2662.8 Reconsideration of PMDT Disability Determination

Official source

An individual who is dissatisfied with a disability determination made by the Presumptive Medical Disability Team (PMDT) may request a reconsideration of that determination. A request for reconsideration must:

Be received within 60 days of the original PMDT determination date; and

Be supported by a new or worsening condition, or new medical evidence that was not considered as part of the original disability determination.

The PMDT determination is valid for 12 months, and an individual may receive one reconsideration within that time frame.

A reconsideration request received more than 60 days from the date of the PMDT determination shall be denied. If an individual reports a new or worsening condition after the 60-day reconsideration period has expired, a new application is required, and a new referral to PMDT must be submitted.

The PMDT reconsideration decision will be communicated to eligibility staff for appropriate case action. Eligibility staff shall issue a notice of action advising the individual of the reconsideration outcome in accordance with applicable notice and appeal requirements.

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2662.8 Reconsideration of PMDT Disability Determination

Official source

An individual who is dissatisfied with a disability determination made by the Presumptive Medical Disability Team (PMDT) may request a reconsideration of that determination. A request for reconsideration must:

Be received within 60 days of the original PMDT determination date; and

Be supported by a new or worsening condition, or new medical evidence that was not considered as part of the original disability determination.

The PMDT determination is valid for 12 months, and an individual may receive one reconsideration within that time frame.

A reconsideration request received more than 60 days from the date of the PMDT determination shall be denied. If an individual reports a new or worsening condition after the 60-day reconsideration period has expired, a new application is required, and a new referral to PMDT must be submitted.

The PMDT reconsideration decision will be communicated to eligibility staff for appropriate case action. Eligibility staff shall issue a notice of action advising the individual of the reconsideration outcome in accordance with applicable notice and appeal requirements.