Page 1200

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 47 Chapter 13 Determining Disability, Incapacity, and Blindness

A.8 MALIGNANT DISEASES These must be documented by physical examination, laboratory findings and post-operative notes, if available. The following are examples of malignant diseases that would result in a presumptive medical approval: • Cancer of any organ of the body that has been diagnosed by a physician as being inoperable and not expected to respond to radiation or chemotherapy. • Cancer that has spread from one organ of the body to another (metastasis), such as cancer of the lung that has spread to the brain. • Recurrence of cancer after the initial successful treatment, with a medical opinion that the second treatment period will require at least 12 months. A.9 ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS) This must be documented by a physical examination and laboratory findings. The following are examples of AIDS that would result in a presumptive medical approval: • HIV Positive and diagnosed by a physician as having AIDS based on the patient's having a disease indicative of AIDS or a T-helper/inducer lymphocyte (T-cell CD4) count under 400. • Some common indicator diseases are: pneumocystis carinii, Kaposi’s sarcoma, bacterial infections, HIV encephalopathy, and lymphoma of the brain.

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Page 1200

Official source

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 47 Chapter 13 Determining Disability, Incapacity, and Blindness

A.8 MALIGNANT DISEASES These must be documented by physical examination, laboratory findings and post-operative notes, if available. The following are examples of malignant diseases that would result in a presumptive medical approval: • Cancer of any organ of the body that has been diagnosed by a physician as being inoperable and not expected to respond to radiation or chemotherapy. • Cancer that has spread from one organ of the body to another (metastasis), such as cancer of the lung that has spread to the brain. • Recurrence of cancer after the initial successful treatment, with a medical opinion that the second treatment period will require at least 12 months. A.9 ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS) This must be documented by a physical examination and laboratory findings. The following are examples of AIDS that would result in a presumptive medical approval: • HIV Positive and diagnosed by a physician as having AIDS based on the patient's having a disease indicative of AIDS or a T-helper/inducer lymphocyte (T-cell CD4) count under 400. • Some common indicator diseases are: pneumocystis carinii, Kaposi’s sarcoma, bacterial infections, HIV encephalopathy, and lymphoma of the brain.