What It Means to "Fail" a Disability Redetermination

The SSA may conduct your interview in person, by phone, or by mail. During the interview, they will review:

• Medical condition updates since your initial approval or last review.
• Current treatments, medications, and doctor visits.
• Income and resources (for Supplemental Security Income (SSI) recipients).
• Daily living activities and ability to work.
• The goal is to determine whether your condition still qualifies as disabling under SSA rules.

What Happens After a Denial Following Redetermination

You’ll Receive a Notice of Disability Cessation

If the SSA decides that you no longer qualify, you will get a formal letter called a Notice of Disability Cessation. This letter explains:

• Why your benefits are being stopped.
• The date your payments will end.
• Your right to appeal the decision.

You Have a Right to Appeal

You can and should appeal if you believe the decision was incorrect. There are strict deadlines:

• You must file a Request for Reconsideration within 60 days of receiving the denial notice.
• If you want your benefits to continue during the appeal, you must request it within 10 days of the notice.

You May Continue to Receive Benefits During the Appeal

If you appeal promptly, your benefits can continue while your case is being reviewed. However, if the appeal is unsuccessful, you may be required to repay some or all of the benefits received during the appeal.

Attend a Disability Hearing

If your reconsideration is denied, you can request a hearing before an Administrative Law Judge (ALJ).

• This is a critical opportunity to present new evidence, clarify your situation, and argue your case in person.

Common Reasons People Fail Disability Redeterminations

• Medical records showing significant improvement.
• Failure to follow prescribed treatments.
• Lack of updated or sufficient medical evidence.
• Return to work without reporting it.
• Increase in financial resources above the SSI limits.

What to Do if You Fail a Redetermination

Stay Calm and Act Quickly

Missing deadlines can jeopardize your benefits. Start the appeals process immediately if you disagree with the SSA’s decision.

Gather Strong Medical Evidence

Work with your doctors to collect updated, detailed medical records that clearly show your continuing limitations.

Consider Professional Help

Disability appeals can be complicated. Having an experienced disability lawyer or advocate can significantly improve your chances of reversing the decision.