Disability Expanding Foundations NonMAGI Disability Goal To gain

Disability Expanding Foundations: Non-MAGI

Disability Goal: To gain further understanding of Disability, and the associated business processes to meet this requirement Objectives: After this module, participants will be able to: § Perform data entry on the Disability Determination screen in CBMS § Identify when the disability requirement is met, and when the disability app is necessary § Gather, complete and submit a disability application Page 13

Disability Definition Medically Determinable Impairment, Lasting 12 months or more, Adults Children Resulting in an Inability to perform substantial gainful activity Resulting in multiple ‘markedly’ or at least one ‘severely’ limited functional domain

Disability Criteria § Age 65+ § SSA Determination § State Contractor Determination Page 14

Disability Determination Process Check for age then SSA disability determination: § State Verification and Exchange System (SVES) for SSDI § State Data Exchange (SDX) for SSI § Award letter from SSA verifying SSI, SSDI or future diary date

Title XVI Page 15

Title II Page 17

Disability Determination Process If there is no disability determination from SSA: § State Disability Contractor § Complete Disability application and Medical Release Form Page 18

Disability Application

Comments Page 19

Release Form

ARG Contact Information Mailing Address: Arbor E&T, Action Review Group P. O. Box 340 Olyphant, PA 18447 Application Status (pending, new or in appeal): Email address: actionreviewgroupmrt@arboret. com Phone number: (877) 265 -1864 Fax number: (877) 672 -2077 Page 20

Auto-Mail CBMS will mail the app for you! Page 22, 23

Determination Notice Page 24

Disability Criteria Full vs. Limited Disability Full Disability Limited Disability (All Programs) (WAw. D) Meets the SSA disability criteria without consideration of substantial gainful activity All waivers WAw. D clients: CMHS and EBD waivers only Page 25

Data Entry Info Page 27

Disability Data Entry Page 28

Medical Conditions Screen Page 29

Disability Determination Screen EBD: Retro date Onset date: Retro date for ARG, Onset date for SSA. Status date: Date status was last changed Result date: Date the last decision on disability was made. Diary Date: Date case will be re-reviewed for ongoing disability. Page 30

Data Entry Practice Page 32 -35

Disability Wrap-up To gain further understanding of Re-visit Objectives: Goal: Disability, and the associated business processes to meet this requirement Can you? § Perform data entry on the Disability Determination screen in CBMS § Identify when the disability requirement is met, and when the disability app is necessary § Gather, complete and submit a disability application Page 36