Key Takeaways
- Disability Reconsideration is the first step in the Social Security Disability appeals process after an initial denial.
- In New Jersey, the average wait time for a Reconsideration decision is about 3 to 5 months, but timelines can vary by county.
- Preparing a strong Reconsideration appeal requires updated medical evidence and accurate completion of SSA forms like the SSA-561-U2.
- Understanding New Jersey-specific DDS resources and local nuances can improve your chances of success in this crucial stage.
- If your Reconsideration claim is denied, you have the right to request a hearing before an Administrative Law Judge (ALJ) — a process with longer wait times but higher approval rates.
What Is Disability Reconsideration?
Disability Reconsideration is the first level of appeal in the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) claims process after your initial claim has been denied by the Social Security Administration (SSA). When your claim is denied, the SSA gives you 60 days to file for Reconsideration, which involves a fresh review of your application by a different team at the Disability Determination Services (DDS).
In New Jersey, Reconsideration is handled by the New Jersey DDS office, which reevaluates your medical evidence, work history, and other relevant information. This second look is your chance to correct errors or add new medical documentation that supports your disability claim.
Why Is Disability Reconsideration Important?
About 65% to 70% of initial disability claims are denied nationwide, including in New Jersey. However, Reconsideration offers a critical opportunity to reverse that decision without the need for a hearing. Although the approval rates at the Reconsideration stage are lower than at the hearing stage, a favorable Reconsideration decision can save you months or even years of waiting.
If you are in New Jersey and your initial claim was denied, filing a Reconsideration promptly and correctly improves your chance of getting benefits sooner. Missing the 60-day deadline can result in losing your right to appeal entirely.
How to Request Reconsideration in New Jersey
Step 1: Understand the Deadline
You must request Reconsideration within 60 days from the date you receive your denial letter. This date is usually stamped on the letter SSA sends you, known as the “Notice of Disapproved Claim.” I recommend requesting the appeal as soon as possible to avoid any potential delays or missed deadlines.
Step 2: File Your Request
You can request Reconsideration in one of three ways:
- Online via your my Social Security account
- By phone at 1-800-772-1213 (or TTY 1-800-325-0778)
- In person at your local Social Security office in New Jersey (locations listed on SSA.gov)
Online filing is the fastest and most convenient method.
Step 3: Submit Updated Evidence
When you file for Reconsideration, submit any new medical records, doctor statements, test results, or work history updates that were not included in your initial claim. New Jersey DDS examiners place significant weight on current medical evidence, so providing thorough documentation is essential.
What Happens During the Reconsideration Process in New Jersey?
Review by New Jersey Disability Determination Services (DDS)
Once your request is received, the New Jersey DDS office reexamines your entire application. A different claims examiner and medical or psychological consultant will review your file independently to ensure an unbiased decision.
Medical Evidence Review
DDS will look for:
- Updated medical records from your treating physicians
- Clinical findings supporting your disabling condition
- Consistency of your symptoms with SSA’s Blue Book listings for disability
You can review the Blue Book online at SSA.gov/disability/professionals/bluebook.
Possible Consultative Exams (CE)
If your medical evidence is insufficient or outdated, DDS might schedule a Consultative Exam (CE) with a doctor in New Jersey. These exams are crucial because SSA relies heavily on the CE report to make a decision.
New Jersey Disability Reconsideration Statistics
| Statistic | National Average | New Jersey Average | Notes |
|———————————-|——————|——————–|———————————————|
| Initial Approval Rate | 35% | 33% | Slightly lower in NJ compared to national |
| Reconsideration Approval Rate | 12% | 10-12% | NJ DDS tends to be strict in reassessments |
| Average Reconsideration Wait Time | 3-4 months | 4-5 months | Longer in some NJ counties |
| Average Time to ALJ Hearing | 12-18 months | 12-24 months | Hearing level has higher approval rate |
| Percentage of Claims Denied After Reconsideration | ~88% | ~88% | Most denials move to ALJ hearing |
Source: Social Security Administration Data, 2023
How to Prepare for a Successful Reconsideration in New Jersey
1. Obtain Comprehensive Medical Evidence
Work closely with your doctors in New Jersey to gather all relevant medical documentation. This includes:
- Treatment notes
- Imaging and lab results
- Medication lists and response
- Functional capacity evaluations
2. Complete All Required SSA Forms Accurately
You may need to fill out forms like the SSA-561-U2, which is the Request for Reconsideration form. Double-check that all your personal information, medical conditions, and work history are clearly described.
