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Division/Section Family Support Chapter No./Name 04 – Economic Stability (ES) Part No./Name C – Case Processing Section No./Name C-1500 FITAP Incapacity Determination/SNAP Disability Document No./Name C-1510-FITAP Incapacity Determination Effective Date January 1, 2019

3 of 4 ● When requesting medical records from a free source, use form 90D, Request to Physician or Medical Facility for Medical Data. Use form OFS 90DDS to request information from DDS.

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● When the client is participating in LRS, obtain a copy of the training plan from LRS.

● If a client has a pending Worker's Compensation suit, do not request a medical report from the client's attorney or ask the client to obtain it. However, accept and use it if the client voluntarily presents it.

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● Obtain social information from the client or his representative for completion of the form OFS 90S. Document worker observation on the form OFS 90S.

● Obtain information regarding SSI status from SIEVS Option Q. Include reason for rejection if application was denied.

● Send form OFS 90 packet to the Regional FITAP/STEP Program Consultant. The form OFS 90 packet includes:

o forms OFS 90, 90A, 90AD, 90D, or 90DDS current medical information completed by medical professionals, o previous forms OFS 90 and medical information, o medical reports provided by medical professionals, o form OFS 90S - social information completed by worker, o form OFS 90X - route slip, o form OFS 90DDS if information obtained from DDS, o any useful information or copies of records from any social service provider.

The incapacity decision made by the FITAP/STEP Program Consultant should not exceed twelve months, as current medical information should be obtained and evaluated at that time.

REVIEW OF FITAP/STEP PROGRAM CONSULTANT DECISION

The local office may request a review of the FITAP/STEP Program Consultant decision if:

● the local office staff disagrees with the decision, or

● new medical or social information is available.

Obtain supervisory approval and resubmit the form OFS 90 packet with a cover memo giving the reason for the submission and any additional information.