Page 1187

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 34 Chapter 13 Determining Disability, Incapacity, and Blindness

13.10.2 WV WORKS 13.10.2.A Parent Is Incapacitated If the ES-RT-3 and/or DFA-RT-3M indicates the parent is incapacitated, and the case was not presumptively approved, the application is approved. If the case was presumptively approved, a recording of the final decision is made in the eligibility system. 13.10.2.B Parent Is Not Incapacitated If the ES-RT-3 and/or DFA-RT-3M indicates the parent is not incapacitated, eligibility for other Medicaid is evaluated. A copy of the ES-RT-3 and/or DFA-RT-3M is attached to the client notification letter. 13.10.2.C WV WORKS Good Cause for Not Participating in Work Activities 13.10.2.C.1 Individual Is Incapacitated If the ES-RT-3 and/or DFA-RT-3M indicates the individual is incapacitated, the individual is temporarily given good cause for not participating in work activities for the period of time NOTE: Even though the MRT was involved in the determination of incapacity, the Worker and/or Supervisor may make the determination at the subsequent reevaluation(s). However, once a decision is made by the MRT, it cannot be overridden by the Worker and/or Supervisor until the MRT good cause period expires or additional medical information is received. When the Worker and/or Supervisor make the decision upon reevaluation, the MRT must be notified by memorandum.

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Page 1187

Official source

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 34 Chapter 13 Determining Disability, Incapacity, and Blindness

13.10.2 WV WORKS 13.10.2.A Parent Is Incapacitated If the ES-RT-3 and/or DFA-RT-3M indicates the parent is incapacitated, and the case was not presumptively approved, the application is approved. If the case was presumptively approved, a recording of the final decision is made in the eligibility system. 13.10.2.B Parent Is Not Incapacitated If the ES-RT-3 and/or DFA-RT-3M indicates the parent is not incapacitated, eligibility for other Medicaid is evaluated. A copy of the ES-RT-3 and/or DFA-RT-3M is attached to the client notification letter. 13.10.2.C WV WORKS Good Cause for Not Participating in Work Activities 13.10.2.C.1 Individual Is Incapacitated If the ES-RT-3 and/or DFA-RT-3M indicates the individual is incapacitated, the individual is temporarily given good cause for not participating in work activities for the period of time NOTE: Even though the MRT was involved in the determination of incapacity, the Worker and/or Supervisor may make the determination at the subsequent reevaluation(s). However, once a decision is made by the MRT, it cannot be overridden by the Worker and/or Supervisor until the MRT good cause period expires or additional medical information is received. When the Worker and/or Supervisor make the decision upon reevaluation, the MRT must be notified by memorandum.