2662.5 Failure to Cooperate with the PMDT

Individuals seeking medical assistance based on disability must cooperate with the PMDT in completing the disability determination. Failure to cooperate may result in adverse action when cooperation is required to establish eligibility.

Non-cooperation includes, but is not limited to:

Failure to complete the required disability questionnaire (ES-3903) or provide required releases of information;

Failure to attend a scheduled medical evaluation when one is required to develop the disability case;

Failure to assist, when requested, in obtaining medical records necessary for the disability determination.

When non-cooperation occurs, the PMDT notifies Eligibility staff, who then determines the appropriate action in accordance with applicable eligibility and notice requirements.

NOTE : If the individual contacts the agency within 90 days of the original application date and cooperates or requests rescheduling, the application may be reactivated in accordance with 1414.2 (3) .