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kraftiekortie
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17 May 2018, 2:06 pm

Isn't Medicaid money given to at least some states to spend as they wish?



kraftiekortie
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17 May 2018, 2:08 pm

I wish Startrekker quite a bit of luck.

I really do.

I do hope there will be a day when she will be able to get off benefits. But for now, it seems like it would be good for her to be on benefits.



KB8CWB
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17 May 2018, 2:17 pm

kraftiekortie wrote:
I wish Startrekker quite a bit of luck.

I really do.

I do hope there will be a day when she will be able to get off benefits. But for now, it seems like it would be good for her to be on benefits.


I second this! They make it so incredibly hard for people who are truly in need. Best I can tell you is find a lawyer who deals with disability ONLY and has a good track record. If they accept contingent upon winning disability, then you can be assured you have a good case (they know they'll be reimbursed upon winning)! But be prepared to go to the federal level as states rarely approve the applications. The judge in my hearing even intimated that I should have had from the start. But did not outright say the state was wrong. Best of luck Startrekker and keep the faith!



KB8CWB
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17 May 2018, 2:24 pm

kraftiekortie wrote:
Many people are rejected at first, then get a lawyer on contingency (you don't have to pay unless you're successful), then seem to get approved at least somewhat often, with backpay. Alas, they have to give the lawyer about 1/3 of the backpay as a "fee."


Actually the award is federally capped at $6,000 at least when I got it three years ago, regardless of the back pay amount. Perhaps it is a 1/3 for lesser amounts of back pay? Not quite sure...



skibum
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17 May 2018, 2:24 pm

KB8CWB wrote:
kraftiekortie wrote:
I wish Startrekker quite a bit of luck.

I really do.

I do hope there will be a day when she will be able to get off benefits. But for now, it seems like it would be good for her to be on benefits.


I second this! They make it so incredibly hard for people who are truly in need. Best I can tell you is find a lawyer who deals with disability ONLY and has a good track record. If they accept contingent upon winning disability, then you can be assured you have a good case (they know they'll be reimbursed upon winning)! But be prepared to go to the federal level as states rarely approve the applications. The judge in my hearing even intimated that I should have had from the start. But did not outright say the state was wrong. Best of luck Startrekker and keep the faith!
That is the boat I am in. I have a disability lawyer who only does disability cases and she gets paid nothing unless she wins. Sucks for her though because it can take over ten years to see a case through and there is no guarantee of winning. And I see how many hours she puts in and how hard she works. And when she does win, the payoff is usually very small. She gets a one time payment which is a percentage of the backpay. She told me the percentage but I don't remember but I know it's not much.


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KB8CWB
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17 May 2018, 3:28 pm

skibum wrote:
That is the boat I am in. I have a disability lawyer who only does disability cases and she gets paid nothing unless she wins. Sucks for her though because it can take over ten years to see a case through and there is no guarantee of winning. And I see how many hours she puts in and how hard she works. And when she does win, the payoff is usually very small. She gets a one time payment which is a percentage of the backpay. She told me the percentage but I don't remember but I know it's not much.


Best wishes for you as well skibum! It is a shame to have to fight for it as we do pay into SSDI while employed. It is supposed to be there just in case it is needed. Sure a few are malingerers, but studies have shown the vast majority of recipients are legitimate. Five years seems very long? But then I don't know what state you are in. Ohio had and has a large backlog of cases so I am sure other states are as bad or worse.



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17 May 2018, 3:54 pm

BeaArthur wrote:
kraftiekortie wrote:
Social Security likes to make it tough on people....in a nutshell.

I'd be cautious about making statements like this. It leads to distrust and discouragement, leading to some people not even trying. Also, I found Social Security staff to be nicer than I expected.

Imagine how indignant taxpayers would get if large numbers of unqualified people were drawing this type of disability. There are frauds and cheats out there, but I don't believe most people with autism are among them.


Image

Thank you for posting this. I really appreciated your quite sensible observation ... not that I'm in anyway disparaging krafiekortie whose advice has so often been compassionate and constructive.

Having visited other forums, I've noticed that people who have had their disability claims rejected typically:

1) Have not done their due diligence. The social security office stresses the importance of having all relevant documentation.

