SSA’s Major Management and Performance Challenges in FY 2022 (A-02-21-51120) 13
IMPROVE ADMINISTRATION OF THE DISABILITY PROGRAMS
To better serve its customers, SSA needs to address increasing pending initial disability claims,
reconsiderations, and continuing disability reviews (CDR); reduce barriers to the disability
program; reduce hearings processing times; and develop better strategies to help disabled
beneficiaries return to work.
Why This is a Challenge
Disabled claimants rely on SSA to quickly process disability applications and reconsideration
requests, make disability determinations, and complete disability-related hearings.
Processing times and the pending workload levels have increased, resulting in disability
claimants waiting longer for decisions on their claims. Also, while SSA has programs to help
disabled beneficiaries return to work, few have done so.
Pending Disability Workloads
In December 2021, we reported that although receipts for initial disability claims,
reconsiderations, and CDRs decreased, processing times and the number of pending cases for
these workloads increased. This indicates claimants were waiting longer for DDSs to make
medical determinations, and the DDSs could not keep pace with the workloads received.
Before the COVID-19 pa
ndemic began, SSA had reduced pending initial disability claims from
almost 708,000 at the end of FY 2012 to approximately 594,000 at the end of FY 2019 and
pending reconsiderations from approximately 198,000 to almost 134,000. However,
DDSs closures in initial response to the pandemic and delayed consultative examinations during
the pandemic, along with DDS examiner attrition of about 25 percent in FY 2022, affected initial
disability claims and reconsideration processing. SSA implemented a temporary hiring freeze in
FY 2022 because of funding constraints, further exacerbating DDS staffing shortages. As of the
end of FY 2022, pending initial disability claims had increased to approximately 941,000,
and pending reconsiderations had increased to almost 234,000, which were 58- and 75-percent
increases, respectively, since the end of FY 2019.
In FY 2018, SSA eliminated the backlog of full medical CDRs. However, in response to the
COVID-19 pandemic, from mid-March through August 2020, SSA suspended processing
medical CDRs that could result in benefit cessation. The number of full medical CDRs SSA
processed decreased from over 713,000 in FY 2019 to approximately 511,000 in FY 2021.
Although SSA increased the number of full medical CDRs it had processed in FY 2022 to over
590,000, a backlog of over 203,000 full medical CDRs remained.
While overall pending initial disability claims increased, SSA continued reporting significant
decreases in SSI disability applications. In FY 2019, SSA received approximately 1.6 million
SSI disability applications. By the end of 2022, SSA had received approximately 1.3 million
such applications, a 19.7-percent decrease from the FY 2019 total. SSA identified concerns
that pandemic operating procedures, such as field office closures for most walk-in services,
may have contributed to reduced applications for individuals who needed help with their claims.