Disability Determination Process and Tools. The district’s process for determining an individual’s disabilities and/or work limitations is in accordance with 18 NYCRR 385.2(d). Check all that apply, and describe the process: District participates in the OTDA managed contract for independent medical evaluations. District contracts directly with a physician to provide independent medical evaluations. District accepts physician’s statement provided by participant. District accepts physician’s statement provided by participant but refers for an independent evaluation when deemed necessary. Other process (please describe): If an individual is claiming a medical limitation or stating that they are unable to work at all, they are given an agency medical form to be filled out by their physician. The individual is not engaged in any work activities until employability status can be determined and the individual is notified of the agency's determination. When the agency medical is received by the agency, it is reviewed by a TA Examiner and a Senior Examiner. If the agency medical is not clear about the limitation(s), a referral to the agency's contracted physician, Industrial Medical Associates, (IMA) may be requested in order to help determine employability status. The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited is as follows: District directs the contracted physician or individual’s physician to determine status. District review team reviews and determines status (described below). Specialized disability/medical staff or unit reviews and determines status (described below) Other: If an individual is claiming a medical limitation or stating that they are unable to work at all, they are given an agency medical form to be filled out by their physician. The individual is not engaged in any work activities until employability status can be determined and the individual is notified of the agency's determination. When the agency medical is received by the agency, it is reviewed by a TA Examiner and a Senior Examiner. If the agency medical is not clear about the limitation(s), a referral to the agency's contracted physician (IMA) may be requested in order to help determine employability status. When all the information is reviewed and a determination is made, the client is sent a 4005/4005a to inform him/her of the agency's decision on his/her employment status.
Disability Determination Process and Tools. The district’s process for determining an individual’s disabilities and/or work limitations is in accordance with 18 NYCRR 385.2(d). Check all that apply, and describe the process: District participates in the OTDA managed contract for independent medical evaluations. District contracts directly with a physician to provide independent medical evaluations. District accepts physician’s statement provided by participant. District accepts physician’s statement provided by participant but refers for an independent evaluation when deemed necessary. Other process (please describe): The employment worker reviews the documentation submitted by the client. Additional information may be requested from the client and/or the client may be referred for an independent evaluation through either the OTDA managed contract or through a local contract with Xxxxxx Hospital. Upon receipt of all available information, a decision is made by the worker regarding the individual’s claim of disability. The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited is as follows: District directs the contracted physician or individual’s physician to determine status. District review team reviews and determines status (described below). Specialized disability/medical staff or unit reviews and determines status (described below) Other:
Disability Determination Process and Tools. The district’s process for determining an individual’s disabilities and/or work limitations is in accordance with 18 NYCRR 385.2(d). Check all that apply, and describe the process: District participates in the OTDA managed contract for independent medical evaluations. District contracts directly with a physician to provide independent medical evaluations. District accepts physician’s statement provided by participant. District accepts physician’s statement provided by participant but refers for an independent evaluation when deemed necessary. Other process (please describe): - A physical examination is required prior to any JOBTRAK assignment. Physicals are conducted by the Xxxxx Memorial Walk-In Clinic unless the client chooses to go to their primary care provider. - Any individual who claims to have a limitation or disability must provide the agency with the name(s) of his or her medical provider(s) and sign a release of information. - A participant claiming a limitation or disability may be required by ACDSS to make an appointment with his/her health care provider(s) to obtain current information about the person's health. It is the client's responsibility to provide documentation of this to the agency. -If it is determined by the health care provider that the individual has no limitations, or can work with limitations, the individual will be assigned to appropriate work activities regardless of whether the individual has applied for SSI - If it is determined by the health care provider that the individual is unable to work, the district may refer the individual to a health care provider for a second opinion, and/or may require that the individual apply for SSI. - Each time that a determination or redetermination is made of an exempt or non-exempt status the appropriate LDSS-4005 or LDSS-4005(a) notice is sent to the individual - If there are no work activities that can safely accommodate the individual's limitations and/or plan of treatment, a person with medical limitations may be offered the option of proposing a community service plan as his/her work activity. However, if the individual is unable to arrange for community service, no negative action will be taken. - An individual with documentation of permanent and/or total disability will be referred to AIM and Legal Services, to pursue SSI. Such an individual will also be provided information regarding ACCES-VR services and the ADA, and will be encouraged to seek assistance for becoming self-supp...
