The Social Security Administration, on April 3, 2014, has issued a new Ruling, Evaluating Claims Involving Chronic Fatigue Syndrome. This Ruling is now the legal basis by which Social Security evaluates CFS/CFIDS/ME disability claims and reviews for both Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). This is a very important development for disabled patients who are unable to work and need to obtain Social Security financial and medical benefits.
The new Ruling replaces the former CFS Ruling (SSR-99-2p) issued in 1999. The 2014 Ruling sets detailed standards for the medical evaluation of claims: including the documentation of specific symptoms, signs, laboratory findings and medical tests by a physician. The Ruling places importance on detailed, longitudinal medical notes in the patient's record - as well as the physician's evaluation of the severity of the illness and its limiting effects on the person's ability to work.
The new Ruling is an improvement on the 1999 Ruling and includes findings from both the 2003 Canadian Definition and the 2011 International Consensus Definition.
The Massachusetts CFIDS/ME & FM Associationhas posted a full evaluation and explanation of the new Ruling as a guide for patients.
To view the new Ruling: