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Each applicant will receive this information as part of the submitted application. When an application is completed over the phone, the Rights & Responsibilities must be read orally to the person completing the phone application. (An audio recording of the Rights and Responsibilities is acceptable.) This is only during the application process, not during a data gathering and/or redetermination interview. 2015.05.00 PROVIDE PROOF OF INFORMATION

The applicant/recipient must consent to the release of any information necessary to determine his initial and continuing eligibility for assistance.1 They must supply required documents and records and must assist the DFR in obtaining verifications1, including proof of incapacity. Failure or refusal by an applicant to provide the DFR with information or verification of information required to determine eligibility will render the AG ineligible for assistance.1 If the individual is doing all that they can to cooperate in verifying the information, but are unable to do so, the DFR must assist the AG in verifying the information. See 2025.10.00 for special circumstances requiring additional flexibility When neither the worker nor the individual can secure the necessary documentation, the individual's written statement may be accepted as sufficient documentation using the guidelines in 2025.10.05. If there is a question as to whether a submission or statement is sufficient, send to PAL for review before taking adverse action on the case.

2015.10.00 UNDERGO MEDICAL EXAMINATION (MED 1)

A blind or disabled applicant or incapacitated recipient must undergo a medical examination necessary to establish categorical eligibility for MA.7

A blind, disabled, or incapacitated recipient must undergo subsequent medical examinations, if required, to establish continuing eligibility.8

2015.15.00 COOPERATE IN TREATMENT PLAN (MED 1) The blind or disabled recipient must cooperate in any treatment plan which has been recommended by the examining physician and approved for payment by the Medicaid program's Prior Authorization Process. The goal of such treatment must be full or partial alleviation of his visual impairment, incapacity, or disability.9

Failure to cooperate in such plan without good cause will render the recipient ineligible for assistance.10 "Good cause" includes, but is not limited to: