Page 1192

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 39 Chapter 13 Determining Disability, Incapacity, and Blindness

13.13 REEVALUATION OF DISABILITY, INCAPACITY OR BLINDNESS At the time of the initial approval of blindness, incapacity, or disability, the Medical Review Team (MRT) determines whether or not the client's circumstances require a reevaluation of his medical condition. If a reevaluation is required, the Worker is responsible for providing the medical or social information needed by the MRT. The MRT reevaluation decision is noted on the ES-RT-3 and/or the DFA-RT-3M. If the client continues to receive Medicaid in a category that requires a disability determination, and continues to cooperate with the scheduled MRT reevaluation process, then the most recent MRT determination that the client is disabled, incapacitated, or blind is considered as established and continues until the MRT determines otherwise, and issues a decision. The client should no longer be coded as disabled by MRT in the eligibility system when the client begins receiving Medicaid in a category that does not require a disability determination.

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Page 1192

Official source

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 39 Chapter 13 Determining Disability, Incapacity, and Blindness

13.13 REEVALUATION OF DISABILITY, INCAPACITY OR BLINDNESS At the time of the initial approval of blindness, incapacity, or disability, the Medical Review Team (MRT) determines whether or not the client's circumstances require a reevaluation of his medical condition. If a reevaluation is required, the Worker is responsible for providing the medical or social information needed by the MRT. The MRT reevaluation decision is noted on the ES-RT-3 and/or the DFA-RT-3M. If the client continues to receive Medicaid in a category that requires a disability determination, and continues to cooperate with the scheduled MRT reevaluation process, then the most recent MRT determination that the client is disabled, incapacitated, or blind is considered as established and continues until the MRT determines otherwise, and issues a decision. The client should no longer be coded as disabled by MRT in the eligibility system when the client begins receiving Medicaid in a category that does not require a disability determination.