Connecticut Department of Social Services Uniform Policy Manual: 2530.05 Disability - Basis for Disability

CONNECTICUT DEPARTMENT OF SOCIAL SERVICESPRIVATE UNIFORM POLICY MANUAL ______________________________________________________________________________ Date: 10-1-00 Transmittal: UP-00-22 2530.05 ______________________________________________________________________________ Section: Type: Categorical Eligibility Requirements POLICY ______________________________________________________________________________ Chapter: Program: Disability AABD _______________________________________________________________ MAABD Subject: Basis for Disability ______________________________________________________________________________

2530.05 A. To qualify for the State Supplement or related Medical Assistance programs on the basis of disability, the individual must be disabled as determined by SSA or the Department. The individual must be found to have an impairment which:

1. is medically determinable; and

2. is severe in nature; and

3. can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than twelve (12) months; and

4. except as provided in paragraph C below, prevents the performance of previous work or any other substantial gainful activity which exists in the national economy.

B. Except as provided in paragraph C below, the medical criteria the Department uses for determining disability are the same as those used for evaluating disability under SSI in accordance with 20 CFR Chapter III Appendices 1 and 2.

C. Under the Medicaid coverage group "Working Individuals with Disabilities," the individual must have a medically determinable impairment. However, the individual's ability to perform substantial gainful activity has no effect on the disability determination (Cross Reference: 2540.85).