Milo, Kinnect and the future of therapy

I previously wrote about the “Milo & Kate” demo for Kinect (at that time “Project Natal”) for the XBOX 360. The possibility of using a program like this for therapy seems obvious for teaching empathy or helping autistic individuals practice picking up on body language or facial cues.

Here is a recently released video from TED showing off the development in this software over the last year.

Frankly, the “gamey” elements are the most distracting part of the video. I don’t see the need for stars and points climbing up the screen when the draw is the interaction with a virtual character.

Posted in Autism, Video | View Comments

Appeals Council form letter denial

I was talking to a woman who was upset with her attorney. Her Social Security case had been denied at the hearing level. The Administrative Law Judge did not think she was disabled. With her attorney’s help, she appealed to the Social Security Appeals Council.

After months and months, her appeal was denied.  Even more than being denied, she was upset that her lawyer could not tell her why she had been denied.

We discussed that there is no way the attorney could know. When the Appeals Council denies an appeal, all you get is a form letter that says in part:

We found no reason under our rules to review the Administrative Law Judge’s decision. Therefore, we have denied your request for review.

No matter how many arguments your attorney put forward in the appeal, or how good they were, you do not get an explanation of why your appeal was denied. All you get is a form letter. It is a bit like getting a rejection letter from a publisher: you don’t know what they didn’t like about your story; you just know that it was rejected.

It is just as frustrating for the lawyer to not know why the appeal was rejected. What it comes down to, is that even your lawyer cannot tell you why the appeal was denied since Social Security does not tell us.

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Can I win my disability case at the Social Security Appeals Council?

You have been denied disability benefits by an Administrative Law Judge at your Social Security hearing. You filed an appeal with the Social Security Appeals Council. If they approve the appeal, you can get your disability benefits? Right?

Probably not.

The Social Security Appeals Council generally looks at three things:

  • Was there an error of law? Did the Judge apply the wrong standard, or misapply a standard?
  • Were the Judge’s actions, findings and conclusions supported by substantial evidence?
  • Is there as broad policy or procedural issue which may affect the general and public interest?

Of these three, the Appeals Council (AC) mostly deals with legal error.

Why am I discussing this? Because, even if there is legal error, that does not necessarily mean you are disabled. It only means there were mistakes at the hearing level; and that is not enough to win disability benefits.

So what do you get if you win at the Appeals Council?

The majority of the time, the Appeals Council will not approve a case outright. Instead, if there were significant mistakes at the hearing level, the Appeals Council will send the case back to the hearing level with instructions on what needs to be done to correct the mistakes.

You don’t win, you get sent back for another hearing. Here is the other shoe dropping: the second hearing is typically with the same judge that heard the case at the first hearing.

While you can request a new Judge, or ask the Judge to recuse him/herself if you feel that you were treated unfairly, you generally get the same judge when a case is remanded from the Appeals Council. The exceptions to this are as follows:

  • If you had an out-of-state Judge at the first hearing who is not available for the second hearing. Or,
  • If you have already appealed a decision from the same judge to the Appeals Council twice and had the same case remanded.

For more information about appealing to a hearing denial to the Social Security Appeals Council, click here.

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Dependency in Children’s Social Security auxiliary benefit cases

Children of disabled parents, who receive Social Security Title 2 Disability Insurance Benefits (DIB), may be entitled to auxiliary benefits.  However, Social Security has a number of requirements:

(a) General. You are entitled to child’s benefits on the earnings record of an insured person who is entitled to old-age or disability benefits or who has died if—

(1) You are the insured person’s child, based upon a relationship described in §§404.355 through 404.359;

(2) You are dependent on the insured, as defined in §§404.360 through 404.365;

(3) You apply;

(4) You are unmarried; and

(5) You are under age 18; you are 18 years old or older and have a disability that began before you became 22 years old; or you are 18 years or older and qualify for benefits as a full-time student as described in §404.367.

I have previously written about auxiliary benefits for children, auxiliary benefits for legally adopted children, stepchildren & grandchildrenwhen children’s benefits endwhen children’s benefits can be extended for full-time students, and other articles in this area. For all the articles on auxiliary benefits, click here.

“Dependency” requirement for Social Security Auxiliary benefits

Part (a)(2) states that the child has to be dependent on the insured. This is typically the disabled parent, but it can also be a step-parent, grand-parent, or adopted parent. Dependency does not always require financial support and requires different evidence depending on the relationship between the child and the insured (20 CRF 404.360): For example: A natural child is automatically considered dependent (20 CFR 404.361).

However, things get tricker for in cases of legally adopted children, step-children and grandchildren. Here are the regulations you need if you fall into one of these categories:

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Social Security Auxiliary benefits for children in a separate household

A reader asked if a child can still receive Social Security auxiliary benefits if she is living apart from the disabled parent:

If I have legal guardianship of my nephew and my sister is receiving SSDI. Can I apply to receive the benefits for his caretaking? My sister has been told that she could receive benefits for him, but unless she gets to keep it, she won’t apply for it, saying that the SS office told her it was only if he lived with her. Is that true or could I apply for him?

