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medical information must be verified. Individuals applying for Medicaid based on disability who do not receive either SSI or SSDI must submit the results of a medical examination within 45 days of filing an application. The MRT reviews this form and issues a disability determination within 90 days from the date of application. If an individual applies for Medicaid based on disability but the individual would be eligible based on a non-disability eligibility category, the SSR should determine eligibility based on the non-disability-related standard since this will reduce burden on the applicant (s/he will not be required to submit a medical evaluation form) and will speed the eligibility determination process. The individual should be strongly encouraged to complete the medical evaluation form because if the MRT determines the individual disabled, and the case is converted to an SR case, the individual will not be placed in the same managed care system that serves non- disabled Medicaid participants. QM: N/A FS The following table shows what verification is required for an individual claiming to be disabled for FS purposes by category of disability:
Category of Disability (from Section 9.3: Definition) Verification Required An individual who: • Receives SSI benefits based on disability or disability or blindness payments under Titles I, II, X, XIV, or XVI of the Social Security Act • Receives federally or state-administered supplemental benefits under Section 212(a) of Public Law 93-66. The household must provide proof that the disabled individual is receiving benefits under Titles I, II, X, XIV, or XVI of the Social Security Act (that is, a statement from the SSA). A veteran with a service-connected or non-service connected disability rated by VA as total or paid as total by VA under Title 38 of the U.S. Code. The household must present a statement from the VA which clearly indicates that the disabled individual is receiving VA disability benefits for a service-connected or non- service connected disability and that the disability is rated total or paid at that total rate by VA. An individual who: • Is a veteran considered by VA to be in need of regular aid and attendance or permanently housebound under Title 38 of the U.S. Code. • Is a surviving spouse of a veteran and considered by VA to be in need of regular aid and attendance or permanently housebound or a surviving child of a The household must prove that the disabled individual is receiving VA disability benefits (that is, a statement from the VA).