What are the medical requirements for SSDI in Arizona?
By Hogan Smith
Updated 06/06/2025
If you’re applying for Social Security Disability Insurance (SSDI) in Arizona, one of the most important parts of your claim is proving that your medical condition meets the Social Security Administration’s (SSA) definition of disability. Understanding the medical requirements and how to properly document your condition can significantly increase your chances of approval.
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SSA’s Definition of Disability
To qualify for SSDI, the SSA requires that your medical condition:
- Is medically determinable and diagnosed by a licensed healthcare provider
- Has lasted, or is expected to last, at least 12 months or result in death
- Prevents you from performing substantial gainful activity (SGA), including past work or any other type of work
In 2025, SGA is defined as earning more than $1,550/month ($2,590/month for blind individuals).
The SSA’s Listing of Impairments (Blue Book)
The SSA uses a guide known as the Listing of Impairments—also called the “Blue Book”—to determine if your condition qualifies as automatically disabling. This list includes very specific medical criteria for various conditions such as:
- Musculoskeletal disorders (e.g., back injuries, joint problems)
- Neurological disorders (e.g., epilepsy, multiple sclerosis, stroke)
- Mental disorders (e.g., depression, anxiety, bipolar disorder)
- Respiratory disorders (e.g., asthma, COPD)
- Cardiovascular conditions (e.g., heart failure, coronary artery disease)
- Immune system disorders (e.g., lupus, HIV, rheumatoid arthritis)
- Cancers with specific progression or treatment criteria
Even if your exact diagnosis isn’t listed, you may still qualify if your symptoms and limitations are medically equivalent to a listed impairment.
What Medical Evidence Do You Need?
Strong medical documentation is key to meeting the SSA’s requirements in Arizona. You should include:
- Diagnosis and Treatment History: Clear records from a doctor confirming your condition
- Treatment Plans and Results: Details of your medications, therapies, surgeries, and how you’ve responded
- Imaging and Test Results: Lab work, MRIs, X-rays, or other objective medical tests that support your diagnosis
- Doctor’s Opinion: A written statement from your doctor explaining how your condition limits your ability to work is extremely helpful
- Specialist Reports: If you’ve seen specialists (e.g., neurologists, psychiatrists), their evaluations can strengthen your claim
Consistency and credibility in your records are vital. The SSA wants to see regular treatment and follow-up, not just a one-time diagnosis.
What If You Don’t Meet a Listed Impairment?
If your condition doesn’t meet the criteria of a listed impairment, you may still qualify by showing the SSA that:
- Your condition prevents you from doing your past work
- You cannot adjust to any other kind of work
- Your age, education, and work experience make it unlikely you could do something else
This is assessed through the SSA’s five-step sequential evaluation process, which includes reviewing your Residual Functional Capacity (RFC)—an evaluation of what you can still do despite your condition.
How Hogan Smith Can Help
Meeting the SSA’s medical requirements can be complicated, especially without legal guidance. At Hogan Smith, we:
- Help you identify whether your condition qualifies for SSDI in Arizona
- Work with your healthcare providers to gather detailed, compliant medical evidence
- Ensure your records meet SSA standards and avoid red flags
- Represent you through appeals if your claim is denied
Contact Hogan Smith Today
Need help determining if your medical condition qualifies for SSDI in Arizona? Contact Hogan Smith today for a free consultation. We’ll walk you through your eligibility and help you compile the right evidence to give your application the best chance of success.
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