources, and living arrangements.
• Continuing Disability Review (CDR) evaluates your medical condition to determine if you are still disabled under SSA guidelines.

Redeterminations usually occur:

• Every 1–6 years for SSI recipients, or if a change in circumstances is reported.
• Every 3 or 7 years for SSDI recipients, depending on the likelihood of medical improvement.

Reasons You Can Be Denied Benefits

The SSA may deny or terminate your disability benefits if:

Medical Improvement

If your condition has medically improved and you're no longer considered disabled by SSA standards, you may lose SSDI or SSI benefits.

Failure to Provide Updated Information

Not submitting required medical records, financial documents, or failing to attend a consultative exam can result in denial.

Financial Ineligibility (for SSI)

Your income or assets exceed SSI limits, or there’s a change in your living situation (e.g., someone moves in who supports you financially).

Engaging in Substantial Gainful Activity (SGA)

If you're working and earning above the SGA threshold, the SSA may determine you're no longer eligible for SSDI.

What to Do If You're Denied Benefits

If your benefits are denied after redetermination, you have the right to appeal. Here's what you can do:

• Request Reconsideration within 60 days.
• Continue receiving benefits during the appeal if you file within 10 days of the notice.
• Gather new medical or financial documentation that supports your continued eligibility.
• Request a hearing before an Administrative Law Judge if reconsideration is denied.