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SSA RIN: 0960-AF44 Publication ID: Fall 2002 
Title: New Disability Claims Process--Roles of State Agency (816F) 
Abstract: We plan to revise our regulations that pertain to the processing of initial claims for disability benefits under title II and title XVI of the Social Security Act at the initial and reconsideration steps of the administrative review process. Under these final rules, certain State agency disability examiners, familiarly called "single decisionmakers," will be responsible for the disability determinations in many initial claims for disability benefits. However, they will be able to ask for advice from State agency medical or psychological consultants when they decide they need it. We also plan to review other rules to reflect these changes, including our rules about how we decide whether a person's impairment(s) medically equals a listing. 
Agency: Social Security Administration(SSA)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 20 CFR 404.1512    20 CFR 404.1513    20 CFR 404.1526    20 CFR 404.1527    20 CFR 404.1529    20 CFR 404.1546    20 CFR 404.1615    20 CFR 404.1616    20 CFR 416.912    20 CFR 416.913    20 CFR 416.926    20 CFR 416.927    20 CFR 416.929    20 CFR 416.946    20 CFR 416.1015    20 CFR 416.1016   
Legal Authority: 42 USC 405(a)    42 USC 902(a)(5)   
Legal Deadline:  None

Statement of Need: This regulation will permit us to use resources more effectively to ensure that disabled claimants are awarded benefits at the earliest point in the claims process.

Summary of the Legal Basis: None.

Alternatives: The agency continues to consider various options for further redesign of the disability claims process.

Anticipated Costs and Benefits: The 5-year estimates for implementation indicates an incremental benefit cost of $2.4 billion for OASDI and SSI combined, and $1.3 billion for Medicare and Medicaid combined.

Risks: Not yet established.

Timetable:
Action Date FR Cite
NPRM  01/19/2001  66 FR 5494   
NPRM Comment Period End  03/20/2001    
Final Action  12/00/2002    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: Yes 
Related RINs: Merged with 0960-AE73 
Agency Contact:
Susan Grier
Social Security Administration
Office of Disability Determinations, 6401 Security Boulevard,
Baltimore, MD 21235
Phone:410 966-5005

Robert J. Augustine
Social Insurance Specialist
Social Security Administration
Office of Regulations, 6401 Security Boulevard,
Baltimore, MD 21235-6401
Phone:410 965-0020