Understanding Disability Denials in Washington

If you’ve applied for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) and received a denial, you’re not alone. In Washington State, as in much of the country, initial approval rates are relatively low, but persistence pays off.

Common reasons for denial include:

• Insufficient medical evidence
• Failure to follow treatment plans
• Income or resource levels exceeding limits (for SSI)
• The SSA believes you can perform other types of work

The good news is that the Social Security Administration (SSA) offers a multi-step appeals process, giving you several opportunities to present additional evidence and make your case.

The Four Levels of Appeal in Washington

1. Request for Reconsideration
You must file this request within 60 days of receiving your denial notice. A new examiner, who was not involved in the initial decision, will review your case. It’s crucial to submit any new medical evidence or documentation at this stage.

How to file:

• Online: Visit www.ssa.gov
• By mail or in person: Submit the appropriate forms to your local SSA office.

2. Administrative Law Judge (ALJ) Hearing
If your reconsideration is denied, you can request a hearing before an Administrative Law Judge. The ALJ will review your case in detail, including any new evidence and your testimony.

• Wait times: Prepare for several months of waiting, but use this time to strengthen your case.
• Prepare to testify: You, along with any witnesses (such as medical or vocational experts), will have the opportunity to speak at the hearing.

3. Appeals Council Review
If the ALJ denies your claim, you can request a review by the SSA’s Appeals Council. The council may:

• Approve your claim,
• Deny your request for review, or
• Send your case back to the ALJ for further examination.

4. Federal Court Review
As a final option, you can file a lawsuit in federal district court. This step requires legal representation and is typically pursued if you strongly believe the SSA made an error in evaluating your claim.

Tips for a Successful Disability Appeal in Washington

• Act Quickly: Always adhere to deadlines to keep your appeal moving forward.
• Gather Comprehensive Medical Evidence: Submit new or updated medical records, doctor’s letters, and specialist opinions.
• Consult a Disability Attorney: Legal representation can significantly improve your chances at every stage.
• Track Your Appeal: Set reminders and stay in regular contact with the SSA to monitor your case status.
• Prepare Thoroughly for the Hearing: Understand what questions you may be asked and practice your responses.

Local Support Resources in Washington

Washington residents have access to several local resources, including:

• Washington State Disability Determination Services (DDS)
• Local SSA Offices throughout Washington
• Legal Aid Organizations offering free or reduced-cost services