About the Disability Determinations Service (DDS)

DDS performs the medical adjudication for the Social Security Administration (SSA), of Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) disability claims for the citizens of the State of Idaho.

The DDS does not receive claims directly from applicants. Social Security offices throughout the state send claims for SSDI and SSI benefits to the DDS for review and adjudication of the medical portion of the application. This page contains information on how Social Security defines disability, how to file an application, the DDS’s business process and other information.

*The State of Idaho does not provide an option for short term disability.

The claim process

You can apply for SSDI at the Social Security Administration’s disability benefits application page.

Check application or appeal status

The Right to Appeal

If the Disability Adjudicator determines that an applicant is not eligible for benefits, an appeal or reconsideration can be requested. This must be done within 60 days of the date on the written notice of the decision. As with the initial application process, this begins by contacting the Social Security Administration in one of these ways:

If you disagree with a decision we made, you may:

Please note that an appeal cannot begin by contacting the Disability Determinations Service. Read a summary of the appeals process and procedure

When the Social Security Administration receives an appeal request, an effort is made to update information and the claim is reviewed by a different Disability Adjudicator and medical/psychological consultant. If the claim is denied at this point, the applicant may file another appeal to have the case heard by an SSA Administrative Law Judge. If he or she is dissatisfied with the hearing decision, the final administrative appeal is for review by the Appeals Council. If the individual exhausts all administrative appeals, but wishes to continue pursuing the case, he or she may file a civil suit in Federal District Court and eventually appeal all the way to the United States Supreme Court.

You need to call the DDS when:
  • You have an updated phone number or a change of address.
  • You have seen a new doctor or hospital.
  • You have any upcoming medical appointments.
  • You begin or return to work.

Make certain that you have proper identification when you make your claim: Birth Certificate, Social Security Card, Driver’s License, etc.

Take time to go over your work history and try to list all your employers for the last five years. Company names, addresses where you worked, supervisors’ names and any documentation on how much you were paid will all be helpful. Please include jobs you worked, skills, tasks, equipment used, certifications, responsibilities and if you supervised other staff. Explain any special working conditions that may have been provided by your employer to keep you on the job.

Write down the names, addresses and telephone numbers of any medical providers you have seen. The DDS may have trouble identifying the right doctor if you only state “Dr. Smith in Pocatello,” so it would be most efficient if you would provide accurate names, addresses and telephone numbers.

Send forms back to SSA and the DDS as quickly as possible. Most of the time it takes DDS to complete a claim is spent waiting on forms and medical reports.

Disability frequently asked questions 

The time it takes to get a decision on your disability application can vary depending on:

  • The nature of your disability.
  • How quickly we can get your medical evidence
    from your doctor or other medical source.
  • Whether it is necessary to send you for a
    medical examination.
  • Whether we review your application for quality
    purposes.

You can log in or create a personal my Social Security account to check the status of your pending application.

The determination process

To determine your eligibility, we ask the following questions:

  • Are you working?
  • Is your condition severe?
  • Is your condition found in the list of disabling conditions?
  • Can you do the work you did in the past?
  • Can you do any other type of work?

We consider a person disabled under Social Security rules if he or she has a medically determinable physical or mental impairment (or combination of impairments) that prevents him or her from doing any substantial gainful activity (SGA), and has lasted or is expected to last for a continuous period of at least 12 months, or is expected to result in death.

NOTE: The definition of disability also applies to persons applying for child’s insurance benefits based on disability before age 22 and for disability benefits payable after December 1990 as a widow(er) or surviving divorced spouse.

We consider a child under age 18 disabled under Social Security rules if the child has a medically determinable physical or mental impairment (or combination of impairments) that causes marked and severe functional limitations, has lasted or is expected to last for a continuous period of at least 12 months, or is expected to result in death and the child is not doing any SGA.

The Idaho DDS works in conjunction with SSA’s Office of the Inspector General (OIG) through a Cooperative Disability Investigations (CDI) unit to prevent fraud in the disability program. The CDI program was established in 1998 to effectively pool resources and expertise to prevent fraud in SSA’s disability programs. The CDI program’s primary mission is to obtain evidence that can resolve questions of fraud before benefits are ever paid. Reports from CDI Units can also be used to cease benefits of in-payment beneficiaries during the continuing disability review (CDR) process. Visit OIG for more information about CDI, OIG, to report fraud, waste or abuse.

Resources

Contact

Office location
317 W Main Street
Boise, Idaho 83735

Mailing address
P.O. Box 21
Boise, ID 83707-0021

Phone: (208) 327-7333
Toll-free: (800) 626-2681
Fax: (208) 327-2230
TDD: (800) 377-3529

Able To Work

This website provides resources to employers, service providers and to people with disabilities.

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