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MS 0465 (1) Volume 1 - General Administration MS 0465 - R. 10/1/19 - OMTL-553 Hearing Requests Involving Medical Review Team Determinations A client may request an administrative hearing if he/she disagrees with a determination made by the Medical Review Team (MRT), only after negative action is taken on his/her case based on that determination. A. At the point of the original request for a hearing, ask the client if there is new medical evidence or a change in the client’s condition to justify resubmitting the case to MRT for redetermination. 1. If the client states there is new evidence or the condition has worsened, ask if the client has been to a doctor or medical facility or had tests run since the last MRT determination was submitted. 2. If there is new evidence or a worsened condition not considered by MRT, ask the client if he/she would like to resubmit the case to MRT. Advise the client that if he/she disagrees with the result of the redetermination, he/she can ask for a hearing based on the new action or inaction in the case. Resubmitting the case to MRT could eliminate the need for a hearing and provide benefits to the client in a timelier manner. It is the client’s choice to resubmit to MRT or to request the hearing. 3. If the client agrees to the submission of new information to MRT: a. Take a new application if the application or extension request was denied or reinstate the benefits of a discontinued case (other than an extension to 60 months of KTAP benefits); b. Complete form PA-601T, Referral for Determination of Incapacity/Disability, to include the new information provided by the client and annotate in red on top of the form that it is a redetermination based on new information; c. Have the client sign an original form MRT-15, Authorization to Disclose Information to the Cabinet for Families and Children, for each medical source (doctor, hospital, lab, clinic, etc.) plus two additional forms MRT­ 15. Sign the forms as a witness; and d. Upon completion of forms PA-601T and MRT-15, immediately forward to MRT the forms along with: (1) The last MRT determination packet, including: (a) Medical information; (b) The last form PA-601T, (c) PA-6, Incapacity Determination; or (d) PA-610, Certification of Permanent and Total Disability; and (2) Any new information/documentation the client may have provided. MRT will make a determination considering the new information provided by the client. Upon receipt of MRT’s determination, take appropriate action on the case. If the client disagrees with the action taken on the case, based on the new determination, the client can request a hearing.