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West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 22 Chapter 13 Determining Disability, Incapacity, and Blindness

➢ Physicians and Psychiatrists/Psychologists Form Letter DFA-RT-8 is used to request copies of medical records from a physician, and the DFA-RT-15 to request medical records from a psychiatrist/psychologist. 13.7.1.B.5 DFA-RT-5 and DFA-RT-5a General physical examinations are arranged only when it is not possible to obtain the required medical information from any other source. The general physical examination is made by a physician who is a general practitioner (family practice). The term "physician" refers to a medical practitioner who is either a medical doctor (MD) or a doctor of osteopathy (DO). The physician must have been approved for participation in the Bureau for Medical Services’ (BMS) Medicaid Program. Form DFA-RT-5 is the report form for adults; form DFA-RT-5a is used for children. ➢ Procedures for Arranging for the General Physical Examination The procedures for arranging for the general physical examination are as follows. At intake, or when the Worker becomes aware that a general physical examination is needed, he: • Completes the appropriate sections of the DFA-RT-5 or DFA-RT-5a; and • Determines the client's physician of choice; and • Determines if the individual wishes to make his own appointment or if his physician does not schedule appointments. o If the client prefers to have the Worker make the appointment, the Worker forwards the DFA-RT-5 or DFA-RT-5a with a completed DFA-RT-6 to the physician and notifies the client of the appointment time. o If the client prefers to make his own appointments, or the physician does not schedule appointments, the DFA-RT-5 or DFA-RT-5a and a completed DFA-RT- 6 are given or mailed to the client. The DFA-RT-6 must be completed in duplicate with "General physical examination and report on enclosed form" checked.