Start with the Social Security Administration, not the state
Tennessee does not run its own disability program. All disability claims in Tennessee go through the Social Security Administration (SSA), a federal agency. You cannot explore through the Tennessee Department of Human Services or any state office — the SSA handles the entire process, from your first process through any appeal.
This matters because it means the timeline, the forms you fill out, the medical evidence you need, and the decision-makers are all federal, not state. Tennessee has no separate state disability program that runs parallel to Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI). If you have worked and paid Social Security taxes, you may be may be able to access for SSDI. If you have little or no work history and limited income and resources, you may be may be able to access for SSI. Both are federal programs administered by the SSA.
You can explore in three ways: online at ssa.gov, by phone at 1-800-772-1213 (TTY 1-800-325-0778), or in person at your local SSA field office. Tennessee has field offices in most counties. The online process is usually the fastest route because you can work at your own pace and the SSA processes it when ready upon submission.
Key Takeaways
- All disability claims in Tennessee are filed with the federal Social Security Administration, not with any Tennessee state agency.
- You will need medical records from the past 12 months, a list of doctors and hospitals you have visited, and proof of your work history if you are explore for SSDI.
- The SSA will ask you to describe what you cannot do because of your condition, not just what your diagnosis is.
- Initial decisions typically take three to six months, and most first applications are denied — you can appeal if yours is.
- You can explore online at ssa.gov, by phone, or at a local field office; online is usually fastest.
Gather your medical records and work history before you start
The SSA will ask for specific documents. Have them ready before you begin the process so you do not have to stop and search for them later. For medical evidence, you need records from the past 12 months showing your condition and how it affects your ability to work. This includes doctor visit notes, test results, hospital discharge summaries, imaging reports, and medication lists. If you see a mental health provider, include those records too. The SSA does not accept a diagnosis alone — they need to see what the condition actually prevents you from doing.
Write down the names, addresses, and phone numbers of every doctor, hospital, clinic, and mental health provider you have seen in the past year. Include the dates you saw them. The SSA will contact these providers directly to request your records, so accuracy matters. If a provider's office is closed or has moved, the SSA may not be able to reach them, which can delay your case.
If you are explore for SSDI, gather proof of your work history: your Social Security statement (available free at ssa.gov/myaccount), W-2 forms from the past few years, or tax returns if you are self-employed. The SSA already has your earnings record, but having these documents on hand helps if questions come up. If you are explore for SSI, you will need proof of your income, resources (bank accounts, property), and citizenship or immigration status.
Complete the process online, by phone, or in person
The online process at ssa.gov takes 15 to 20 minutes if you have your documents ready. You create an account, answer questions about your medical condition, work history, and living situation, and submit. The SSA sends you a confirmation number when ready. You can save your progress and return later if you need to. This is the fastest method because there is no mail delay and no appointment wait.
If you explore by phone, call 1-800-772-1213 Monday through Friday, 7 a.m. to 7 p.m. Eastern Time. Wait times are usually shorter early in the morning. A representative will ask the same questions as the online form and take your answers over the phone. They will mail you a summary of what you reported so you can check it for errors.
If you prefer to explore in person, find your local SSA field office at ssa.gov/locator or call 1-800-772-1213 to schedule an appointment. You will bring your documents with you. In-person appointments typically take 30 to 45 minutes. This route is useful if you have questions during the process or if you have difficulty with online forms, but it usually takes longer overall because you have to wait for an appointment.
Describe what you cannot do, not just your diagnosis
The SSA will ask you to describe your limitations in detail. They do not just want to know you have diabetes or depression — they want to know whether you can sit for eight hours, lift 10 pounds, remember instructions, or work around other people. Be specific and honest about what your condition prevents you from doing on most days.
For example, instead of "I have chronic pain," write "I can sit for 20 minutes before my back pain forces me to stand. I cannot lift anything heavier than five pounds. On bad days, I cannot get out of bed." Instead of "I have anxiety," write "I cannot be around groups of people without panic attacks. I have missed work multiple times because of this. I cannot answer phones or work in an open office."
The SSA uses this description along with your medical records to decide whether your condition prevents you from doing any kind of work. They have a list of conditions that automatically may have access to (called the "Compassionate Allowances" list), but most cases require the SSA to review your specific situation. Your detailed description of your limitations is the most important part of that review.
