SSA Fast-Tracks Heart Disease Claims
In a press release issued July 14, 2011, the Social Security Administration (SSA) announced it would bring the total number of Compassionate Allowance (CAL) conditions up to an even 100, with the addition of 12 new conditions. Although claimants filing under these health issues would ordinarily receive prompt attention by the Disability Determination Service (DDS), this announcement providing immediate CAL identification benefits the disabled claimant.
According to the release, “Compassionate Allowances are a way to quickly identify diseases and other medical conditions that, by definition, meet Social Security’s standards for disability benefits. These conditions primarily include certain cancers, adult brain disorders, and a number of rare disorders that affect children.”
The 12 new conditions involve severe heart disease:
- Aortic Atresia
- Left Ventricular Assist Device (LVAD) Recipient
- Eisenmenger Syndrome
- Mitral Valve Atresia
- Endomyocardial Fibrosis
- Primary Cardiac Amyloidosis
- Heart Transplant Graft Failure
- Pulmonary Atresia
- Heart Transplant Wait List – 1A/1B
- Single Ventricle
- Hypoplastic Left Heart Syndrome
- Tricuspid Atresia
The combination of compassionate allowance cases with SSA’s Quick Disability Determination (QDD) process has allowed the agency to approve over 100,000 claims last year, with an average processing time (according to SSA) of fewer than two weeks. SSA is also on track to approve approximately 150,000 CAL/QDD claims this year.
Because of the agency’s success over the last few years, which has been enhanced through on-going public hearings held to learn more about the conditions included in their compassionate allowance list, SSA made the decision to streamline this process even further. According to SSA Commissioner, Michael J. Astrue, “By definition, these illnesses are so severe that we don’t need to fully develop the applicant’s work history to make a decision.” Therefore, the agency has decided that beginning in August 2011, it will eliminate this part of the application process for people who have a condition on the list.
A full copy of the press release can also be found here: compassionate-allowances100conditions-pr-alt.pdf