Frequency of Disability Redeterminations

Disability redeterminations generally occur on a routine basis, but the frequency can vary depending on your specific situation. For most recipients, redeterminations typically occur:

• Every 3 to 7 years: The SSA usually conducts redeterminations every 3 to 7 years, depending on the nature of your disability. If your disability is expected to improve, the SSA might review your case more frequently. If your condition is considered permanent, the review may happen less often.
• At intervals specified by the SSA: The SSA may request redeterminations if they believe there has been a change in your medical condition, your ability to work, or your financial situation. Certain conditions, such as mental illnesses, may lead to more frequent reviews.

What Triggers a Redetermination?

Several factors could trigger a redetermination, including:

• Improvement in Your Medical Condition: If the SSA believes that your medical condition has improved, they may ask for a redetermination to evaluate whether you still meet the disability requirements.
• Changes in Work or Income: If you return to work or have a significant change in your income, the SSA may reassess your eligibility.
• Changes in Disability Listings: If the SSA updates its disability listings and your condition no longer qualifies, a redetermination may take place.

How the Redetermination Process Works

When the SSA decides to conduct a redetermination, they typically:

• Request updated medical records: The SSA will ask you to submit medical records that show how your condition has changed.
• Evaluate your work status: If you're working, the SSA will review your earnings to ensure that you’re not earning more than the substantial gainful activity (SGA) limit.
• Request additional forms or assessments: You may need to fill out additional forms or attend medical evaluations to confirm your current health status.

Once all relevant information is collected, the SSA will determine if you still qualify for benefits. If they determine that your condition no longer qualifies, your benefits could be reduced or discontinued.

Can You Appeal a Redetermination Decision?

Yes, if your disability benefits are stopped or reduced following a redetermination, you have the right to appeal the decision. The SSA will notify you of their decision, and if you disagree, you can:



1. Request a reconsideration: This is the first step in appealing the decision. The SSA will review your case again to see if the original decision was correct.
2. Request a hearing before an Administrative Law Judge (ALJ): If reconsideration is not successful, you can ask for a hearing in front of an ALJ who will review your case.
3. Appeal to the Appeals Council: If the ALJ’s decision is unfavorable, you can appeal to the SSA’s Appeals Council.