Page 1163

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 10 Chapter 13 Determining Disability, Incapacity, and Blindness

DETERMINATION OF DISABILITY OR BLINDNESS WITHOUT MEDICAL REPORTS OR SOCIAL SUMMARY 13.5.1 DISABILITY ESTABLISHED BY SSA It is not necessary to obtain medical reports, complete the social summary, or refer the case to the Medical Review Team (MRT) when the disabled individual receives Retirement, Survivors, and Disability Insurance (RSDI) benefits based on his own disability. This includes benefits for the disabled wage earner; benefits for the adult disabled child of a retired, deceased, or disabled wage earner; and benefits for the disabled spouse of the retired, deceased, or disabled wage earner. See Section 13.6.2 for disabled individuals who previously received Supplemental Security Income (SSI). 13.5.2 DISABILITY ESTABLISHED BY RAILROAD RETIREMENT BOARD It is not necessary to obtain medical reports, complete the social summary, or refer the case to the MRT when disability has been established by the Railroad Retirement Board. To meet the Medicaid definition of disability, the client's Railroad Retirement annuity must be based on his own total and permanent disability. The individual who is receiving a Railroad Retirement annuity based on occupational disability does not meet the disability requirements for Medicaid. 13.5.3 BLINDNESS It is not necessary to obtain medical reports, complete the social summary, or refer the case to the MRT when both eyes are missing.

loading…

Page 1163

Official source

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 10 Chapter 13 Determining Disability, Incapacity, and Blindness

DETERMINATION OF DISABILITY OR BLINDNESS WITHOUT MEDICAL REPORTS OR SOCIAL SUMMARY 13.5.1 DISABILITY ESTABLISHED BY SSA It is not necessary to obtain medical reports, complete the social summary, or refer the case to the Medical Review Team (MRT) when the disabled individual receives Retirement, Survivors, and Disability Insurance (RSDI) benefits based on his own disability. This includes benefits for the disabled wage earner; benefits for the adult disabled child of a retired, deceased, or disabled wage earner; and benefits for the disabled spouse of the retired, deceased, or disabled wage earner. See Section 13.6.2 for disabled individuals who previously received Supplemental Security Income (SSI). 13.5.2 DISABILITY ESTABLISHED BY RAILROAD RETIREMENT BOARD It is not necessary to obtain medical reports, complete the social summary, or refer the case to the MRT when disability has been established by the Railroad Retirement Board. To meet the Medicaid definition of disability, the client's Railroad Retirement annuity must be based on his own total and permanent disability. The individual who is receiving a Railroad Retirement annuity based on occupational disability does not meet the disability requirements for Medicaid. 13.5.3 BLINDNESS It is not necessary to obtain medical reports, complete the social summary, or refer the case to the MRT when both eyes are missing.