The Idaho Disability Determination Services (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.
Social Security Disability Insurance provides monetary and medical benefits for people found to be disabled who have also met the non-disability requirements of contributing to the Social Security Trust Fund through taxes on their earnings.
Supplemental Security Income (SSI) provides monetary and medical benefits to adults and children who are blind or disabled and who have also met the non-disability income and resources requirements.
The definition of disability under Social Security is different than other programs. Social Security pays only for total disability. No benefits are payable for partial disability or for short-term disability.
Disability under Social Security is based on your inability to work. We consider you disabled under Social Security rules if:
This is a strict definition of disability. Social Security program rules assume that working families have access to other resources to provide support during periods of short-term disabilities, including workers' compensation, insurance, savings and investments.
For more information, visit the Social Security website.
As a physician or other health professional, you may receive requests from DDS to submit copies of your treatment records and reports on behalf of your patients.
The medical information you provide helps us to make a timely, accurate decision on your patient's claim for Social Security disability benefits. The Idaho DDS pays for medical records that are required to process the disability claims.
Do you have electronic health care records? Would you like to save time and money by submitting requested information to the DDS electronically?
Electronic Records Express is a Social Security Administration (SSA) initiative that offers a range of options for submitting medical records to the state Disability Determination Service (DDS). You choose the method, or methods, that work best for your organization.
Transfer records through the Social Security Administration (SSA) Electronic Services secure web site using your existing Internet connection. The only software needed is a Web browser. You type in a small amount of case information from the DDS request letter, then attach your electronic data -- scanned paper records, a report generated by your electronic records system, or a report typed in your favorite word processor.
File types accepted: .wpd, .doc, .jpg, .bmp, .txt, .xls, .pdf, .tif, .tiff as well as .zip files that contain any of these file types.
For a DEMO of this site, please visit: http://www.ssa.gov/ere/ere_demo_public/index.html.
For more information about submitting your records electronically, or to obtain a PIN and password to use the secure web site, please contact the Idaho DDS:
Disability Determinations Service
Professional Relations Officer
P.O. Box 21
Boise, ID 83707
Phone: (208) 327-7333
Toll free: 1-800-626-2681
Use your office fax to send records any time, day or night. Fax software programs may also be used if you can make the first page of the fax the DDS bar-coded cover sheet letter. The bar-coded cover sheet must always be page one. The faxes are digitized for claims processing.
Questions about billing or payments for medical records should be directed to: 1-800-626-2681 ext. 2393.
For more information about the payment process for medical records, please access the Idaho State Controller’s Office website. From the home page, click ‘Accounting’ and ‘Vendor Services’ to access direct deposit and remittance advice forms and the FAQ’s related to these forms.
More than 200 physicians and psychologists throughout Idaho perform physical and mental consultative examinations (CEs) that contribute to the DDS disability decisions. As part of the medical development process, the DDS tries to obtain evidence from the claimant’s own treating sources first.
However, if that evidence is unavailable or insufficient to determine whether he or she is disabled, the DDS will arrange for a CE in order to obtain the additional information needed. In these instances, the DDS authorizes physicians, psychologists and other health professionals to perform these examinations. Generally, sources are selected based on appointment availability, distance from a claimant’s home, and ability to perform specific examinations and tests.
The CEs are conducted at no charge to the claimant. The provider performing the examination submits a voucher directly to DDS for payment. All CE providers must be currently licensed in the state of Idaho.
For more information about CE report requirements, read SSA’s Consultative Examinations: A Guide for Health Professionals.
For more information about the payment process for consultative examinations, please access the Idaho State Controller’s Office website. From the home page, click ‘Accounting’ and ‘Vendor Services’ to access direct deposit and remittance advice forms and the FAQ’s related to these forms.
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