TN 14 (02-11)
DI 12015.100 Disability Redesign Prototype Model
The Social Security Administration (SSA) has tested several disability process initiatives to improve the disability determination process. Some of those tests have been stand-alone tests, while others tested various combinations of modifications to the disability determination procedures. In 1997, we tested the Disability Redesign Full Process Model (FPM). The FPM initially tested four initiatives, the:
Single Decisionmaker model,
Elimination of Reconsideration, and
Adjudication Officer model.
DI 12015.001, Introduction – Disability Redesign Tests.
combined a test of the elimination of the Appeals Council request for review with the FPM and tested the elimination of the Appeals Council request for review as an adjunct to the FPM test;
identified the most successful elements of the FPM pilot and used them to create the Disability Redesign Prototype model; and
began testing the Disability Redesign Prototype model in the Disability Determination Services in 10 States in October 1999.
B. Disability Redesign Prototype Model
The Disability Redesign Prototype model test features include:
Single Decisionmaker (SDM) Model
Disability Examiners with SDM authority complete all disability determination forms and make initial disability determinations in many cases without medical or psychological consultant (MC or PC) signoff.
EXCEPTION: MC review and signoff is required for all Title XVI childhood disability claims and all Title II and Title XVI less than fully favorable determinations involving a mental impairment.
Reconsideration Elimination Model
There is no reconsideration step of the administrative review process for disability issues. The field office (FO) sends initial determination appeals on disability issues to the Office of Disability Adjudication and Review (ODAR) for a hearing, as the first step in the administrative appeals process.
C. Test States
There are 10 States participating in the Prototype test:
California (Los Angeles North and Los Angeles West Branches),
New York, and
NOTE: Testing of the SDM model from the FPM continues in 10 States (known as SDM II States):
D. Prototype Operating Instructions Manual
The procedures for processing claims under the prototype test are in the Prototype Operating Instructions Manual. A copy of the manual is available on the Internet at http://www.ssa.gov/disability/Documents/Prototype_Operating_Instructions.doc and on the Office of Disability Determinations intranet website at: http://oddweb.ssahost.ba.ssa.gov/disability-processes/sdm-prototype/default.htm.
NOTE: Some processing instructions in the manual may no longer be current due to electronic disability processing enhancements.
Links to References: Q&A 11-010