Disability Determination Process and Tools. The district’s process for determining an individual’s disabilities and/or work limitations is in accordance with 18 NYCRR 385.2(d). Check all that apply, and describe the process: District participates in the OTDA managed contract for independent medical evaluations. District contracts directly with a physician to provide independent medical evaluations. District accepts physician’s statement provided by participant. District accepts physician’s statement provided by participant but refers for an independent evaluation when deemed necessary. Other process (please describe): Once an individual claims medical issues, an LDSS 4526 is given to the individual to have his/her health care practitioner fill out and return within the required timeframe. Once the form is returned, the agency will review it and make the determination of work limitations. If the medical form is not returned within the required timeframe, the agency proceeds with a case closure. The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited is as follows: District directs the contracted physician or individual’s physician to determine status. District review team reviews and determines status (described below). Specialized disability/medical staff or unit reviews and determines status (described below) Other: Employment Counselors and Disability Specialists located in the Employment Unit work collaboratively and are responsible for determining the validity of an individual’s claim of exemptions from work requirements or work limitations due to medical problems. The Employment Counselor, with the assistance of the Disability Specialist, will review all medical documentation provided by the individual. The Employment Counselor will notify the client of the Agency’s disability determination using the LDSS 4005/4005a. Through the use of the 4005/4005a forms, the client will be notified that he has the right to request a Fair Hearing within 10 days if he is dissatisfied with the decision. If the client is not yet work ready, an employment/self-sufficiency plan is agreed upon, and he/she will be required to comply with medical recommendations, participate in assessment on an ongoing basis, apply for other sources of income, provide a new medical when requested, and participate in activities deemed necessary for him/her to take incremental steps necessary to eliminate the need for Temporary Assistance. The case is then monitor...
Disability Determination Process and Tools. Section 6.2 Mental Health Screening and Assessment Section 6.3 Requirements for Exempt Temporary Assistance Participants (Reference 18 NYCRR 385.2 (e)) Amendments to this Plan: Date Approved OTDA Section(s) Amended (To be completed by XXXX) Section 2 Administration
Disability Determination Process and Tools. The district’s process for determining an individual’s disabilities and/or work limitations is in accordance with 18 NYCRR 385.2(d). Check all that apply, and describe the process: District participates in the OTDA managed contract for independent medical evaluations. District contracts directly with a physician to provide independent medical evaluations. District accepts physician’s statement provided by participant. District accepts physician’s statement provided by participant but refers for an independent evaluation when deemed necessary. Other process (please describe): The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited is as follows: District directs the contracted physician or individual’s physician to determine status. District review team reviews and determines status (described below). Specialized disability/medical staff or unit reviews and determines status (described below) Other: BCDSS staff and subcontracted Star Group staff review collected/submitted medical documentation, consult with physicians' offices and determine employability status for all TANF recipients claiming a medical/psychiatric disability. All contracted staff assigned to this project have experience as registered nurses or case managers for the mentally/developmentally disabled population. They may also make referrals for Functional Capacity Exams, Mental Health evaluations, or any other follow up necessary to make a solid determination of employability. The goal is always to move the recipient to self-sufficiency, by returning them to employability or assisting them in obtaining Social Security benefits. Clients are referrred for independent exams for mental health and physical issues. Cases are reviewed by the Medical Services Unit. Once documentation is collected and reviewed, BCDSS staff determines appropriate employment code and issue the LDSS 4005/4005a to the client.