This is similar to a situation I wrote about concerning divorced parents. Children with disabled parents are still eligible for Social Security auxiliary benefits even if they are living apart from the disabled parent. Please note: the disabled parent has to be receiving Title 2: Disability Insurance Benefits (DIB). If the parent is receiving only Title 16: Supplemental Security Income (SSI), then there are no auxiliary benefits available.

The applicable regulation is 29 CFR 404.350 which describes when children are entitled to auxiliary benefits:

(a) General. You are entitled to child’s benefits on the earnings record of an insured person who is entitled to old-age or disability benefits or who has died if—

(1) You are the insured person’s child, based upon a relationship described in §§404.355 through 404.359;

(2) You are dependent on the insured, as defined in §§404.360 through 404.365;

(3) You apply;

(4) You are unmarried; and

(5) You are under age 18; you are 18 years old or older and have a disability that began before you became 22 years old; or you are 18 years or older and qualify for benefits as a full-time student as described in §404.367.

Basically, a child is entitled to auxiliary benefits if a parent is disabled or has died, if they are the parent’s natural child, adopted child, step child, or grand child, unmarried, under 18 (or a Disabled Adult Child) and dependent on the disabled parent.

There is no requirement that the child live with the disabled parent.

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Video: No Barriers USA

I just came across this amazing organization on Twitter. No Barriers USA is doing some amazing things to help individuals overcome their disabilities.

Posted in Personal Stories, Useful Sites, Video | View Comments

Penrose St Francis Hospital blocking faxed records request

Penrose St Francis Hospital, one of the two major hospitals in Colorado Springs, sent me the following canned response to a (faxed) request for records for one of my clients.

Please note that the fax number you are sending your request to is for physician use only.

Medical records requests from law firms need to be mailed to our facility in order to be processed.

Penrose St Francis is refusing lawyers from faxing requests for medical records. Penrose St Francis has a fax number for requests. They even use an third party medical copying service for processing record requests (so, it is not like nurses have to take time out from helping patients to copy files). They just do not want lawyers using the fax line. If you are doctors’ office, fax away. However, lawyers representing disabled patients are prohibited.

How does this affect you as a patient and Social Security claimant? Longer wait times for records! It is already common to wait 30 days or longer for medical copiers to provide records (especially if the copier is out of state). Now, Penrose St Francis is adding delays in getting records to patients and their attorneys, thereby creating another delay in the Social Security system!

Posted in Doctors, Records, & Medical Treatment | Tagged | View Comments

How to report a lost or stolen Social Security card

I previously wrote about how to replace a lost or stolen Social Security card. However, I am often asked who to report a lost or stolen Social Security card to.

Fortunately Social Security has a page on this very topic:

You can replace your Social Security card for free if it is lost or stolen. However, you may not need to get a replacement card. Knowing your Social Security number is what is important. Social Security does not take reports of lost or stolen Social Security cards or numbers. If you have lost your card, you may apply for a replacement but Social Security takes no action just because it has been lost or stolen.

However, a person using your card or number can get other personal information about you and apply for credit in your name. So if you suspect someone is using your number, you should take these steps to protect yourself and your financial health:

  • Educate yourself about identity theft;
  • File a complaint with the Federal Trade Commission(1-877-ID-THEFT or 1-877-438-4338);
  • File an online complaint with the Internet Crime Complaint Center at http://www.ic3.gov;
  • Check your Social Security records (call toll-free 1-800-772-1213; TTY 1-800-325-0778) to ensure your income is calculated correctly; and
  • Monitor your credit reports.

For more information, see:

Keep your Social Security card in a safe place with your other important papers. Do not carry it with you.

You are limited to three replacement cards in a year and 10 during your lifetime. Legal name changes and other exceptions do not count toward these limits. For example, changes in noncitizen status that require card updates may not count toward these limits. Also, you may not be affected by these limits if you can prove you need the card to prevent a significant hardship.

The FTC website provides additional information if you are the victim of identity theft, including how to file an identity theft police reporthow to put a fraud alert on your credit report, and how to set up a credit freeze reducing the chances that someone can take out a line of credit based on your identity.

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Paternity and children’s Social Security benefits

Children can often receive Social Security benefits if a parent is disabled or deceased. I have previously written about these kind of Social Security auxiliary and survivors benefits. However, there are times when proving paternity becomes an issue. Here are a couple of situations where this comes up:

  • Parents separate and, the non-custodial father becomes disabled (potential auxiliary benefits based on a disabled parent).
  • Common law marriages with a disabled husband or wife splitting with the father denying paternity (potential auxiliary benefits based on a disabled parent).
  • Father dies (potential survivors benefits based on a deceased parent) but Social Security denies the claim because there is not enough evidence proving paternity.

Note: most of the examples deal with paternity. However, the same laws apply if there is a question  of who the mother is.

Also, I am focusing on resolving paternity without a court ordered DNA test or exhumation.

Social Security has regulations describing when a child is a “natural child” of the parent (full text below). Note: for adopted children, check out this article.

According to Social Security’s regulations, a child may be eligible to receive benefits from the insured if:
Continue reading

Posted in Auxiliary Benefits, Survivor's Benefits | Tagged , , | View Comments

Is a long wait after the Social Security hearing a bad sign?

