Page 1199

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 46 Chapter 13 Determining Disability, Incapacity, and Blindness

• Acute leukemia, as established by bone marrow examination or blood smear. • Chronic leukemia with recurrent hemorrhaging, low blood platelet count or organ enlargement. • Human Immunodeficiency Virus (HIV) infection with T-cell CD4 count under 400. A.6 NEUROLOGICAL DISORDERS This must be confirmed by physical examination, preferably by a neurologist, with appropriate testing. The following are examples of neurological disorders that would result in a presumptive medical approval: • Cerebrovascular accidents, with speech impairment or paralysis of two extremities, continuing for a period of four months after the stroke. • Parkinson's Disease with tremor, rigidity and impairment of mobility. • Cerebral Palsy with I.Q. of 59 or less, with speech impairment, motor deficiency in two extremities, or poor muscular coordination (ataxia). • Multiple Sclerosis with moderate motor deficits in two extremities or poor muscular coordination (ataxia). • Muscular Dystrophy with an incoordinate weakness or paralysis of shoulder area and limitation of arm motion. A.7 MENTAL DISORDERS

These must be verified by psychological testing or psychiatric examination. The following are examples of mental disorders that would result in a presumptive medical approval: • Chronic brain syndrome with a deterioration in intellectual functioning, such as marked memory defect or slow, confused or disoriented thinking. • Chronic Schizophrenia with persistent depression, hallucinations, withdrawal from daily activities or illogical association of ideas. • Mental deficiency with I.Q. of 59 or less, as established by psychological testing. If the I.Q. is above 59, there must be a combination of low I.Q. and another documented mental or physical impairment.