Common use of Disability Determination Process and Tools Clause in Contracts

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 Welfare Employment Representative meets with the individual and gives them the LDSS- 2642 (documentation requirements) followed by the LDSS-4526 (medical examination for employability assessment, disability screening, and alcoholism/drug addiction determination) to be completed and returned to the Welfare Employment Representative within 10 business days. The district has contracted with St. Mary's Hospital for physical, mental health and drug/alcohol evaluations. Individuals are generally referred to the contracted provider for an evaluation when they do not already have a treating practitioner. The Welfare Employment Representative can also accept medical documentation from the individuals practioner. 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: The Intake Worker, makes the initial employability determination during the application process. At this time it is determined as to whether the individual is employable or needs medical documentation. The Intake worker will make the appropriate referrals at that time (drug and alchohol evaluation, etc.). The Welfare Employment Representative reviews the appropriate referrals as well as the medical documentation and determines whether the individual is exempt, non-exempt, or work limited based on the evidence provided and in accordance with NYCRR guidelines. Once the determination is made the Welfare Employment Representative will notify the individual of the determination in writing with the LDSS-4005 and 4005a, Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt).

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 Welfare Employment Representative meets with individual is not engaged in any work activities until employability status can be determined and the individual and gives them is notified of the LDSS- 2642 (documentation requirements) followed agency's determination. When the agency medical is received by the LDSS-4526 (agency, it is reviewed by a TA Examiner and a Senior Examiner. If the agency medical examination for employability assessmentis not clear about the limitation(s), disability screening, and alcoholism/drug addiction determination) to be completed and returned a referral to the Welfare Employment Representative within 10 business days. The district has agency's contracted with St. Mary's Hospital for physicalphysician, mental health and drug/alcohol evaluations. Individuals are generally referred Industrial Medical Associates, (IMA) may be requested in order to the contracted provider for an evaluation when they do not already have a treating practitioner. The Welfare Employment Representative can also accept medical documentation from the individuals practionerhelp 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 Intake Worker, makes the initial individual is not engaged in any work activities until employability determination during the application process. At this time it is status can be determined as to whether and the individual is employable or needs notified of the agency's determination. When the agency medical documentationis received by the agency, it is reviewed by a TA Examiner and a Senior Examiner. The Intake worker will make If the appropriate referrals at that time agency medical is not clear about the limitation(s), a referral to the agency's contracted physician (drug IMA) may be requested in order to help determine employability status. When all the information is reviewed and alchohol evaluation, etc.). The Welfare Employment Representative reviews the appropriate referrals as well as the medical documentation and determines whether the individual is exempt, non-exempt, or work limited based on the evidence provided and in accordance with NYCRR guidelines. Once the a determination is made made, the Welfare Employment Representative will notify the individual client is sent a 4005/4005a to inform him/her of the determination in writing with the LDSS-4005 and 4005a, Notification of Temporary Assistance Work Requirements Determination (Exemptagency's decision on his/Non-Exempt)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 Welfare Employment Representative meets with the individual and gives them the LDSS- 2642 (documentation requirements) followed by the LDSS-4526 (medical examination for employability assessment, disability screening, and alcoholism/drug addiction determination) to be completed and returned to the Welfare Employment Representative within 10 business days. The Our district has contracted with St. Mary's Hospital for physical, mental health and drug/alcohol a district managed contract to provide independent medical evaluations. Individuals Our district has a district managed contract to provide independent medical evaluations through IMA. Determinations made by IMA are generally considered final decisions on what type and duration of the exemption. Medicals from the clients’ doctors are reviewed by Senior Social Welfare Examiners, placed on a data base and referred to the contracted provider for an evaluation when they do not already have a treating practitionermedical home visit vendor. The Senior Social Welfare Employment Representative can also accept medical documentation from Examiner will determine the individuals practionerduration of the exemption based on the doctors’ recommendations. If it is longer than 12 months they will be referred to our SSI determination unit. In all cases the district will notify the individual of the determination in writing with the LDSS- 4005/a Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt). 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: The Intake Worker, makes the initial employability determination during the application process. At this time it is determined as Orange County has a contract with Merakey to whether the individual is employable or needs medical documentationdo in-home assessments of our temporary disabled population. The Intake worker will workers make the appropriate referrals at that time (drug home visits, do complete assessments, help with doctorappointments and alchohol evaluation, etc.)assist with SSI forms if needed. The Welfare Employment Representative reviews Merakey workers collect the appropriate referrals as well as the medical documentation and determines whether bring this information back to the individual is exempt, non-exempt, or work limited based on the evidence provided DSS office where caseworkers and in accordance with NYCRR guidelinessupervisors make determinations and plan next steps. Once the determination is made the Welfare Employment Representative will notify the individual The goal of the determination in writing contract is to return temporary disabled clients to employment or to assist with receiving SSI/SSD benefits. We also use an independent medial service (IMA) to determine the LDSS-4005 cleint's employability. The combination of the two services minimizes the amount of clients that receive exemptions from employment and 4005a, Notification maximizes our use of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt)the Social Security system.

