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West Virginia Income Maintenance Manual Chapter 14
West Virginia Income Maintenance Manual Page 36 Chapter 14 Work Requirements
14.9.1.E Physical/Mental Incapacity (TI – Physical, TM – Mental Health Issues) An individual is experiencing a physical or mental health condition, or he is suffering from a temporary debilitating injury for which a reasonable accommodation cannot be made, the individual’s condition must be reevaluated within the time limits specified by his medical practitioner or at least quarterly. Form DFA-DIMA-1 must be requested to be completed by the medical provider. For any period of disability or incapacity that is expected to last longer than six months, the case must be submitted to the Medical Review Team (MRT) for evaluation. MRT must also approve all individuals claiming permanent and total disability. See Section 13.3.3 for instructions to determine incapacity. A Work-Eligible female may be placed in the TI component when her doctor places her on bed rest because of a high-risk pregnancy. The 12-week postpartum period following the birth of any additional child after having used the 12-month lifetime Age of Child (TF) period. Any time other than the usual 12-week period requires medical documentation of the expected return to work date. The individual refuses to accept surgery which would eliminate or significantly improve his condition, even if the refusal precludes participation. 14.9.1.F Disability/Incapacity – Definition Only for Temporary Good Cause Disability and incapacity for a Work-Eligible Individual may be established with or without a physician’s statement as follows. NOTE: WV WORKS participants who have a documented disability must be placed in the AD component in Work Programs in addition to other component codes. NOTE: A two-parent family with one parent disabled or incapacitated according to this section is still considered a two-parent family for minimum participation rate requirements. The family may be temporarily granted good cause for not meeting the minimum requirements. See Section 14.9. Meeting either definition does not automatically exempt the family or individual from the 60-month or 24-month time limits described in Section 18.2 and 18.8.