Steps in the Disability Claims Process in Maine

1. Determine Eligibility

Before filing a claim, identify which program you qualify for:

• SSDI is for individuals who have paid into Social Security through employment and meet work credit requirements.
• SSI is based on financial need and does not require a work history.

To be eligible for either program, you must have a disabling condition that prevents substantial work activity and is expected to last at least 12 months or result in death.

2. File Your Initial Application

You can apply for disability benefits in Maine in one of three ways:

• Online at ssa.gov
• By phone at 1-800-772-1213
• In person at your local Social Security office

Provide detailed information about your:

• Medical history
• Work background
• Medications and treatments
• Doctors and specialists you've seen

3. Disability Determination by Maine DDS

After you submit your application, it is forwarded to Maine Disability Determination Services (DDS), a state agency that reviews your medical information and makes the initial decision.

Maine DDS may:

• Contact your healthcare providers for additional information
• Send you for a consultative exam if more evidence is needed
• Evaluate whether your condition meets the SSA’s medical criteria

4. Receive a Decision

Most initial applications are processed in 3 to 5 months. You’ll receive a decision letter stating whether you’ve been approved or denied. If denied, you’ll be provided instructions on how to appeal.

5. Appeal If Denied

If your claim is denied (as many are initially), you have the right to appeal:

• Reconsideration: A different examiner reviews your case.
• Hearing: If reconsideration is denied, you can request a hearing before an Administrative Law Judge (ALJ).
• Appeals Council and Federal Court: If needed, you can pursue additional appeal levels.

Tips for Success in the Maine Disability Process

• Keep all medical appointments and follow prescribed treatments.
• Be honest and detailed when describing your symptoms and limitations.
• Keep a record of all communication with SSA and DDS.
• Respond promptly to any requests for additional information.