Disability Determinations

Delivering fast and accurate benefit assessments powered by integrated clinical, vocational, and regulatory expertise and insight

Medicaid programs and public employees’ retirement systems rely on clinical and vocational expertise to assess disability. Our services reduce backlogs, shorten processing times, and prevent errors and overturned decisions—ensuring your members receive the appropriate benefits.

Our Work in Action

45 days

Average processing time

Our average application processing time is just 45 days—far below the 189‑day federal average. Our clinicians conduct disability evaluations in‑house, reducing the need for independent/consultative exams. The result: meaningful time and cost savings, and faster, more accurate decisions.

1%

Determination appeal rate

We have a less than 1% determination appeal rate, and every appeal is upheld. Our results show that our determinations are accurate the first time—delivering decisions your program can trust and building confidence in a heightened compliance environment.

96%

Applicant satisfaction rate

Applicant survey feedback highlights courteous and respectful services and a streamlined, stress-free application experience—reflecting our commitment to compassionate, high-quality service.

Case Study
Streamlining disability determinations for a state Medicaid agency

We completed determinations in 11 days and resolved an 11,000+ backlog, with zero overturned decisions—demonstrating efficiency without sacrificing quality.

Expert Profile

Jody Simpson, RN, Executive Director

A registered nurse with 25+ years of experience, Jody brings deep clinical expertise shaped by her early work as a reviewer and refined through years of leadership. She leads a 200+ member clinical team, driving quality, consistency, and clinical excellence across the disability determination process.

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Jody Simpson
What motivates me most is making a real difference for our clients. I believe strong outcomes come from high standards, clear communication, and staying engaged through every challenge—so each interaction reflects care, integrity, and respect.

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