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Combined Manual

Combined Manual


VERIFYING DISABILITY/INCAPACITY - CASH

ISSUE DATE: 11/2018

Social Security Administration (SSA) determinations and benefits may be verified with the State Verification and Exchange System (SVES) interface between MAXIS and SSA. See TEMP Manual TE02.12.13 (SVES TPQY Interface) for more information on this interface.


MFIP:
Do not ask for proof of illness or disability you expect to last less than 30 days unless the claim is questionable.


For households extended under the Ill/Incapacitated category which you expect to last 30 days or more, types of proof are:

●

Social Security Administration (SSA) disability status.

●

State Medical Review Team (SMRT) disability determination. Do not refer MFIP cases to SMRT, but accept a disability determination that SMRT makes for another program.

●

A qualified professional’s or psychologist's report based on the results of a current medical examination or a current psychiatric evaluation (no older than 12 months). The medical statement must state the time period the disability will last. See 0011.39 (Qualified Professionals).

If the qualified professional’s or psychologist's report alone does not prove disability, get a vocational history for the last 5 years to supplement the medical statement.



DWP:
Follow MFIP.


SNAP:
See 0010.18.06 (Verifying Disability/Incapacity - SNAP).


MSA:
Verify blindness or disability by either:

●

Receipt of RSDI or SSI based on the person's blindness or disability.

 

OR

●

The person has SSA 1619B status as indicated on MAXIS. See TEMP Manual TE02.07.259 (1619 A and B Status).



GA:
Use any 1 of the following as proof of illness or disability/incapacity:

●

The Request for Medical Opinion (DHS-2114) (PDF) (for non-SMRT referrals) signed by a qualified professional. The DHS-2114 certification is valid for 6 months from the date of last examination unless a shorter or longer time frame for the condition is specified. See 0011.39 (Qualified Professionals).

●

The SMRT Determination of Disability

●

Do not refer GA cases to SMRT, but accept a disability determination that SMRT makes for another program.

●

The person has SSA 1619B status as indicated on MAXIS. See TEMP Manual TE02.07.259 (1619 A and B Status).

●

Other medical certification. See MEDICAL CERTIFICATION in 0002.39 (Glossary: Lump Sum...).



GRH:
Follow MSA, for blind, aged, and disabled clients.

For all other adults, verify that a person has a disabling condition that limits the ability to work and provide self-support according to a person’s basis of eligibility as follows:

●

Permanent illness. See 0011.39 (Qualified Professionals).

- Request for Medical Opinion (DHS-2114) (PDF).
OR
- Group Residential Housing - Professional Statement of Need (DHS-7122) (PDF).

●

Temporary illness. See 0011.39 (Qualified Professionals).

- Request for Medical Opinion (DHS-2114) (PDF).
OR
- Group Residential Housing - Professional Statement of Need (DHS-7122) (PDF).

●

Requires services in residence. See 0011.39 (Qualified Professionals).

- Group Residential Housing - Professional Statement of Need (DHS-7122) (PDF).

●

Unemployable.

- Assessment by vocational specialist. See 0013.18.21 (GRH Basis – Unemployable).

●

Medically certified as having developmental disability or mental illness. See 0011.39 (Qualified Professionals).

- Request for Medical Opinion (DHS-2114) (PDF).
OR
- Group Residential Housing - Professional Statement of Need (DHS-7122) (PDF).

●

Application or appeal pending for Social Security Disability or SSI. See 0011.39 (Qualified Professionals).

- Request for Medical Opinion (DHS-2114) (PDF).
AND
- Proof of application or appeal to the Social Security Administration.

●

Advanced age.

- Assessment by vocational specialist. See 0013.18.21 (GRH Basis – Unemployable).
OR
- Proof of work history showing decreased occupational status. See 0013.18.30 (GRH Basis – Advanced Age).

●

Learning disability. See 0011.39 (Qualified Professionals).

- Request for Medical Opinion (DHS-2114) (PDF).
OR
- Group Residential Housing - Professional Statement of Need (DHS-7122) (PDF).

●

Drug/alcohol addiction. See 0011.39 (Qualified Professionals).

- Request for Medical Opinion (DHS-2114) (PDF).
OR
- Group Residential Housing - Professional Statement of Need (DHS-7122) (PDF).

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PREVIOUS REVISIONS

DateNotes
06/2018 in GA in the 1st bullet deletes and adds language about how long the Request for Medical Opinion (DHS-2114) is valid.
08/2015 in GRH deletes "For all other adults, there are no provisions." and adds provisions.
05/2013 The following sections update cross-references to 0010.18.06 (Verifying Disability/Incapacity - SNAP). No policy was changed.

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