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the applicant to obtain the medical records. It is an attempt to engage the applicant’s help in obtaining the records, with the only requirement being to contact the eligibility worker. • Partial records may be submitted by the local office to the MRT if all attempts to obtain the medical history documentation have not been successful. The providers who did not respond must be listed in the medical packet.

MRT will request Additional Information from providers and the applicant when additional testing or consultative exam is needed to make the determination of disability.

2412.30.15 PAYMENT FOR DISABILITY EXAMINATIONS (MED 1) The policy stated in this section only applies to the MA D, MADW, MADI, and MA R categories of assistance.

The maximum payment for a disability examination, including completion of the report, is $65. The maximum payment for completion of a report based on a previous examination for which the doctor has already been paid is $10. Psychological exams/testing are reimbursed at the rate of $80 per hour.66 Additional payments may be allowed for x-rays, tests, and so forth, which are necessary to confirm the primary diagnosis if approved by the MMRT. Providers should be referred to in.gov/Medicaid for procedures to submit claims for payment on Medicaid disability exams or submission of medical records.

2412.40.00 DISABILITY INFORMATION ON REAPPLICATIONS/CATEGORY CHANGES (MED 1) The policy stated in this section only applies to the MA D, MADW, and MA R categories of assistance.

The guidelines to follow concerning the submission of medical/social information to the MRT for individuals who are reapplying for Medicaid and those whose Medicaid category is changing back to a disability category are outlined below. These guidelines apply when a decision is required by the MRT because the individual’s disability is not verifiable through the SSA data exchanges. A. Medicaid Reapplications

If the most recent SSA or MRT decision for an applicant is disapproval, new medical and social information must be submitted to the MRT, and the conditions in Section 2412.30.05 are