Dire Need Process
What is "dire need" and what are "dire need situations"?
Though the terms would seem to be self-evident in their meaning
and implications, how they are defined may depend on who you ask.
To an individual pursuing disability benefits, the
terms are interchangeable and refer to circumstances that, unfortunately,
a great many claimants become personally familiar with--such as
no longer being able to acquire medications, obtain needed clinical
or hospital treatment, or pay for critical expenses, such as utilities,
rent, or mortgage costs.
To a reasonable mindset, situations of this sort
should easily fall under the heading of "dire need". Yet, this
is not the view typically taken by the social security administration.
Unfortunately, the simple reality is that a disability
claimant's crumbling finances or inability to obtain physician
care are not considered to be pressing or relevant concerns during
the evaluation and processing of a disability benefit claim.
In fact, dire need as a concept only surfaces on
the SSA radar screen after a claimant's case has traveled through
the Initial Claim and Reconsideration steps and after an ALJ (administrative
law judge) hearing has been requested by a claimant or their representative.
By this time, of course, a disability claim may easily have been
lodged in the "system" for up to a year, if not longer.
When does SSA take note of dire need situations?
Once an ALJ hearing has been requested, a disability claimant
has the opportunity to point out how precarious their particular
circumstances are, in the hope that an ALJ hearing can be expedited,
i.e., moved along faster to a scheduled hearing date.
How is an expedite requested? It typically involves
the writing of a "dire need letter" which is sent to the Office
of Hearings and Appeals. Claimants who are represented, of course,
should send their dire need letter to their attorney or non-attorney
representative who can then forward the letter to the appropriate
hearing office.
How should a dire need letter be written?
First and foremost, the letter should be written by the claimant,
versus a representative, friend, or family member. Secondly, the
letter should provide a level of detail sufficient enough to thoroughly
and compellingly explain a claimant's dire situation,The letters
which get the most attention (remember, a person, possibly much
like yourself, reads these) are the ones that have the most detail.
So, if are your bills are behind, mention this. If your car is
in danger of being repossessed, certainly mention this. And if
your home situation is in jeopardy, make this the first item that
you address. . Thirdly, the letters that are most effective
in aiding your social security disability case are those that
have attached to it copies of any late notices the claimant may
have received from utility providers, landlords, or mortgage providers.
How are dire need letters viewed by OHA? For the
most part, a hearing office will only consider a dire need situation
to be one in which a disability claimant is in danger of becoming
homeless; in other words, where foreclosure on owned property
or eviction from rental property is imminent.
Having said this, however, a hearing office that
is not beset by a growing backlog may occasionally view a claimant's
lack of utilities or access to needed medical care as a qualifying
dire need situation.
Submitting a dire need letter for the purposes of
expediting your ssd or ssi case will not guarantee that your case
will be moved along faster. And if an expedite is granted, there
is no guarantee as to how much faster a disability claim will
be processed (i.e. how much sooner a disability hearing before
an ALJ will be scheduled).
Bringing a dire need situation to the attention
of the Office of Hearings & Appeals (via a detailed and well-written
dire need letter) can, in some cases, have the effect of shaving
months away from the time it ordinarily takes to get a hearing
scheduled. Obviously, in many cases, this can mean the difference
between a claimant being able to weather the disability appeal
process...or losing everything everything he or she has accumulated
prior to becoming disabled.
For this reason, claimants whose situations have
become precarious, or whose circumstances are nearing such a state,
should consider drafting a dire need letter (requesting that their
disability hearing be expedited) and submitting it with all haste.
Tip: Always keep a copy of the dire need letter
you submit, and after you submit the letter, be sure to follow
up on it a couple weeks later to make sure it has been received.
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