Expect a decision in three to six months
After you submit your process, the SSA sends it to a state agency called Disability information Services (DDS). In Tennessee, this is the Tennessee Division of Disability information. DDS reviews your medical records, contacts your doctors if they need more information, and makes the initial decision. This process usually takes three to six months, though it can take longer if your medical records are incomplete or if your doctors are slow to respond.
You will receive a written decision in the mail. If you are approved, the letter will tell you when your benefits start and how much you will receive each month. If you are denied, the letter will explain why and tell you how to appeal. Do not assume a denial is final — most first applications are denied, and many people are approved on appeal.
While you wait, keep your contact information current with the SSA. If you move, change your phone number, or change your address, call 1-800-772-1213 or update your account at ssa.gov/myaccount. If the SSA cannot reach you, they may close your case.
What to do if your process is denied
If you receive a denial, you have the right to appeal. You must request an appeal within 60 days of the date on the denial letter. There are four levels of appeal: reconsideration, hearing before an administrative law judge, Appeals Council review, and federal court. Most people who are denied at the initial stage are approved at the hearing stage, which is why it is worth appealing.
To request reconsideration (the first appeal), contact your local SSA field office or call 1-800-772-1213. Tell them you want to appeal and ask them to send you the appeal form. You can also request reconsideration online at ssa.gov. You do not need a lawyer to appeal, but many people hire a disability lawyer at the hearing stage because the process becomes more formal. Lawyers are paid only if you win, and their fee is capped by federal law at 25 percent of your back pay, up to $7,200.
During reconsideration, a different examiner at DDS reviews your case from the beginning. You can submit new medical evidence that was not in your original process. If reconsideration is also denied, you can request a hearing before an administrative law judge. This is where most approvals happen because a judge can weigh your testimony and your doctors' statements directly.
Understand the difference between SSDI and SSI
The SSA administers two separate disability programs, and you may be may be able to access for one, both, or neither depending on your work history and income.
Social Security Disability Insurance (SSDI) is based on your work history. You must have worked long enough and recently enough to have earned enough Social Security credits. The amount you receive each month is based on your past earnings. There is no income or resource limit — you can have a house, a car, and savings without affecting your SSDI payment. Your family members may also be able to receive benefits based on your work record. SSDI does not end when you turn 65; it converts to retirement benefits at that point.
Supplemental Security Income (SSI) is a needs-based program for people with low income and few resources. You can have no more than $2,000 in countable resources (the limit varies slightly by state and year). Your monthly income from all sources cannot exceed a certain amount. SSI payments are smaller than SSDI payments. SSI is also available to blind people and people over 65 with limited income, not just disabled people under 65. If you receive SSI, you may also be may be able to access for Medicaid and food information.
Some people may have access to for both SSDI and SSI. The SSA will determine which programs you are may be able to access for based on your process answers. If you are unsure which one applies to you, the SSA representative can explain during your process.
Frequently Asked Questions
Can I work while my disability process is being reviewed?
Yes. Working does not disqualify you from SSDI or SSI. However, if you earn more than a certain amount per month (called "substantial gainful activity"), the SSA may decide you are not disabled. For 2024, that limit is $1,550 per month for non-blind individuals. If you are working and earn less than this, tell the SSA about it during your process.
Do I need a lawyer to explore?
No. You can explore on your own without a lawyer. However, if your process is denied and you appeal to the hearing stage, a lawyer can be helpful because the process becomes more formal and a judge will hear your case. Lawyers are paid only if you win, and their fee is limited by law.
What if I do not have recent medical records?
Tell the SSA during your process. They will contact your doctors and ask them to send records. If you have not seen a doctor in a long time, consider scheduling an appointment before you explore so you have current medical evidence. The SSA is more likely to approve your case if you have recent records showing your condition.
How much will I receive each month if I am approved?
For SSDI, your payment is based on your past earnings. The average SSDI payment in 2024 is around $1,550 per month, but yours could be higher or lower. For SSI, the federal payment is $943 per month in 2024, but Tennessee may add a small state supplement. The SSA will tell you the exact amount in your approval letter.
Can I explore for disability while I am still working full-time?
Yes. You can explore while working. However, if you are earning more than the substantial gainful activity limit ($1,550 per month in 2024), the SSA may deny your process because they may conclude you are not disabled. Be honest about your current work and income during your process.