Social Security Launches Compassionate Allowances to Speed Up Claims

Social Security has launched a nation wide Compassionate Allowance (CAL) program.

Michael J. Astrue, Commissioner of Social Security, today announced the national rollout of the agency’s Compassionate Allowances initiative, a way to expedite the processing of disability claims for applicants whose medical conditions are so severe that their conditions obviously meet Social Security’s standards.

“Getting benefits quickly to people with the most severe medical conditions is both the right and the compassionate thing to do,” Commissioner Astrue said.  “This initiative will allow us to make decisions on these cases in a matter of days, rather than months or years.”

The Compassionate Allowance program allows expedited decisions for individuals at the initial decision level. Disability Determination Services, the state agencies which initially review new Social Security applications, will consider individuals with any of the 50 conditions listed below.  Social Security plans on adding more diseases and conditions over time.  

How to request a Compassionate Allowance:

Unfortunately, Social Security does not have instructions yet about HOW to request expedited processing if a case meets the requirements for a compassionate allowance.  

If you have one of these conditions, but you have already been denied and are waiting on a hearing, try the following:

1. Contact the hearings office to see if the case has been assigned.  
2. If it has been assigned, ask for the judge’s name and verify that the judge can be reached through that hearing office (this may sound odd, but you do want to be sure the letter reaches the judge).
3. Send a letter to the judge asking to either send your case to Disability Determination Services for consideration under the Compassionate Allowance program, or find you disabled “on the record.”  ***12/29/08 UPDATE*** The Compassionate Allowance process can be used at any stage of the administrative process.  Send a letter to the judge asking that your case be “flagged for fast track processing under the Compassionate Allowance program.”  You should state which of the eligible conditions you have, and try to pinpoint any supporting medical records.  You may want to get a lawyer’s help to do the second part.
4. If the case has not been assigned, ask the receptionist who to address a “compassionate allowance” request to at the hearing office.  It will probably by the hearing office director, but it is best to ask.
5. Send the the letter mentioned in step 3.
6. Follow up with the hearing office to make sure some action was taken.

Conditions eligible for compassionate allowances

Here are the first 50 conditions eligible for compassionate allowances:

1. Acute Leukemia
2. Adrenal Cancer - with distant metastases or inoperable, unresectable or recurrent
3. Alexander Disease (ALX) - Neonatal and Infantile
4. Amyotrophic Lateral Sclerosis (ALS)
5. Anaplastic Adrenal Cancer - with distant metastases or inoperable, unresectable or recurrent
6. Astrocytoma - Grade III and IV
7. Bladder Cancer - with distant metastases or inoperable or unresectable
8. Bone Cancer - with distant metastases or inoperable or unresectable
9. Breast Cancer - with distant metastases or inoperable or unresectable
10. Canavan Disease (CD)
11. Cerebro Oculo Facio Skeletal (COFS) Syndrome
12. Chronic Myelogenous Leukemia (CML) - Blast Phase
13. Creutzfeldt-Jakob Disease (CJD) - Adult
14. Ependymoblastoma (Child Brain Tumor)
15. Esophageal Cancer
16. Farber’s Disease (FD) - Infantile
17. Friedreichs Ataxia (FRDA)
18. Frontotemporal Dementia (FTD), Picks Disease -Type A - Adult
19. Gallbladder Cancer
20. Gaucher Disease (GD) - Type 2
21. Glioblastoma Multiforme (Brain Tumor)
22. Head and Neck Cancers - with distant metastasis or inoperable or uresectable
23. Infantile Neuroaxonal Dystrophy (INAD)
24. Inflammatory Breast Cancer (IBC)
25. Kidney Cancer - inoperable or unresectable
26. Krabbe Disease (KD) - Infantile
27. Large Intestine Cancer - with distant metastasis or inoperable, unresectable or recurrent
28. Lesch-Nyhan Syndrome (LNS)
29. Liver Cancer
30. Mantle Cell Lymphoma (MCL)
31. Metachromatic Leukodystrophy (MLD) - Late Infantile
32. Niemann-Pick Disease (NPD) - Type A
33. Non-Small Cell Lung Cancer - with metastases to or beyond the hilar nodes or inoperable, unresectable or recurrent
34. Ornithine Transcarbamylase (OTC) Deficiency
35. Osteogenesis Imperfecta (OI) - Type II
36. Ovarian Cancer - with distant metastases or inoperable or unresectable
37. Pancreatic Cancer
38. Peritoneal Mesothelioma
39. Pleural Mesothelioma
40. Pompe Disease - Infantile
41. Rett (RTT) Syndrome
42. Salivary Tumors
43. Sandhoff Disease
44. Small Cell Cancer (of the Large Intestine, Ovary, Prostate, or Uterus)
45. Small Cell Lung Cancer
46. Small Intestine Cancer - with distant metastases or inoperable, unresectable or recurrent
47. Spinal Muscular Atrophy (SMA) - Types 0 And 1
48. Stomach Cancer - with distant metastases or inoperable, unresectable or recurrent
49. Thyroid Cancer
50. Ureter Cancer - with distant metastases or inoperable, unresectable or recurrent

Social Security Press Office: Social Security Announces Nationwide Launch of Compassionate Allowances .