Not affiliated with the US Social Security Administration
Independent Determinations Under the Social Security Act
604.1 How are disability determinations made?
We make independent disability determinations. Our determination is based on all of the facts in your individual case.
604.2 Do disability decisions by other agencies affect SSA's determination of disability?
A decision made by another governmental or non-governmental agency that you are or are not disabled does not mean that you have met the disability requirements of the Social Security Act. A decision made by another agency that you are or are not disabled is not binding on SSA.
604.3 Do medical opinions from a treating source affect SSA's determination of disability?
Generally, we give more weight to opinions from your treating sources, since these sources are likely to be the medical professionals most able to provide a detailed, longitudinal picture of your medical impairment.
If we find that the opinion is well-supported by objective medical evidence and it is not inconsistent with other substantial evidence in your case record, we will give it controlling weight. We don't adopt it, we simply give it controlling weight and we rely substantially on it to support our decision of disability.
604.4 What if the medical opinion from a treating source is not given controlling weight?
A finding that your treating source's medical opinion is not entitled to controlling weight does not mean that the opinion is rejected. Treating source medical opinions are still entitled to deference and must be weighed using certain factors. These factors include:
the examining relationship between you and your treating source;
the treatment relationship between you and your treating source, including its length, frequency, nature, and extent;
how well the medical opinion is supported by the relevant evidence;
how consistent the medical opinion is with the record as a whole;
whether your treating source is a specialist; and
any other factors brought to our attention, or of which we are aware, which tend to support or contradict the opinion.
Last Revised: Jan. 22, 2008
- Consultative Examinations
- Evidence of Disability
- Disability Hearing
- Medical and Other Evidence
- Determinations of Disability
- Presumptive Blindness/Presumptive Disability Payments
- How to Read and Understand the Initial Determination
- Domestic Service Defined
- Evaluation Considering Age, Education, and Work Experience
- What is a farm?
- When are continuing disability reviews conducted?
- Medical and Other Evidence as Basis for Decision of "Not Disabled"
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