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West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 7 Chapter 13 Determining Disability, Incapacity, and Blindness

13.4.2 SSI-RELATED DISABILITY PROCESSING REQUIREMENTS 13.4.2.A Target Time Periods Target time periods have been established to assure that SSI-Related disability cases are processed within the 90-day processing time limit, except when the delay is beyond the Department of Human Services' (DOHS) control. Required Action Time Limit Request medical records and reports By the 7th calendar day after application Follow-up request(s) for medical records or reports By 30 days after initial request (and each 30 days thereafter) Submission to the MRT By the 7th day after medical records/reports received Receipt of file and logged By the 2nd day after receipt by the MRT Initial review by the MRT staff By the 7th day after receipt Physician review (initial) By the 14th day after receipt Additional medical information requested (if required) by physician By the 7th day after initial physician review Physician’s final review By the 7th day after receipt of additional medical information Final decision (completion of ES-RT-3 and/or DFA-RT-3M form[s]) By the 7th day after final physician’s review File returned to county office By the 3rd after final physician’s review Notice to the client By the 7th day after receipt of final decision at county office NOTE: The 90-day processing time limit concludes with the mailing of the client notification, not eligibility system action.

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Page 1160

Official source

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 7 Chapter 13 Determining Disability, Incapacity, and Blindness

13.4.2 SSI-RELATED DISABILITY PROCESSING REQUIREMENTS 13.4.2.A Target Time Periods Target time periods have been established to assure that SSI-Related disability cases are processed within the 90-day processing time limit, except when the delay is beyond the Department of Human Services' (DOHS) control. Required Action Time Limit Request medical records and reports By the 7th calendar day after application Follow-up request(s) for medical records or reports By 30 days after initial request (and each 30 days thereafter) Submission to the MRT By the 7th day after medical records/reports received Receipt of file and logged By the 2nd day after receipt by the MRT Initial review by the MRT staff By the 7th day after receipt Physician review (initial) By the 14th day after receipt Additional medical information requested (if required) by physician By the 7th day after initial physician review Physician’s final review By the 7th day after receipt of additional medical information Final decision (completion of ES-RT-3 and/or DFA-RT-3M form[s]) By the 7th day after final physician’s review File returned to county office By the 3rd after final physician’s review Notice to the client By the 7th day after receipt of final decision at county office NOTE: The 90-day processing time limit concludes with the mailing of the client notification, not eligibility system action.