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MS 0520 (1) Volume 1 - General Administration MS 0520 - R. 1/1/19 - OMTL-538 Local Office Follow-up to a Final Order [When the final order signed by the Cabinet Secretary/Secretary’s Designee is received in the local office, the final order and recommended order are reviewed by the supervisor and worker for any reference to future action in the case. A. For reversals of denials or discontinuances of Income Maintenance (IM) cases, take case action to approve or reapprove the case and return the case record to active status. For reversals involving reduction of IM benefits, take case action within 10 days to restore benefits effective the date of the reduction action on which the hearing was held and authorize supplemental benefits, if appropriate. B. Final orders which result in an increase in the household’s ongoing Supplemental Nutrition Assistance Program (SNAP) allotment or the issuance of a supplemental or restoration must be reflected in the benefit allotment within 10 days of the receipt of the final order. If the final order is a result of a request for a casualty replacement that was denied, the casualty replacement must be issued within 10 days of the receipt of the final order. Determine if the recipient has an existing claim. If so, offset benefits, if appropriate. C. When a final order is received that instructs the worker to resubmit a case to Medical Review Team (MRT) for a determination of incapacity or good cause for the Kentucky Works Program (KWP) or for a determination of disability for Medicaid (MA), do the following: 1. Within two days of receipt of the final order, send an appointment letter to the client to complete an MRT Referral. Request the client bring in new or updated medical information. 2. At the appointment, complete an MRT Referral and include any new or updated medical information the client presented at the hearing or has been received since the hearing. Also, have the client sign form MRT-15, Authorization to Disclose Information to Cabinet for Families and Children. 3. Once the MRT request is completed on Worker Portal, a task is generated for MRT staff to complete the disability/incapacity determination. Once a determination has been made, a task is generated for a worker to take appropriate action based on MRT’s decision. If the client disagrees with the action taken based on the new determination, the client can request a hearing. D. If the final order includes recommendations for referrals to, for example, Rehabilitation Services, immediately follow up such recommendations.