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SSI: Money In A Hurry

Presumptive Disability Program

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Eligibility: To receive these payments because of a presumptive disability, you must:

  • Meet all the income and resource factors of eligibility (See: Eligibility For SSI) and
  • Provide documentation, including a physician's statement, that you fit within one of the categories of people who are eligible for this benefit.

Following is a list of specific impairments for purposes of SSI presumptive disability. However, once any disability case reaches the DDS (the state office which determines the existence of disability), it can become a presumptive disability. The local Social Security office can't make a presumptive disability decision. However, the Social Security office can ask DDS to make a presumptive disability decision.

The most common specific impairments for purposes of SSI presumptive disability are:

  • Human immunodeficiency virus (HIV) infection.
  • A physician or knowledgeable hospice official confirms an individual is receiving hospice services because of terminal cancer.
  • Amputation of two limbs.
  • Amputation of a leg at the hip.
  • Allegation of total deafness.
  • Allegation of total blindness.
  • Allegation of bed confinement or immobility without a wheelchair, walker, or crutches, due to a longstanding condition, excluding a recent accident or surgery.
  • Allegation of a stroke (cerebral vascular accident) more than 3 months in the past and continued marked difficulty in walking or using a hand or arm.
  • Allegation of cerebral palsy, muscular dystrophy or muscle atrophy and marked difficulty in walking (e.g., use of braces), speaking, or coordination of the hands or arms.
  • Allegation of diabetes with amputation of a foot.
  • Allegation of Down's syndrome.
  • Allegation of spinal cord injury producing inability to ambulate without the use of a walker or bilateral hand-held assistive device more than two weeks following a spinal cord injury with verification of such status from an appropriate medical professional.

Payments: Presumptive Disability payments:

  • Are for the same amount for which you would be eligible for under regular SSI rules.
  • May be made for up to 6 months pending the formal determination of disability or blindness.
  • Begin with the month in which the presumptive disability/blindness finding is made by the local Social Security office or State disability determination agency.
  • End after 6 months if a formal determination has not been made.

If There Is A Final determination That You Are Not Disabled or Blind:

  • You will not receive any further SSI benefits.
  • You can keep the money you've received - unless the formal rejection is due to a nonmedical factor of eligibility, such as if you lied about the amount of your income or resources.

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