Key Takeaways
- If your initial Social Security Disability (SSD) or Supplemental Security Income (SSI) claim is denied in Florida, the first step in appealing is the disability reconsideration.
- Florida’s Disability Determination Services (DDS) processes reconsideration claims, and approval rates at this stage are generally low—about 15-20%.
- You have 60 days from the date on your denial letter to request reconsideration; missing this deadline means losing your appeal rights.
- Understanding Florida’s specific processing times, DDS office contacts, and common reasons for denial can help you navigate this critical step more effectively.
What Is Disability Reconsideration?
Disability reconsideration is the first level of appeal after the Social Security Administration (SSA) denies your initial disability claim. It is a complete review of your case by a different team of disability examiners and medical and psychological consultants at the Florida Disability Determination Services (DDS) office.
Unlike the initial decision, which is often based on your application and initial medical evidence, reconsideration involves a fresh review of all medical records, work history, and additional evidence you submit. The purpose is to determine if you meet the SSA’s definition of disability under the Social Security Act.
Why Is Reconsideration Important?
For many applicants, reconsideration is the fastest way to potentially overturn a denial without going to a hearing. However, reconsideration approval rates nationally average around 12-20%, and Florida tends to be on the lower end. This means it is crucial to submit strong, updated medical evidence and consider enlisting professional help.
The Reconsideration Process in Florida
Step 1: Receive the Denial Notice
After you apply for Social Security Disability Insurance (SSDI) or SSI, your claim is reviewed by Florida’s DDS office. If denied, you receive a letter called the Notice of Disapproved Claim (Form SSA-561) explaining why your claim was denied.
This letter provides important information, including:
- The date your appeal deadline expires (usually 60 days from the letter date).
- How to request reconsideration.
- Your right to submit new evidence.
Step 2: Request Reconsideration
To appeal, you must file a written request for reconsideration within 60 days of the denial notice. You can do this by:
- Calling the SSA toll-free at 1-800-772-1213.
- Visiting your local SSA office.
- Submitting a written request by mail or online through your my Social Security account.
Important: If you miss the 60-day deadline, you lose your right to appeal unless you can prove you had a good reason for the delay.
Step 3: DDS Reviews Your Case Again
Once your reconsideration request is accepted, Florida DDS assigns a new disability examiner and medical consultant to re-evaluate your claim from scratch. They will:
- Review your entire file, including new medical records.
- Possibly request additional evidence or schedule a consultative exam (CE).
- Assess your residual functional capacity (RFC) and whether you can perform past work or other jobs.
Step 4: Reconsideration Decision
DDS sends the reconsideration decision to SSA, who notifies you by mail. You will receive either:
- An approval of your claim, and SSA will start benefit payments.
- A denial, which means you move to the next appeal step: the Administrative Law Judge (ALJ) hearing.
Florida-Specific Information About Disability Reconsideration
Florida DDS Office Contact and Location
Florida’s DDS handles all medical evaluations and reconsiderations. The main office is located in Tallahassee:
- Florida Disability Determination Services
- 2639 Capital Circle SE, Tallahassee, FL 32311
- Phone: (850) 487-2661
You don’t usually need to visit DDS but may be asked to attend consultative exams or submit medical records.
Processing Times for Reconsideration in Florida
Reconsideration wait times can vary widely depending on the volume of claims and staffing. As of mid-2024:
| Appeal Step | Florida Average Processing Time | National Average Processing Time |
|———————-|——————————-|———————————|
| Initial Disability Decision | 90-120 days | 120 days |
| Reconsideration Appeal | 90-150 days | 110 days |
| ALJ Hearing | 12-18 months | 12-16 months |
Florida’s reconsideration times are generally in line with national averages, but delays can happen especially if more evidence or exams are required.
Common Reasons for Denial at Reconsideration in Florida
- Lack of medical evidence documenting the severity of your impairment.
- Failure to meet a listing in the SSA Blue Book (You can review the Blue Book online for Florida-specific conditions).
- Inconsistencies in your work history or medical records.
- Residual Functional Capacity (RFC) assessments indicate you can still perform some work.
