1709 Disability Reconsideration Requests

Revised 12/14/2018

Policy

A customer may request an appeal when:

• A disability determination was made by the Disability Determinations Services Administration (DDSA);

• The DDSA determined that the customer does not have a disability that meets Social Security criteria; and

• The customer is not eligible for another AHCCCS coverage group.

NOTE     When the Social Security Administration denies or stops a customer’s SSI-Cash or Social Security disability for not meeting disability criteria, the customer must file the appeal with the Social Security Administration

See How to Process a DDSA Reconsideration for more information.

 

Definitions

Term	Definition
Disability Determinations Services Administration (DDSA)	The DDSA is a division of the Arizona Department of Economic Security (DES). The DDSA is the only agency in Arizona authorized to make disability determinations for the Social Security Administration and for the AHCCCS Administration.
Disability Reconsideration Request	A request for a hearing to reassess DDSA’s determination that a customer is no longer disabled.

 

Agency Responsibilities

Eligibility Office Responsibility

The eligibility office notifies the Office of Eligibility Appeals (OEA) when:

• An appeal request is received on this issue; and

• The reconsideration paper work has been received and sent to DDSA.

 

Office of Eligibility Appeals (OEA) Responsibility

OEA monitors the hearing date and if necessary, asks to postpone the hearing until a decision has been received from DDSA about the customer’s status.

 

Programs and Legal Authorities

This requirement applies to the following programs:

Program	Legal Authorities
SSI-MAO FTW	42 CFR 431.220 AAC R9-34-106