Disability Determination Process and Tools. The district’s process for determining an individual’s disabilities and/or work limitations is in accordance with 18 NYCRR 385.2(d). Check all that apply, and describe the process: 🞏 District participates in the OTDA managed contract for independent medical evaluations. 🞏 District contracts directly with a physician to provide independent medical evaluations. 🞏 District accepts physician’s statement provided by participant. 🞏 District accepts physician’s statement provided by participant but refers for an independent evaluation when deemed necessary. ☒ Other process (please describe): If a client claims to be unable to participate in work activities due to medical and/or mental health barriers, the FIA worker at the Job Center will refer the client to the Wellness, Comprehensive Assessment, Rehabilitation and Employment (WeCARE) program for an assessment. HRA has increased the portals of entry to the WeCARE program from the Job Centers. HRA has eliminated Job Center appointments whose only purpose was to refer the individual to WeCARE (e.g., clients returning from Fair Hearings with good cause.) Additionally, clients may receive an opt out appointment, meaning they may request to opt out of their Job Center appointment and instead go directly to WeCARE based on case history. In some limited instances, clients may choose to opt out of WeCARE. Within WeCARE, vendor staff reviews for history of SSI applications , as well as non- compliance histories, which could assist in identifying clients who may be SSI eligible and in need of Enhanced Case Management services. HRA has also enhanced its efforts regarding providing information and offering clients reasonable accommodations that clients may need in order to travel to or participate in HRA related appointments/activities by implementing a Disability Insert, to be sent with various notices and on which the client can request a reasonable accommodation. The Disability Insert explains the various Reasonable Accommodations available to clients and serves as a tool to request such accommodations. Additionally, HRA will begin implementing a robust disability health screen developed in conjunction with the expert consultants retained as a result of the Lovely H. settlement. The rollout is planned for the second quarter of calendar year 2018 and should be fully implemented by the end of 2018. This disability screen may also further inform HRA as to a client's need for a WeCARE referral. The WeCARE vendors are con...
Disability Determination Process and Tools. The district’s process for determining an individual’s disabilities and/or work limitations is in accordance with 18 NYCRR 385.2(d). Check all that apply, and describe the process: District participates in the OTDA managed contract for independent medical evaluations. District contracts directly with a physician to provide independent medical evaluations. District accepts physician’s statement provided by participant. District accepts physician’s statement provided by participant but refers for an independent evaluation when deemed necessary. Other process (please describe): Steps on how determination is made:
Disability Determination Process and Tools. The district’s process for determining an individual’s disabilities and/or work limitations is in accordance with 18 NYCRR 385.2(d). Check all that apply, and describe the process: District participates in the OTDA managed contract for independent medical evaluations. District contracts directly with a physician to provide independent medical evaluations. District accepts physician’s statement provided by participant. District accepts physician’s statement provided by participant but refers for an independent evaluation when deemed necessary. Other process (please describe): The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited is as follows: District directs the contracted physician or individual’s physician to determine status. District review team reviews and determines status (described below). Specialized disability/medical staff or unit reviews and determines status (described below) Other:
Disability Determination Process and Tools. The district’s process for determining an individual’s disabilities and/or work limitations is in accordance with 18 NYCRR 385.2(d). Check all that apply, and describe the process: District participates in the OTDA managed contract for independent medical evaluations. District contracts directly with a physician to provide independent medical evaluations. District accepts physician’s statement provided by participant. District accepts physician’s statement provided by participant but refers for an independent evaluation when deemed necessary. Other process (please describe): Self Sufficiency staff, temporary assistance examiner staff, or contracted assessment staff may review medical documentation and make determinations on whether individuals are exempt, nonexempt, or work-limited and complete the LDSS-4005 (Notice of Disability Determination) accordingly. In situations where the individuals have previously been coded exempt and are being re-evaluated, the medical statements and determinations will be handled by the designated Self Sufficiency Examiner staff. In situations that are complex or an individual is contesting the determination, MCDSS may request additional testing or evaluations from IMA or from another appropriate community resource in order to make a determination. The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited is as follows: District directs the contracted physician or individual’s physician to determine status. District review team reviews and determines status (described below). Specialized disability/medical staff or unit reviews and determines status (described below) Other: Self Sufficiency staff, temporary assistance examiner staff, or contracted assessment staff may review medical documentation and make determinations on whether individuals are exempt, nonexempt, or work-limited and complete the LDSS-4005 (Notice of Disability Determination) accordingly. In situations where the individuals have previously been coded exempt and are being re-evaluated, the medical statements and determinations will be handled by the designated Self Sufficiency Examiner staff. In situations that are complex or an individual is contesting the determination, MCDSS may request additional testing or evaluations from IMA or from another appropriate community resource in order to make a determination