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): Niagara County will adhere to the disability program requirements set forth in 18 NYCRR 385.2(d). The Welfare Employment Representative meets with disability procedure will be followed whenever the applicant/recipient claims an inability to work, a work limitation or whenever the district worker suspects that an inability to work or a work limitation might exist. If the applicant/recipient has his/her own health care provider, he/she will be provided ten (10) calendar days to submit evidence in support of the claim to be unable to work or work-limited. In instances where it is not possible for the documentation to be provided within ten (10) calendar days, an extension may be granted at the discretion of the local district. Niagara County may wish to refer the individual and gives them to its own health care practitioner. This will be done when the LDSS- 2642 (individual does not currently have a primary care physician, or in instances where the medical documentation requirements) followed submitted is either incomplete or directly conflicts with medical documentation already on file. The local district's health care practitioner will be certified by the LDSS-4526 (medical examination for employability assessmentODD. It is understood that an individual's health care provider may not be a physician or certified psychologist. However, disability screening, and alcoholism/drug addiction determination) the District reserves the right to be completed and returned to the Welfare Employment Representative within 10 business days. The district has contracted with St. Mary's Hospital for physical, mental health and drug/alcohol evaluations. Individuals are generally referred to the contracted provider for an evaluation when they do not already have a treating practitioner. The Welfare Employment Representative can also accept medical require additional documentation from the individual when the documentation on file is insufficient for the District to make a determination on exempt/non-exempt status. NCDSS staff will review any documentation submitted by the individual to support his/her claim for exemption from work program requirements. The individual's past medical history, work limitations, prior work history and the availability of "light duty" worksites will be factors in determining the individual's exempt/nonexempt status. Niagara County will utilize the LDSS 4005 to notify individuals practionerof the District's determination regarding whether the individual is exempt, work- limited, or non-exempt. The individual retains the right to request a fair hearing should the issue not be resolved to his/her satisfaction. 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: Medical documentation is submitted by applicants to the TA worker. The Intake Worker, TA worker makes the initial employability determination during the application process. At this time it is determined as to whether regarding exempt/non-exempt or work-limited status of the individual is employable or needs medical documentation. The Intake worker will make (often in consultation with the appropriate referrals at that time (drug and alchohol evaluation, etc.Employment Case Manager). The Welfare medical information is attached to the Employment Representative Unit referral. The Employment Case Manager reviews the appropriate referrals as well as the medical documentation and determines whether the individual is exempt, non-exempt, or work limited based on the evidence provided and in accordance with NYCRR guidelines. Once the determination any subsequent status redetermination is made by the Welfare Employment Representative will notify Case Manager. All exempt/nonexempt or work-limited determination of recipients is solely made by the individual of NCDSS Employment Case Manager assigned to the determination in writing with the LDSS-4005 and 4005a, Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt)case.

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 Welfare Employment Representative meets with the individual and gives them the LDSS- 2642 (documentation requirements) followed by the LDSS-4526 (medical examination for employability assessment, disability screening, and alcoholism/drug addiction determination) to be completed and returned to the Welfare Employment Representative within 10 business days. The Our district has contracted with St. Mary's Hospital for physical, mental health and drug/alcohol a district managed contract to provide independent medical evaluations. Individuals Our district has a district managed contract to provide independent medical evaluations through IMA. Determinations made by IMA are generally considered final decisions on what type and duration of the exemption. Medicals from the clients’ doctors are reviewed by Senior Social Welfare Examiners, placed on a data base and referred to the contracted provider for an evaluation when they do not already have a treating practitionermedical home visit vendor. The Senior Social Welfare Employment Representative can also accept medical documentation from Examiner will determine the individuals practionerduration of the exemption based on the doctors’ recommendations. If it is longer than 12 months they will be referred to our SSI determination unit. In all cases the district will notify the individual of the determination in writing with the LDSS- 4005/a Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt). 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: The Intake Worker, makes the initial employability determination during the application process. At this time it is determined as Orange County has a contract with Merakey to whether the individual is employable or needs medical documentationdo in-home assessments of our temporary disabled population. The Intake worker will workers make the appropriate referrals at that time (drug home visits, do complete assessments, help with doctor appointments and alchohol evaluation, etc.)assist with SSI forms if needed. The Welfare Employment Representative reviews Merakey workers collect the appropriate referrals as well as the medical documentation and determines whether bring this information back to the individual is exempt, non-exempt, or work limited based on the evidence provided DSS office where caseworkers and in accordance with NYCRR guidelinessupervisors make determinations and plan next steps. Once the determination is made the Welfare Employment Representative will notify the individual The goal of the determination in writing contract is to return temporary disabled clients to employment or to assist with receiving SSI/SSD benefits. We also use an independent medial service (IMA) to determine the LDSS-4005 cleint's employability. The combination of the two services minimizes the amount of clients that receive exemptions from employment and 4005a, Notification maximizes our use of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt)the Social Security system.

