Page 1206

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 53 Chapter 13 Determining Disability, Incapacity, and Blindness

APPENDIX C: PRESUMPTIVE APPROVAL – WV WORKS When the individual’s medical condition or diagnosis is not listed in this Appendix, refer to Section 13.6 regarding the presumptive approval process. C.1 INCAPACITIES OF THE SKELETAL SYSTEM The severity is based on physical examination, laboratory tests, and x-rays. The following are examples of incapacities of the skeletal system that would result in a presumptive medical approval: • Ruptured disc requiring conservative bed rest and traction, or surgery. Diagnosis should be confirmed by an orthopedist or neurosurgeon. • Simple fracture of the arm or leg with a physician's report and x-rays. • Amputations requiring healing time and period of adjustment, with prosthesis. C.2 DISEASE OF THE HEART This must be diagnosed by medical examination, x-rays, electrocardiogram (EKG), and other appropriate cardiac function studies. The following are examples of diseases of the heart that would result in a presumptive medical approval: • Myocardial infarction as confirmed by physical examination and EKG. • Acute rheumatic heart disease evaluated by a cardiologist or internist and necessitating a period of medical treatment prior to returning to work. C.3 GENERAL SURGICAL PROCEDURES This must be recommended by a surgeon through physical examination and appropriate laboratory tests. The following are examples of general surgical procedures that would result in a presumptive medical approval: • Peptic, gastric, duodenal or jejunal ulcer requiring surgical intervention and recovery period.

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Page 1206

Official source

West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 53 Chapter 13 Determining Disability, Incapacity, and Blindness

APPENDIX C: PRESUMPTIVE APPROVAL – WV WORKS When the individual’s medical condition or diagnosis is not listed in this Appendix, refer to Section 13.6 regarding the presumptive approval process. C.1 INCAPACITIES OF THE SKELETAL SYSTEM The severity is based on physical examination, laboratory tests, and x-rays. The following are examples of incapacities of the skeletal system that would result in a presumptive medical approval: • Ruptured disc requiring conservative bed rest and traction, or surgery. Diagnosis should be confirmed by an orthopedist or neurosurgeon. • Simple fracture of the arm or leg with a physician's report and x-rays. • Amputations requiring healing time and period of adjustment, with prosthesis. C.2 DISEASE OF THE HEART This must be diagnosed by medical examination, x-rays, electrocardiogram (EKG), and other appropriate cardiac function studies. The following are examples of diseases of the heart that would result in a presumptive medical approval: • Myocardial infarction as confirmed by physical examination and EKG. • Acute rheumatic heart disease evaluated by a cardiologist or internist and necessitating a period of medical treatment prior to returning to work. C.3 GENERAL SURGICAL PROCEDURES This must be recommended by a surgeon through physical examination and appropriate laboratory tests. The following are examples of general surgical procedures that would result in a presumptive medical approval: • Peptic, gastric, duodenal or jejunal ulcer requiring surgical intervention and recovery period.