SSA Extends the “Close Proximity of Time” Rule

Social Security Administration (SSA) recently made a significant update that could affect claimants seeking Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) benefits. On January 17, 2025, the SSA announced an extension of the “close proximity of time” rule for musculoskeletal disorder listings, pushing its flexibility through May 11, 2029. At London Disability, we’re here to explain what this change means for individuals across the nation.

What is the “Close Proximity of Time” Rule?

The “close proximity of time” rule is part of SSA’s Listing of Impairments, specifically for musculoskeletal disorders like arthritis, back injuries, or joint dysfunction. Typically, SSA requires that all medical criteria for these conditions-like pain, limited mobility, or imaging evidence-be documented within a consecutive 4-month period to meet the disability listing. However, this strict timeline can be challenging for claimants whose medical records span a longer period due to healthcare access issues or evolving conditions.

In response, SSA introduced temporary flexibility during the COVID-19 pandemic in July 2021, extending the window to a consecutive 12-month period. This adjustment acknowledged barriers like delayed appointments or reliance on telehealth. The latest extension, effective through May 11, 2029, reflects SSA’s ongoing evaluation of healthcare practices post-pandemic and aims to ensure fairer outcomes for disability applicants.

Why Did the SSA Extend This Rule?

The extension stems from two key factors:

• Evolving Healthcare Practices: The pandemic shifted how people access care, with telehealth becoming more common. SSA needs more time to study these changes and determine a permanent standard. Experts note that telehealth usage remains higher than pre-pandemic levels, but data is still lacking on its long-term role.
• Claimant Advocacy: Groups like the National Organization of Social Security Claimants’ Representatives (NOSSCR) have pushed for a longer window, arguing that a 12-month period better reflects real-world healthcare challenges-pandemic or not.

This temporary final rule, published in the Federal Register, keeps the 12-month flexibility in place, giving claimants a wider timeframe to gather the evidence needed to prove their disability.

How Does This Affect Your SSDI or SSI Claim?

For claimants, this extension could be a game-changer:

• Easier Evidence Collection: If your medical records for a musculoskeletal condition-like chronic back pain or a knee replacement-are spread across a year rather than four months, you’re more likely to meet the listing criteria.
• Fewer Denials: The stricter 4-month rule often led to denials when evidence wasn’t perfectly aligned. The 12-month window reduces this risk, especially for those with inconsistent healthcare access.
• Nationwide Impact: This rule applies uniformly, leveling the playing field for all applicants.

However, navigating these rules can still be complex. SSA’s listings are notoriously detailed, and musculoskeletal claims often require precise documentation. That’s where London Disability steps in.

London Disability: Your Partner in SSDI and SSI Claims

Based in Maryland, London Disability proudly represents claimants nationwide, to secure the benefits they deserve. SSA’s rule extension is a positive step, but it doesn’t guarantee approval. Our team stays ahead of policy changes-like this one-to build strong cases tailored to your unique situation.

Call Now for a Free Case Review

Don’t let the complexities of SSA rules stand in your way. If you’re pursuing an SSDI or SSI claim, contact London Disability today at 844-340-1200 for a free case review. We’re here to guide you through the process and maximize your chances of success. Call now and let us fight for the benefits you’re entitled to!

Struggling with an SSDI or SSI claim? Call London Disability 844-340-1200 for a free case review today!