Step 1: Understand the Initial Denial

First, review your denial letter carefully. It will explain why your claim was denied, which is crucial for building a stronger case in your appeal.

Common reasons for denial include:

• Insufficient medical evidence
• Earning over the Substantial Gainful Activity (SGA) limit
• Failure to follow prescribed treatment
• Missed deadlines or incomplete applications

Step 2: File for Reconsideration

In Missouri, the first appeal step is called Reconsideration.

• Deadline: You must file within 60 days of receiving your denial notice.
• What happens: A different Social Security reviewer will look at your case.
• You can submit additional medical records or evidence to strengthen your appeal.

Tip: This is your chance to address the reasons for denial and update your medical information.

Step 3: Request a Hearing Before an Administrative Law Judge (ALJ)

If your reconsideration is also denied, the next step is to request a hearing.

• Deadline: File your request within 60 days of the reconsideration decision.
• Where: Hearings are typically held at your local Office of Hearings Operations (OHO) or via video conference.
• What happens: You (and your attorney, if you have one) can present your case, submit evidence, and even bring witnesses like medical or vocational experts.

In Missouri, wait times for hearings can range from 9 to 14 months, depending on your location.

Step 4: Appeals Council Review

If the ALJ denies your claim, you can request a review by the Social Security Appeals Council.

• Deadline: Submit your request within 60 days of the hearing decision.
• What happens: The Council will review the judge’s decision to determine if legal or procedural errors occurred.

The Appeals Council can:

• Approve your claim
• Send it back to the ALJ for another hearing
• Deny your request (in which case you can move to the final step)

Step 5: Federal Court Review

If you’ve exhausted all administrative appeals, your final option is to file a lawsuit in federal district court.

• Deadline: You must file within 60 days of the Appeals Council’s denial.
• At this stage, having an experienced disability attorney is essential.

Helpful Tips for Missouri Disability Appeals

• Stay organized: Keep copies of all correspondence and medical records.
  
• Submit new evidence ASAP: Any updates to your condition can help your case.
  
• Hire legal representation: Statistics show that claimants with attorneys have a higher success rate at hearings.
  
• Watch deadlines: Missing appeal deadlines can disqualify you from continuing your case.