While many Social Security disability hearings in Colorado have decisions issued in 45 to 90 days, some cases wait for four, five, even six months without a decision.

I was recently asked if a long wait after a hearing is a bad sign?

I previously wrote about my experience with how long it takes to get a decision after a Social Security hearing. Many lawyers who have been doing Social Security cases for a while can’t help but notice that the longer it takes to get a decision, the greater the chances that the case will be denied. However, that is not the whole story. Here is my take on this issue. Continue reading

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SPEEDING UP Social Security disability benefit processing after a win

Congratulations! You have won your Social Security disability case and have been approved for SSI! You have read my article about when you should get paid. But, weeks have gone by and you still have not heard anything from your local Social Security office about your benefits.

Is anyone working on my case?

Is there anyone there?

Hello?

While some SSI cases get very fast processing (sometimes an appointment is scheduled at the Social Security office before the hearing decision is even delivered), other cases wait for more than a month with seemingly no activity from Social Security.

Here is a tip: you can actually go in at any time after the favorable decision to get your SSI benefits processed.

Keep in mind this only applies to SSI benefits. If you have been approved to Social Security Disability Insurance (SSDI) benefits, those are processed by a regional payment center. While your local Social Security office can check on the processing status, they cannot process those benefits themselves.

If you do decide to go in to get your benefits processed, get ready to wait when you arrive. Depending on how busy your local Social Security office is, you may be there half a day before you a technician can meet with you. You may also want to review my tips for surviving a trip to the Social Security office.

Do not to abuse this. Social Security is doing the best it can with limited resources. If you can wait a bit longer to get your benefits processed, they will get to you. However, if you have already waited more than a month after getting your SSI approval, with no sign of Social Security getting to your case, this may be an option.

One more thing to remember if you need to speed up your Social Security case: don’t forget to check if your case qualifies for expedited processing as a dire need case.

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How long do I have to appeal my Social Security disability denial?

If your Social Security disability case has been denied. You need to know how long you have to file your appeal. You only have so much time before your deadline. If you miss that window of opportunity, you may be back to square one.

Check your denial

The best tip I can offer if your case is denied is to check the paperwork. While there are several common deadlines, if you do not definitely know how long Social Security gives you to appeal, you may be using the wrong deadline.

The paperwork you are looking for is typically a denial. However, it may also be called a “decision,” “notice of disapproved claim,” “notice of proposed action,” or something else. The thing to keep in mind is that whenever Social Security decides something on your case, they will also tell you the following:

  1. The appeal options. What you can do if you disagree with the action or decision.
  2. The appeal process. What forms you need to fill out, where to get them, where to turn them in, or the website to go to appeal.
  3. How long you have to file the appeal.

If you have lost your Social Security denial?

If you no longer have your Social Security paperwork, give your local Social Security office a call. You can also call the toll-free Social Security number at 1-800-772-1213.

Social Security should always be able to tell you the most recent decision (or action on your case) and any applicable deadlines.

Lets get down to brass tacks. Here are the most common Social Security deadlines:

Continue reading

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My SSI benefits stopped because I was in a hospital! Why?

Here is the short answer: if you are hospitalized in a medical treatment facility for 30 days, your SSI benefits may be cut to $30 per month.

Now, here is the long answer:

You are not eligible for SSI benefits for any month throughout which you are a resident of a “public institution.” A “public institution” means an institution that is operated by or controlled by the Federal government, a State, or a political subdivision of a State such as a city or county.

As a side note, if you apply for SSI while you are a resident of a public institution, you cannot be eligible for payment of benefits (even though you meet all other eligibility requirements) until the “first day of the month following the day of your release from the institution.”

Basically, your benefits will not start until the month after your release. If you were released on January 1st, your benefits would start February 1st. If you are released January 31st, your benefits still start on February 1st. The first day of the month following the day of your release from the institution.

However, this does not include a publicly operated community residence which serves 16 or fewer residents. What is a community residence? Continue reading

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Retraining options if you are disabled

Not everyone who applies for Social Security wants to be on disability for the rest of their lives. Many just want temporary help while recovering from an injury and figuring out what they can do next.

There are also some cases that keep getting denied.

Whether by choice or necessity, retraining may be something you eventually consider.

Recently, I was talking with a client about the options if Social Security denies her case. She would like to go back to school but has no idea what to study or how to pay for it. It occurs to me that this is a discussion a lot of people would like to be in on.

Here are the retraining options we discussed: Continue reading

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How to avoid an overpayment of Social Security benefits

If you are receiving Social Security disability benefits, the last thing you want is to get a letter in the mail telling you that you owe Social Security money. I have seem many individuals with overpayment notices for tens of thousands of dollars.

So, what can you do?

Read what Social Security sends you

This may sound obvious, but who wants to slog through the brochures and letters Social Security sends? Well, unless you want to be stuck with an overpayment, you do!

Social Security expects individuals to be diligent about complying with the requirements of the benefits they receive. Social Security sends out publications when benefits begin and it is a good idea to review them at least annually. Here are two critical ones: Continue reading

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