How to Prepare a Strong Disability Reconsideration Appeal in Florida
1. Collect Updated Medical Evidence
New medical records from doctors, hospitals, therapists, or specialists that clearly document your impairments are the most critical factor. Florida DDS relies heavily on objective evidence such as:
- Imaging (MRIs, X-rays)
- Lab tests
- Detailed physician notes explaining functional limitations
- Treatment records over time showing ongoing disability
2. Complete Necessary SSA Forms
Make sure you submit or update:
- Form SSA-3368 (Disability Report): Updates on your condition.
- Form SSA-827 (Authorization to Disclose Information): Allows DDS to obtain your medical records.
- Any additional forms requested by DDS or SSA.
3. Write a Personal Statement
Explain how your disability limits your daily activities and ability to work. Include examples of how symptoms affect tasks like walking, sitting, or concentrating.
4. Consider a Consultative Exam (CE)
Florida DDS may schedule a CE if your medical records are incomplete. Attend the exam and be honest and thorough in describing your limitations.
5. Get Professional Help
A qualified Social Security disability attorney or a Certified Benefits Counselor (CBC) familiar with Florida’s DDS can help you gather evidence, complete forms correctly, and prepare for next steps.
What Happens If You Are Denied at Reconsideration?
If Florida DDS denies your reconsideration appeal, you have 60 days to request a hearing before an Administrative Law Judge (ALJ). This next step involves:
- An in-person or video hearing.
- Presenting new evidence.
- Having legal representation (recommended).
ALJ hearings have higher approval rates than reconsideration, especially if you have strong medical evidence.
Table: Florida Disability Reconsideration Statistics and Key Data
| Metric | Florida Data (2023-2024) | National Average |
|————————————-|———————————-|———————————|
| Reconsideration Approval Rate | ~15-20% | ~12-20% |
| Average Processing Time (days) | 90-150 | 110 |
| Maximum Time to Request Reconsideration | 60 days from denial notice | 60 days |
| Common Reasons for Denial | Insufficient medical evidence, no listing met, RFC supports work | Same |
| Next Appeal Step After Reconsideration | ALJ Hearing | ALJ Hearing |
Additional Tips for Florida Disability Applicants
- Keep detailed records of all correspondence with SSA and DDS.
- Follow up regularly on your case status by calling your local SSA office or checking your online account.
- Submit all medical records promptly to avoid delays.
- Be aware Florida DDS sometimes uses consultative exam vendors outside your area—notify SSA if travel is a hardship.
- If your condition worsens after denial, submit updated evidence ASAP.
Frequently Asked Questions About Disability Reconsideration in Florida
1. How long does the reconsideration process take in Florida?
Reconsideration decisions in Florida typically take between 3 to 5 months but can be longer if additional evidence or exams are needed.
2. Can I submit new medical evidence during reconsideration?
Yes. In fact, submitting new and thorough medical evidence is highly recommended to strengthen your appeal.
3. What if I miss the 60-day deadline to request reconsideration?
Missing the deadline usually means losing your right to appeal unless you can show a valid reason, such as illness or not receiving the denial letter.
4. Is it better to go straight to an ALJ hearing instead of reconsideration?
SSA requires you to complete the reconsideration step before requesting an ALJ hearing unless you qualify for exceptions. ALJ hearings have higher approval rates but longer wait times.
5. How can I find a disability attorney in Florida?
Look for attorneys specializing in Social Security Disability with experience in Florida’s DDS and ALJ offices. The National Organization of Social Security Claimants’ Representatives (NOSSCR) offers a searchable directory.
Final Thoughts and Next Steps
Disability reconsideration in Florida can be a confusing and stressful process, especially after the disappointment of an initial denial. However, it remains a crucial step in securing the benefits you deserve. The key to success is acting quickly, submitting strong and complete medical evidence, and understanding how Florida’s DDS operates.
If you feel overwhelmed or uncertain about your claim, I strongly encourage you to consult a knowledgeable disability attorney. An experienced advocate can help you navigate Florida’s system, improve your chances at reconsideration and beyond, and relieve much of the stress involved.
Written by Michael T. Hargrove, former SSA Claims Examiner and Disability Benefits Consultant.