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): Clients are referred to an independent medical evaluator for a medical evaluation and the employability status is determined by a Nassau County Staff. Temporary Assistance applicants and recipients, who demonstrate/claim to be exempt from or limited in the scope to employment requirements because of disability, are referred to an indepent medical evaluation and status is determined by medical staff. The Welfare Employment Representative meets with client is advised they can provide documentation from their own medical provider within 4 business days following the individual IMA examination. The results of the medical evaluation are forwarded to the DSS Medical Director who makes the final employability determination. Applicants and gives them the LDSS- 2642 (documentation requirements) followed Recipients who are demonstrate/claim disability, but are deemed non-exempt, or work limited by the LDSS-4526 (medical examination for employability assessmentMedical Director, disability screeningare given a Notification of Disability Review Findings and the Right to Contest at the eligibility review. Individuals, and alcoholism/drug addiction determination) who are found to be completed and returned to the Welfare Employment Representative within 10 business days. The district has contracted with St. Mary's Hospital for physicalexempt by our Medical Director, mental health and drug/alcohol evaluations. Individuals are generally referred to the contracted provider Disabled Client Assistance Program (DCAP) for an evaluation when they do not already have screening after the eligibility review. Temporary Assistance applicants and recipients, who demonstrate/claim to be exempt or work limited because of the need for substance abuse rehabilitation, are referred for employability determinations to the Nassau County Department of Drug and Alcohol Addiction. Alcohol and Substance Abuse Counselors (CASAC’s) employed by the Nassau County Department of Drug and Alcohol Addiction advise the Department of the employability assessments for this applicant population. Individuals who are temporarily determined to be exempt are given follow-up dates by our Medical Director for the resubmission of medical evidence. Clients determined to be nonexempt at the follow-up determination are sent a treating practitionerNotification of Disability Review Findings and the Right to Contest apprising them of the determination and their right to a Fair Hearing to contest the determination. Failure to submit follow-up medical evidence of work exempt status will result in a case closing. Work limitations are written on the Work Experience Program (WEP) referral forms and are provided to the WEP site supervisors. DSS Employment Unit staff also calls site supervisors before assigning work limited clients to WEP sites to insure that the sites can utilize work limited WEP participants. Follow-up calls are routinely made by DSS Employment Unit staff members to WEP site supervisors to confirm client’s initial compliance with assignments. WEP site supervisors know that DSS staff is available to discuss issues that arise related to a WEP participant’s performance. The Welfare WEP participant is also informed that he or she can discuss difficulties that arise with regard to the WEP placement with the appropriate Employment Representative can also accept medical documentation from the individuals practionerUnit worker. 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: The Intake WorkerTemporary Assistance applicants, makes who demonstrate/claim to be exempt from or limited in the initial employability determination during the application process. At this time it is determined as scope of employment requirements because of disability, are sent to whether the individual is employable or needs medical documentation. The Intake worker will make the appropriate referrals at that time (drug and alchohol evaluation, etc.). The Welfare Employment Representative reviews the appropriate referrals as well as the medical documentation and determines whether the individual is exemptpractitioner at IMA for a medical examination to determine employability. Applicants who claimed disability, but are deemed non-exempt, or work limited by the Medical Director, are given a Notification of Disability Review Findings and the Right to Contest at the eligibility review. Applicants, who are found to be exempt may be referred to the Disabled Client Assistance Program (DCAP) for screening after the eligibility review if appropriate. TA recipients who demonstrate/claim to be exempt from or limited in the scope of employment requirements because of disability, are issued a medical form 279 which is to be completed by their own doctor. The form is returned to the DCAP unit where the agency doctor or medical director reviews it and makes an employability determination based on what the evidence provided and in accordance with NYCRR guidelines. Once the determination is made the Welfare Employment Representative will notify the individual of the determination in writing with the LDSS-4005 and 4005a, Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt)client’s doctor wrote.

