Disability Determination

Individuals currently receiving a Social Security Disability payment (SSDI) will not need an additional disability determination. All other individuals considered for this new program must have a disability determination from the State Review Team (SRT). The following procedure is for SRT determination.

State Review Team Referral Process

WHO:

1. Individuals who have been terminated from SSI 1619(b) or State 1619(b) because of time limit or earnings exceed limit. Do NOT close case while the SRT referral is pending.
2. Individuals that receive Veterans Disability, Railroad Disability, Worker's Compensation or other disability payments.
3. Individuals who allege disability but receive no disability benefits.
4. Individuals who do not get an SSDI check and have used up the 36-month Extended Period of Eligibility.

WHAT:

1. A completed DM-5 and related medical documentation
2. A completed DM-12D
   1. At the top left of side one, mark the box for "other" and write MIWD PREMIUM.
   2. On side two, item 11 C., specify the individual's gross monthly earned income AND the weekly number of hours worked.

SRT will make a decision on the disability and send a DM-5R to the worker to take appropriate action.

(8/1/07)