3. Provide a Personal Statement
Include a detailed letter describing how your disability affects your daily life and ability to work. This personal narrative can help DDS examiners understand the impact of your condition beyond medical reports.
4. Follow Up on Your Claim
Regularly check the status of your claim via the SSA website or by calling your local New Jersey Social Security office. Promptly respond to any requests for additional information or exams.
What If Your Reconsideration Is Denied in New Jersey?
If you receive a denial after Reconsideration, you still have options. The next step is to request a hearing before an Administrative Law Judge (ALJ). ALJ hearings in New Jersey typically have higher approval rates but longer wait times — often 12 to 24 months.
You must file your request for a hearing within 60 days of the Reconsideration denial notice. This step involves more formal procedures, including possibly hiring a disability attorney or advocate to represent you.
New Jersey Specific Resources
- New Jersey Disability Determination Services Office
44 N. Clinton Avenue, Trenton, NJ 08609
Phone: (609) 292-5740
- New Jersey Social Security Field Offices
Find your nearest office at SSA Office Locator
- Legal Aid and Disability Advocacy in New Jersey
Organizations like Legal Services of New Jersey provide free advice and representation for low-income applicants.
Common Mistakes to Avoid During Reconsideration
- Missing the 60-day appeal deadline
- Failing to submit updated or complete medical records
- Ignoring SSA requests for Consultative Exams or additional information
- Not following up on the status of your appeal regularly
- Trying to represent yourself without understanding SSA procedures
Understanding the SSA Blue Book and Its Role in Reconsideration
The SSA Blue Book lists impairments that qualify for disability benefits. Your New Jersey DDS examiner will compare your medical records against the Blue Book criteria to determine if you meet or equal a listed impairment.
For example, if you have a musculoskeletal disorder, the Blue Book outlines specific measurements and functional limitations that must be proven with medical evidence. Ensure your medical documentation addresses these criteria explicitly.
Summary: What You Need to Do Now
1. File your Request for Reconsideration within 60 days of denial.
2. Collect and submit updated, detailed medical evidence from your New Jersey doctors.
3. Complete all necessary SSA forms carefully.
4. Monitor your claim status regularly.
5. Be prepared to advance your appeal to an ALJ hearing if necessary.
Frequently Asked Questions
1. How long does the Reconsideration process take in New Jersey?
Typically, Reconsideration decisions in New Jersey take about 4 to 5 months, but delays can occur depending on case complexity and DDS workload.
2. Can I submit new medical evidence during Reconsideration?
Yes, submitting updated or new medical records is critical. The DDS will consider all evidence available at the time of Reconsideration.
3. What happens if I miss the 60-day deadline to request Reconsideration?
Missing the deadline generally means you lose your right to appeal. In rare cases, you can request an extension, but this requires a valid reason and is not guaranteed.
4. Should I hire a disability lawyer for Reconsideration in New Jersey?
While not required, consulting a disability attorney or benefits counselor can significantly improve your chances by ensuring proper documentation and representation.
5. What if my Reconsideration is denied?
You can request a hearing before an Administrative Law Judge. ALJ hearings have higher approval rates but longer wait times.
Disability Reconsideration in New Jersey can be a confusing and stressful process, especially when you are dealing with health challenges. But with the right preparation, knowledge, and support, you can improve your chances of securing the benefits you deserve.
If you feel overwhelmed or uncertain about filing your Reconsideration or preparing for the next steps, I strongly encourage you to consult a qualified disability attorney who understands the New Jersey system. An experienced attorney can guide you through the appeals process, help gather evidence, and represent your interests every step of the way.
Written by Michael T. Hargrove, former SSA Claims Examiner and Disability Benefits Consultant.