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 Welfare Employment Representative meets with If an individual declares a disability or work limitation, the individual is given a Medical Examination for Employability Assessment, Disability Screening and gives them Alcoholism/Drug Addiction Determination form to bring to their practitioner to complete. The individual is required to return the LDSS- 2642 completed form within 10 days. If the individual states they are unable to work or have a work limitation due to men tal health issues and attend Oswego County Behavioral Health Services (OHBS), the individual signs the releases of information (ROIs) and the ROIs and form are sent to OHBS on behalf of the individual, with a request that the practitioner complete and return the form within 10 days. If OHBS does not return the completed form, the individual is then given a Medical Examination for Employability Assessment, Disability Screening and Alcoholism/Drug Addiction Determination form to bring to the practioner to complete. OCDSS may allow a written statement from the practitioner if the statement contains the necessary elements to determine disability. If an individual states they are unable to obtain medical documentation requirements) followed by and requests assistance, OCDSS will assist the LDSS-4526 (individual with obtaining the documentation. OCDSS staff, which can include Employment Specialist, Temporary Assistance Staff and Supervisory Staff are responsible to review medical examination for employability assessmentdocumentation, disability screeningmonitor the recommended treatment pl an, determine the employment status, and alcoholismreview progress no fewer than three months and no greater than twelve months, unless otherwise indicated on the completed Medical Examination for Employability Assessment, Disability Screening and Alcoholism/drug addiction determination) Drug Addiction Determination form. A recipient claiming a medical exemption is required to provide a medical update within 10 days, by submitting a completed medical form. If the form is not received in the agency within that timeframe, a reminder notice is sent to the recipient indicating the form has not been received and is required to be completed and returned to the Welfare Employment Representative submitted within 10 business days. The district has contracted OCDSS reserves the right to contract with St. Mary's Hospital for an independent medical exam provider to conduct physical, mental health and IQ evaluations. In addition, should an individual be referred to an independent medical exam, Oswego County may use this information, along with any other documentation to determine the status of an individual's disability and potential to be restored to self -sufficiency. The mandated Alcohol and Substance Abuse Screening is completed on-site, by contracted Office of Alcohol and Substance Abuse Services (OASAS) licensed providers in the county. Individuals determined from the screening to need further drug/alcohol evaluations. Individuals are generally assessment a re referred to the contracted provider for an initial assessment, completed on-site by an OASAS provider. If further evaluation when they do not already have a treating practitionerand/or treatment is recommended following the initial assessment, an off-site appointment is scheduled with an OASAS provider. The Welfare Employment Representative can also accept medical documentation from If the individuals practionerindividual is recommended for Drug and Alcohol treatment by the OASAS provider, the individual is notified in writing of employability and the requirement to comply with any treatment recommendations. 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: The Intake WorkerOCDSS reviews information obtained from the participant, makes the initial employability determination during the application process. At this time it is determined as to whether the individual is employable or needs participant's medical documentation. The Intake worker will make the appropriate referrals at that time (providers, drug and alchohol evaluationalcohol providers, etc.). The Welfare Employment Representative reviews independent medical evaluations, and any other information deemed pertinent by OCDSS to determine the appropriate referrals status of the individual's disability as well as the medical documentation and determines whether individual's potential to be restored to self-sufficiency. Local district staff use this information to determine if the individual is exempt, non-exemptnonexempt, or work limited based on the evidence provided and limited. The individual is notified in accordance with NYCRR guidelines. Once the determination is made the Welfare Employment Representative will notify the individual writing of the district's disability determination in writing with the LDSS-4005 and 4005a, Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt)via forms LDSS-4005/4005a.

