Step-by-Step Disability Determination Process in North Carolina

Step 1: Submit Your Disability Application

The process begins when you apply for either Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI). You can apply:

• Online at www.ssa.gov
• By phone at 1-800-772-1213
• In person at your local Social Security office

Your application will include information about your medical condition, work history, education, and daily limitations.

Step 2: Application Sent to North Carolina DDS

Once your application is submitted, it is forwarded to the Disability Determination Services (DDS) in Raleigh, North Carolina. DDS is the state agency responsible for reviewing medical information and making the initial decision on your disability claim.

Step 3: Medical Records Review

A DDS claims examiner will request and review your medical records from all your healthcare providers. These may include:

• Doctor’s notes
• Hospital records
• Test results (e.g., X-rays, MRIs, lab work)
• Treatment plans

If your records are incomplete or not recent enough, DDS may schedule a consultative examination (CE) with a doctor hired by the SSA.

Step 4: Five-Step Evaluation Process

The SSA uses a standardized five-step process to determine whether you're disabled:

1. Are you working?
   If you're earning more than the Substantial Gainful Activity (SGA) limit, your claim may be denied.
2. Is your condition severe?
   Your impairment must significantly limit your ability to do basic work activities for at least 12 months.
3. Does your condition meet or equal a listed impairment?
   If your condition matches a listing in the SSA’s Blue Book, you may be automatically approved.
4. Can you do past work?
   DDS evaluates whether you can return to any previous work based on your medical condition.
5. Can you do any other work?
   If you can’t do past work, the SSA considers your age, education, and work experience to determine if you can perform other types of work.

Step 5: Receive a Decision

After the review, DDS will send their decision to the SSA, who will then mail you a letter stating whether your claim was approved or denied.

• Approved claims begin the process of setting up your payments.
• Denied claims can be appealed through reconsideration, an ALJ hearing, and beyond if necessary.

How Long Does the Process Take?

In North Carolina, the initial disability determination can take 3 to 6 months, depending on how quickly your medical records are received and reviewed.