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SSA Brings Medical Persevering with Incapacity Evaluations In-Home


Writer: Social Safety Administration
Revealed: 2026/03/12 – Up to date: 2026/03/14
Publication Sort: Announcement
Class Matter: U.S. Social SafetyAssociated Publications

Contents: SynopsisIntroductionFundamentalInsights, Updates

Synopsis: This text covers the Social Safety Administration’s resolution to centralize medical Persevering with Incapacity Evaluations below its federal Incapacity Case Overview web site, ending the longstanding apply of routing that workload via State Incapacity Willpower Companies. It’s particularly related for incapacity beneficiaries, seniors, and their households who rely on well timed and correct evaluation outcomes, because the shift is designed to strengthen federal accountability whereas permitting state companies to focus on clearing preliminary claims backlogs that instantly have an effect on how rapidly eligible people start receiving advantages – Disabled World (DW).

Definition: Persevering with Incapacity Overview

A Persevering with Incapacity Overview is a periodic analysis performed by the Social Safety Administration to find out whether or not an individual presently receiving Social Safety Incapacity Insurance coverage or Supplemental Safety Revenue advantages nonetheless meets the medical standards for incapacity. These opinions are a part of the company’s program integrity efforts and will be triggered by anticipated medical enchancment, scheduled timeframes, or different components, and their end result determines whether or not advantages proceed, are adjusted, or are terminated.

Introduction

US Social Safety Administration Brings Medical Persevering with Incapacity Evaluations In-Home

Strategic resolution affords higher federal accountability and reduction for states to give attention to quicker incapacity declare adjudication.

The Social Safety Administration (SSA) has introduced the company will transition the processing of medical Persevering with Incapacity Evaluations (CDRs) from State Incapacity Willpower Companies (DDS) to its federal processing web site known as Incapacity Case Overview (DCR). Bringing in-house CDRs will enhance service to our most susceptible People. CDRs are performed as a part of SSA’s ongoing program integrity workload, supported by Congress, to find out whether or not an individual receiving incapacity advantages remains to be eligible to obtain them.

Fundamental Content material

Aligning medical CDRs below SSA’s direct oversight means all CDRs, together with non-medical CDRs, are solely the company’s duty.

“By centralizing medical persevering with incapacity opinions below Social Safety, we’re taking one other vital step in direction of operational excellence, lowering improper funds, and offering best-in-class service to People in vital want of help,” stated Commissioner Frank J. Bisignano.

“With full possession and accountability of CDRs and the confirmed observe document of our DCR, our state incapacity willpower service companions will have the ability to give attention to the adjudication of preliminary incapacity claims and reconsideration instances, present eligible people with expedited entry to advantages, and additional scale back preliminary incapacity claims backlogs, that are already reaching historic lows.”

DDS can now focus their consideration on expediting incapacity claims for residents of their state, which is able to allow environment friendly choices for claimants, leading to eligible people receiving the vital advantages they want in a well timed method.

In June of 2024, the DDS preliminary claims backlog was at an all-time excessive with over 1.26 million pending claims. With a give attention to course of enchancment and operational excellence, the backlogs have been lowered by greater than 33 % to 831,000 as of February 2026. The shift in duties and continued partnership between SSA and state DDSs will proceed to considerably enhance the processing instances and scale back the preliminary claims backlog.

The company’s Incapacity Case Overview, with its expertise processing preliminary incapacity claims, reconsideration instances, and medical CDRs, will now deal with medical CDRs for the complete country-allowing DDS websites to give attention to lowering wait time on preliminary and reconsideration claims for residents of their state residents. Non-medical CDRs, which don’t require the identical experience as medical CDRs to course of, will proceed to be dealt with by the company’s area places of work and processing facilities.

Editorial Word: Shifting medical CDRs below one federal roof is a sensible acknowledgment that program integrity work and frontline claims processing compete for a similar restricted state sources, and that separating the 2 ought to profit each – the company positive factors direct management over the opinions that decide whether or not beneficiaries preserve their protection, whereas state places of work can redirect workers and a focus towards the preliminary claims backlog that peaked above 1.26 million instances in mid-2024 and nonetheless sits at roughly 831,000 as of early 2026, a quantity that represents actual individuals ready for a choice that will decide whether or not they will pay lease or afford remedy – Disabled World (DW).


Attribution/Supply(s): This quality-reviewed publication was chosen for publishing by the editors of Disabled World (DW) attributable to its relevance to the incapacity neighborhood. Initially authored by Social Safety Administration and printed on 2026/03/12, this content material might have been edited for model, readability, or brevity.

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