2) Have failed to file for an appeal after having had their application rejected. Again, from the social security's own website, the social security administration has said that rejected applications should be appealed and that appeals have a better chance of succeeding as opposed to people who apply and then reapply and then apply again. The case officer who reviews each application will note how many times this application has been previously submitted and denied and the SSA has made it very clear (to anyone willing to take the time to look) that repeated applications are more likely to be denied.

3) Not having the appropriate supporting documentation from a clinical psychologist (see observation 1). An appalling number of people have apparently waltzed into their local social security office and asked for disability because they're allegedly autistic. Many of these people self tested and do not have a clinical diagnosis nor do they have a doctor's letter which states that they're under care but due to --- they are unable to work at the present time etc.

The SSA has standards which are clearly stated on their website ... and yet people continue to apply for disability without any documentation and then they get upset and vent when their application is inevitably denied.

I don't understand this attitude.

(sigh)



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17 May 2018, 4:13 pm

skibum wrote:
KB8CWB wrote:
kraftiekortie wrote:
I wish Startrekker quite a bit of luck.

I really do.

I do hope there will be a day when she will be able to get off benefits. But for now, it seems like it would be good for her to be on benefits.


I second this! They make it so incredibly hard for people who are truly in need. Best I can tell you is find a lawyer who deals with disability ONLY and has a good track record. If they accept contingent upon winning disability, then you can be assured you have a good case (they know they'll be reimbursed upon winning)! But be prepared to go to the federal level as states rarely approve the applications. The judge in my hearing even intimated that I should have had from the start. But did not outright say the state was wrong. Best of luck Startrekker and keep the faith!
That is the boat I am in. I have a disability lawyer who only does disability cases and she gets paid nothing unless she wins. Sucks for her though because it can take over ten years to see a case through and there is no guarantee of winning. And I see how many hours she puts in and how hard she works. And when she does win, the payoff is usually very small. She gets a one time payment which is a percentage of the backpay. She told me the percentage but I don't remember but I know it's not much.


When I applied for SSDI back in 2010, my SSDI attorney (my regular attorney does not do SSA. His specialty is labor law.), he told me that if he wins my case, SSA will award him 25% of my back pay, up to $6000.00. If that 25% of back pay is more than $6000.00, he will only get the $6000.00. Also, if your attorney charges for copying records, SSA limits that fee to $25.00 per record.

As for the case backlog, we can thank St. Ronnie Reagan for that mess. Remember, it is St. Ronnie that government is the problem.


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TechnicallyCalm
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17 May 2018, 5:17 pm

That explains why my and my sister's first attempt with SSI/SSDI was denied.

Will probably let my mom know what I just learned here.

Thanks guys.


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17 May 2018, 6:19 pm

KB8CWB wrote:

Best wishes for you as well skibum!
Thank you so much


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skibum
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17 May 2018, 6:26 pm

TechnicallyCalm wrote:
That explains why my and my sister's first attempt with SSI/SSDI was denied.

Will probably let my mom know what I just learned here.

Thanks guys.
60% of cases get denied at the first application. I got denied then, and then at my hearing and then at the appeal level. We may try the federal level next. And we had a mountain of evidence not just from the neuro psychologist who diagnosed me and who has been treating me since my diagnosis but from all kinds of sources some dating back 30 years. We also included my entire life's job history record. My lawyer told me that one case she knows well took twenty years to win.


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kraftiekortie
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17 May 2018, 7:10 pm

I would never, in any way, "dis-inspire" anyone from applying for benefits.

All I was saying-----is that Social Security has the tendency to be really rough with people on benefits. I was sort of "venting," actually. I know people who have gotten "cut off" just before a "review" occurs.



KB8CWB
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17 May 2018, 7:23 pm

skibum wrote:
TechnicallyCalm wrote:
That explains why my and my sister's first attempt with SSI/SSDI was denied.

Will probably let my mom know what I just learned here.

Thanks guys.
60% of cases get denied at the first application. I got denied then, and then at my hearing and then at the appeal level. We may try the federal level next. And we had a mountain of evidence not just from the neuro psychologist who diagnosed me and who has been treating me since my diagnosis but from all kinds of sources some dating back 30 years. We also included my entire life's job history record. My lawyer told me that one case she knows well took twenty years to win.

