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West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 52 Chapter 13 Determining Disability, Incapacity, and Blindness

• Children with Down's syndrome as diagnosed by chromosome tests. These children are mentally retarded and may also have cardiac or pulmonary problems, along with growth retardation. • Childhood psychosis, such as schizophrenia, must be documented by psychiatric reports. Symptoms include withdrawal from reality, bizarre behavior, panic or severe anxiety. B.13 MALIGNANCIES This must be diagnosed by physical examination, laboratory tests, x-rays, and post-operative surgical reports, if the child has had recent surgery. The following are examples of malignancies that would result in a presumptive medical approval: • A diagnosis of cancer requiring a combination of surgery, radiation and chemotherapy that will result in disability for the child from both the carcinoma and the side effects from the treatment. • A diagnosis of carcinoma that has spread from the primary site to another major organ of the body (metastasis). • Cancer that has responded to treatment but has since recurred and will require a new treatment plan. B.14 ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS) This must be documented by physical examination and laboratory findings. The following are examples of AIDS that would result in a presumptive medical approval: • Human immunodeficiency virus (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.