What is an Initial Review?

The initial review takes place when you first apply for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI).

During the initial review:

• The Social Security Administration (SSA) checks if you meet the basic eligibility requirements.
• They carefully examine your medical records, work history, and financial situation.
• You must show that your disability prevents you from working and will last at least 12 months or is expected to result in death.
• The goal is to approve or deny your initial application based on the information you provide.

The initial review is only performed once when you apply. If your claim is denied, you have the right to appeal.

What is a Redetermination?

A redetermination happens after you’ve been approved for disability benefits. It’s a periodic review to ensure you still meet the SSA’s requirements.

During a redetermination:

• The SSA will re-evaluate your current medical condition (for SSDI) or your financial situation (for SSI).
• The review checks whether your disability is still severe enough to prevent you from working or if your income and resources still qualify you for benefits.
• Redeterminations can happen every 1, 3, or 7 years depending on the likelihood of improvement in your case.

If the SSA finds significant improvement or financial changes, your benefits could be adjusted, suspended, or stopped.

Main Differences Between Initial Review and Redetermination

• The initial review happens when you first apply for benefits; a redetermination happens after you are approved.
• The initial review focuses on establishing your eligibility from the start, while a redetermination focuses on ensuring you continue to meet eligibility requirements.
• You experience the initial review only once, but redeterminations can occur regularly.
• The initial review decides if you will start receiving benefits; a redetermination decides if you will keep receiving them.