Getting SSDI for mental health is very difficult unless one is institutionalized from my understanding. Mine was primarily for my physical issues, non-existent short term memory (was an engineer), and for MDD. I left engineering due to the issues and went retail. Did that for quite awhile but the old body gave out. They look at your age, past employment (job types and descriptions) to see if you can use any of those skills even if another line of work. Plus being trainable in another field. As you are over 50, they have to consider your current mental and physical condition and ability to be trained for work that could be done. SSDI is NOT so much because you have a medical condition whether it is terminal cancer, MS, or a host of other issues. It is your ability to do any gainful employment and if you are a candidate for education toward another career. If they determine you can't be retrained for anything within your abilities, then you are judged disabled. They care not how sick you are from the government's viewpoint.



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27 May 2018, 9:09 pm

I started working after I got on SSI & after about 3 years I quit working & when I got reevaluated it switched to SSDI cuz I had paid enough into it from working a lot of overtime. I have a lot of physical & mental issues in addition to being on the spectrum. The main 1s are a rare low vision disorder that includes some colorblindness, a tremor disorder that acts up when doing things with fine motor-skills or when anxious or stressed, dyslexia, & ADD. I got rejected the 1st time I applied for SSI but that had NOTHING to do with my disabilities. My dad had set up a mutual funds account with my name on it when I was a kid so I'd have money for college. SSI considered it a resource & I could not get my name taken off without closing the account. My dad didn't want to do that cuz the stock market had just went down(he was expecting it to go up again instead of a recession) & I wanted a job & my dad figured that I'd lose SSI 1ce I started working. A couple years later I still hadn't had a single job despite my best efforts to find one & I had a mental breakdown & slashed my arm 9x after me & my 1st girlfriend broke up. My dad let me withdraw the funds so I wrote my parents checks to pay em back for various expenses they had paid for me in the last couple years since I graduated high-skewl. I started seeing a psychiatrist around that time as well as reapplying for SSI. She diagnosed me with Aspergers, Borderline Personality Disorder & sever depression. SSI approved me after about 3/4 months. It took abit longer when I got on SSDI because my case was randomly selected for some kind of quality control review.


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skibum
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28 May 2018, 9:18 am

KB8CWB wrote:
skibum wrote:
TechnicallyCalm wrote:
That explains why my and my sister's first attempt with SSI/SSDI was denied.

Will probably let my mom know what I just learned here.

Thanks guys.
60% of cases get denied at the first application. I got denied then, and then at my hearing and then at the appeal level. We may try the federal level next. And we had a mountain of evidence not just from the neuro psychologist who diagnosed me and who has been treating me since my diagnosis but from all kinds of sources some dating back 30 years. We also included my entire life's job history record. My lawyer told me that one case she knows well took twenty years to win.

Getting SSDI for mental health is very difficult unless one is institutionalized from my understanding. Mine was primarily for my physical issues, non-existent short term memory (was an engineer), and for MDD. I left engineering due to the issues and went retail. Did that for quite awhile but the old body gave out. They look at your age, past employment (job types and descriptions) to see if you can use any of those skills even if another line of work. Plus being trainable in another field. As you are over 50, they have to consider your current mental and physical condition and ability to be trained for work that could be done. SSDI is NOT so much because you have a medical condition whether it is terminal cancer, MS, or a host of other issues. It is your ability to do any gainful employment and if you are a candidate for education toward another career. If they determine you can't be retrained for anything within your abilities, then you are judged disabled. They care not how sick you are from the government's viewpoint.
And the sad part is that I am virtually completely unemployable. My job history proves it. I have never ever in my life been able to have gainful employment. I have worked a total of 15 years. When I was married, I was able to be a housewife. But in those 15 years I had about 53 different jobs. My average earnings a year never exceeded more than $3000 except for one fluke year, 2002 where I was paid a lot for what I did and managed to make $9000 between two jobs. Every other year I ever worked I made under $3000. But because of that one year, the judge said that that proves that I can make a living no problem. I am also medically no longer able to work full time. I can only work part time up to about 20, maybe 25 hours a week max. I have worked a variety of different jobs and I have never been able to keep one for over a year. The longest I ever kept a specific job in one place was just under nine months. All of this was because of my Autism and my other disabilities and I might lose the little job I have now. I am also almost impossible to hire now because of my job history and my issues with my disabilities and I am over 50. Yet I cannot be considered disabled for SSDI.


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