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West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page i Chapter 13 Determining Disability, Incapacity, and Blindness

Chapter 13

Determining Disability, Incapacity, and Blindness Table of Contents

INTRODUCTION ......................................................................................................... 1 13.1.1 MRT DECISIONS ..................................................................................................... 1 13.1.2 OTHER DISABILITY DECISIONS ............................................................................ 1

CLIENT HAS BEEN FOUND NOT DISABLED BY SSA ............................................. 3

DEFINITIONS OF DISABILITY AND BLINDNESS ...................................................... 4 13.3.1 DEFINITION OF DISABILITY ................................................................................... 4 13.3.1.A Individuals Age 18 or Over ................................................................................ 4 13.3.1.B Individuals Under Age 18 .................................................................................. 4 13.3.2 DEFINITION OF BLINDNESS .................................................................................. 5 13.3.3 CONSIDERATION OF MEDICAL AND SOCIAL FACTORS IN DETERMINING DISABILITY ............................................................................................................................ 5

PROCESS FOR DETERMINING DISABILITY, INCAPACITY AND BLINDNESS ....... 6 13.4.1 GENERAL REQUIREMENTS ................................................................................... 6 13.4.2 SSI-RELATED DISABILITY PROCESSING REQUIREMENTS ................................ 7 13.4.2.A Target Time Periods .......................................................................................... 7 13.4.2.B DFA-20 .............................................................................................................. 8 13.4.2.C Holcomb Log Sheet ........................................................................................... 8 13.4.3 INCAPACITY FOR WV WORKS .............................................................................. 8

DETERMINATION OF DISABILITY OR BLINDNESS WITHOUT MEDICAL REPORTS OR SOCIAL SUMMARY .........................................................................................10 13.5.1 DISABILITY ESTABLISHED BY SSA ......................................................................10 13.5.2 DISABILITY ESTABLISHED BY RAILROAD RETIREMENT BOARD .....................10 13.5.3 BLINDNESS ............................................................................................................10 13.5.4 DISABILITY ESTABLISHED BY RECEIPT OF RSDI – CLIENT CLAIMS BLINDNESS ..........................................................................................................................11

PRESUMPTIVE MEDICAL APPROVAL ....................................................................12