Page 1179

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 26 Chapter 13 Determining Disability, Incapacity, and Blindness

REFERRAL TO THE MEDICAL REVIEW TEAM (MRT) 13.8.1 THE MEDICAL REVIEW TEAM (MRT) 13.8.1.A MRT Composition The MRT is located at the State Office in the Bureau for Medical Services (BMS), and is comprised of the following members: • Licensed General Practitioners; • Licensed Psychiatrist; and, • MRT Coordinator. 13.8.1.B MRT Responsibilities The MRT has the following responsibilities: • Evaluate available medical and social information and determine if the individual is medically incapacitated, disabled, or blind. To determine disability, the MRT uses the Sequential Evaluation Process established by the Social Security Administration (SSA) for Supplemental Security Income (SSI) disability determinations. • Evaluate WV WORKS recipients who maintain they are physically/mentally unable to participate in work activities, when the decision cannot be made by the Worker and/or Supervisor. • Evaluate applicants for Medicaid Work Incentive (M-WIN) to determine disability or blindness. • When the client has physical and mental disabilities/incapacities, notify the Worker of the MRT's decision using forms ES-RT-3 and/or DFA-RT-3M.

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Page 1179

Official source

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 26 Chapter 13 Determining Disability, Incapacity, and Blindness

REFERRAL TO THE MEDICAL REVIEW TEAM (MRT) 13.8.1 THE MEDICAL REVIEW TEAM (MRT) 13.8.1.A MRT Composition The MRT is located at the State Office in the Bureau for Medical Services (BMS), and is comprised of the following members: • Licensed General Practitioners; • Licensed Psychiatrist; and, • MRT Coordinator. 13.8.1.B MRT Responsibilities The MRT has the following responsibilities: • Evaluate available medical and social information and determine if the individual is medically incapacitated, disabled, or blind. To determine disability, the MRT uses the Sequential Evaluation Process established by the Social Security Administration (SSA) for Supplemental Security Income (SSI) disability determinations. • Evaluate WV WORKS recipients who maintain they are physically/mentally unable to participate in work activities, when the decision cannot be made by the Worker and/or Supervisor. • Evaluate applicants for Medicaid Work Incentive (M-WIN) to determine disability or blindness. • When the client has physical and mental disabilities/incapacities, notify the Worker of the MRT's decision using forms ES-RT-3 and/or DFA-RT-3M.