Page 1180

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 27 Chapter 13 Determining Disability, Incapacity, and Blindness

13.8.2 THE MRT REFERRAL AND THE FFM During the MRT process, the Worker refers the client to contact the Federally Facilitated Marketplace (FFM) for consideration of medical coverage. 13.8.2.A Content and Organization of Material Submitted The following items are required to submit a case to the MRT, and they must be arranged in the following order: • DFA-RT-2; • DFA-RT-1; and, • Medical reports arranged in order from most recent to oldest. (For cases previously referred to the MRT, the old packet of material must be included with the new information, if available.) 13.8.2.B Cases Submitted to the MRT for Reevaluation When a case is submitted for reevaluation of disability, incapacity, blindness, WV WORKS work requirement good cause, or M-WIN Medically Improved, the following materials must be included: • DFA-RT-2; o If the MRT requested the reevaluation, the Worker must check the appropriate column and note the month the reevaluation is due in the comments section. o If the Worker is requesting reevaluation, the comment must explain the reason for the request. • A current DFA-RT-1, Social Summary Outline, if the previous ES-RT-3 and/or DFA-RT- 3M indicated one is needed. See Section 13.3 for instructions regarding completion of the DFA-RT-1; • The latest ES-RT-3, and/or DFA-RT-3M; • All material on which the original decision was based;

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Page 1180

Official source

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 27 Chapter 13 Determining Disability, Incapacity, and Blindness

13.8.2 THE MRT REFERRAL AND THE FFM During the MRT process, the Worker refers the client to contact the Federally Facilitated Marketplace (FFM) for consideration of medical coverage. 13.8.2.A Content and Organization of Material Submitted The following items are required to submit a case to the MRT, and they must be arranged in the following order: • DFA-RT-2; • DFA-RT-1; and, • Medical reports arranged in order from most recent to oldest. (For cases previously referred to the MRT, the old packet of material must be included with the new information, if available.) 13.8.2.B Cases Submitted to the MRT for Reevaluation When a case is submitted for reevaluation of disability, incapacity, blindness, WV WORKS work requirement good cause, or M-WIN Medically Improved, the following materials must be included: • DFA-RT-2; o If the MRT requested the reevaluation, the Worker must check the appropriate column and note the month the reevaluation is due in the comments section. o If the Worker is requesting reevaluation, the comment must explain the reason for the request. • A current DFA-RT-1, Social Summary Outline, if the previous ES-RT-3 and/or DFA-RT- 3M indicated one is needed. See Section 13.3 for instructions regarding completion of the DFA-RT-1; • The latest ES-RT-3, and/or DFA-RT-3M; • All material on which the original decision was based;