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| About site: Law/Legal Information/Social Security Law/Disability Benefits - Disability Determinations in Rhode Island |
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Title: Law/Legal Information/Social Security Law/Disability Benefits - Disability Determinations in Rhode Island Information about the Disability Determination Unit and disability benefits. |
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Disability Determination
RI Department of Human
Services
Office of Rehabilitation Services
"Helping
Individuals with Disabilities to Choose, Find
and Keep Employment"
Disability
Determination Services
Program
Description
ORS administers
the Disability Determination Services (DDS) for the Social Security Administration
(SSA). This unit determines the medical eligibility of children and adults
with disabilities applying for cash benefits who are Rhode Island residents
and are applying for cash benefits via Social Security Disability Insurance
(SSDI)(Title II) and/or the Supplementary Security Income (SSI)(Title
XVI). Although the DDS is fully funded by the Federal Government, the
state agency is responsible for developing medical evidence and determining
whether the claimant is or is not disabled or blind under the law.
Title II provides
for payment of disability benefits to individuals who are "insured"
under the Act by virtue of their contributions to the Social Security
trust fund through the Social Security tax on their earnings, as well
as to certain disabled dependents of insured individuals. Title XVI provides
for SSI payments to individuals (including children under age 18) who
are disabled and have limited income and resources.
The Act and SSA's
implementing regulations prescribe rules for deciding if an individual
is "disabled". SSA's criteria for deciding if someone is disabled
are not necessarily the same as the criteria applied in other Government
and private disability programs.
Definition
of a Disability
For all individuals
applying for disability benefits under Title II, and for adults applying
under Title XVI, the definition of a disability is the same. The law defines
disability as the inability to engage in any substantial gainful activity
by reason of any medically determinable physical or mental impairment(s)
which can be expected to result in death or which has lasted or can be
expected to last for a continuous period of not less than 12 months.
Disability
in Children
Under Title XVI,
a child under age 18 will be considered disabled if he or she has a medically
determinable physical or mental impairment or combination of impairments
that causes marked and severe functional limitations, kand that can be
expected to cause death or that has lasted or can be expected to last
for a continuous period of not less than 12 months.
What
Is A "Medically Determinable Impairment"?
A medically determinable
physical or mental impairment is an impairment that results from anatomical,
physiological, or psychological abnormalities which can be shown by medically
acceptable clinical and laboratory diagnostic techniques. A physical or
mental impairment must be established by medical evidence consisting of
signs, symptoms, and laboratory findings, not only by the individual's
statement of symptoms.
The
Disability Determination Process
Most disability
claims are initially processed through a network of local determination
services, or DDSs. Subsequent appeals of unfavorable determinations may
be decided in the DDSs or by administrative law judges in SSA's Office
of Hearings and Appeals.
Application
You must file
for disability benefits at your local federal Social Security Office.
You may either call toll-free at 1-800-772-1213 or visit your local office
listed below.
Social
Security Field Offices
SSA representatives
in the field offices usually obtain applications for disability benefits,
either in person, by telephone, or by mail. The application and related
forms ask for a description of the claimant's impairment(s), names, addresses
and telephone numbers of treatment sources, and other information that
relates to the alleged disability. (The "claimant" is the person
who is requesting disability benefits)
The field office
is responsible for verify non-medical eligibility requirements, which
may include age, employment, marital status, or Social Security coverage
information. The field office sends the case to the DDS for an evaluation
of the claimant's disability.
Offices
380 Westminster
Mall, Room 318
Providence, RI 02903
401.528.4501
30 Quaker Lane,
1st Floor
Warwick, RI 02886-0111
401.822.1463
55 Broad Street
Pawtucket, RI 02860
401.724.9611
Post Office
Building
127 Social Street
Woonsocket, RI 02895
401.766.8423
130 Bellevue
Avenue
Newport, RI 02840
401.849.3487
2 Shaws Cove,
Room 203
New London, CT 06320
860.443.8455
Related
Benefits/Appeals
If you are eligible
for SSDI benefits, you will receive Medicare after 24 months. If you are
eligible for SSI benefits, you will receive Medicaid immediately.
If you are found
ineligible for disability benefits, you have 60 days to file an appeal
at the Social Security Office where you applied.
If you benefits
cease, you have the right to a face-to-face hearing.
You may be referred
for vocational rehabilitation within the Office of Rehabilitation Services.
If Further
Information Is Required Regarding Disability Determination,
Please Contact:
Deborah Cannon
- 401.222.3182 x259 - Deborah.A.Cannon@ssa.gov
©2003 State of Rhode Island ~ Department of Human Services ~ Office
of Rehabilitation Services
40 Fountain Street, Providence, RI 02903
401.421.7005 (V) ~ 401.421.7016 (TDD) ~ 401.272.8090 (Spanish)~
401.222.3574 (Fax)
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Last updated 06/7/06
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