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 Welfare Employment Representative meets - 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 individual name(s) of his or her medical provider(s) and gives them 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 LDSS- 2642 (person's health. It is the client's responsibility to provide documentation requirements) followed of this to the agency. -If it is determined by the LDSS-4526 (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 examination 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 employability assessmentcommunity service, no negative action will be taken. - An individual with documentation of permanent and/or total disability screeningwill 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 alcoholism/drug addiction determination) will be encouraged to be completed and returned to the Welfare Employment Representative within 10 business days. The district has contracted with St. Mary's Hospital seek assistance for physical, mental health and drug/alcohol evaluations. Individuals are generally referred to the contracted provider for an evaluation when they do not already have a treating practitioner. The Welfare Employment Representative can also accept medical documentation from the individuals practionerbecoming self-supporting. 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: The Intake Worker, makes A member of the initial employability determination during the application process. At this time it is determined as to whether the individual is employable or needs medical documentation. The Intake worker will make the appropriate referrals at that time (drug and alchohol evaluation, etc.). The Welfare DSS Employment Representative Unit reviews the appropriate referrals as well as the medical documentation for employability and determines whether then will track the individual is exempt, non-exempt, or work limited based on the evidence provided and in accordance with NYCRR guidelines. Once the determination is made the Welfare Employment Representative will notify the individual of the determination in writing with the LDSS-4005 and 4005a, Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt).request new documentation as needed

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 Welfare Employment Representative meets with If an individual declares a disability or work limitation, the individual is given a Medical Examination for Employability Assessment, Disability Screening and gives them Alcoholism/Drug Addiction Determination form to bring to their practitioner to complete. The individual is required to return the LDSS- 2642 completed form within 10 days. If the individual states they are unable to work or have a work limitation due to mental health issues and attend Oswego County Behavioral Health Services (OHBS), the individual signs the releases of information (ROIs) and the ROIs and form are sent to OHBS on behalf of the individual, with a request that the practitioner complete and return the form within 10 days. If OHBS does not return the completed form, the individual is then given a Medical Examination for Employability Assessment, Disability Screening and Alcoholism/Drug Addiction Determination form to bring to the practioner to complete. OCDSS may allow a written statement from the practitioner if the statement contains the necessary elements to determine disability. If an individual states they are unable to obtain medical documentation requirements) followed by and requests assistance, OCDSS will assist the LDSS-4526 (individual with obtaining the documentation. OCDSS staff, which can include Employment Specialist, Temporary Assistance Staff and Supervisory Staff are responsible to review medical examination for employability assessmentdocumentation, disability screeningmonitor the recommended treatment plan, determine the employment status, and alcoholismreview progress no fewer than three months, unless otherwise indicated on the completed Medical Examination for Employability Assessment, Disability Screening and Alcoholism/drug addiction determination) Drug Addiction Determination form and no greater than 12 months. A recipient claiming a medical exemption is required to be provide a medical update within 10 days, by submitting a completed medical form. If the individual states they are unable to work or have a work limitation due to mental health issues and returned attend Oswego County Behavioral Health Services (OHBS), the agency obtains updated ROIs as needed and the ROIs and form are sent to OHBS on behalf of the individual, with a request that the practitioner complete and return the form within 10 days. If OHBS does not return the completed form, the individual is then given a Medical Examination for Employability Assessment, Disability Screening and Alcoholism/Drug Addiction Determination form to bring to the Welfare Employment Representative practioner to complete. If the form is not received in the agency within 10 business daysthat timeframe, and the individual does not state they are unable to obtain the documentaiton and request that the agency assist with obtaining the documentation, the case is referred for closing. The district has contracted OCDSS reserves the right to contract with St. Mary's Hospital for an independent medical exam provider to conduct physical, mental health and IQ evaluations. In addition, should an individual be referred to an independent medical exam, Oswego County may use this information, along with any other documentation to determine the status of an individual's disability and potential to be restored to self-sufficiency. The mandated Alcohol and Substance Abuse Screenings and Assessments are completed on- site, by a contracted Office of Alcohol and Substance Abuse Services (OASAS) licensed provider. Individuals determined from the screening to need a drug/alcohol evaluations. Individuals assessment, that are generally referred to not already established into a treatment program, complete the assessment on-site with the contracted OASAS provider staff. If the individual is recommended for Drug and Alcohol treatment by the contracted OASAS provider, an evaluation when they do not already have a treating practitionerappointment to start treatment is scheduled with an off site treatment provider. The Welfare individual is notified in writing of the scheduled appointment date and time, their employability determination as determined by the onsite OASAS provider, and the requirement to comply with any treatment recommendations. The on- site OASAS provider obtains the individual's attendance at a minimum of monthly, and progress reports at a minimum of every 3 months. The on-site OASAS provider provides Case Management in conjunction with Employment Representative can also accept medical documentation from Staff to monitor treatment requirements and progress. If the individuals practionerindividual is determined able to work around treatment, the treatment may be required as part of the individual's Employment Plan and attendance and progress monitored. 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: The Intake WorkerOCDSS reviews information obtained from the individual, makes the initial employability determination during the application process. At this time it is determined as to whether the individual is employable or needs individual's medical documentation. The Intake worker will make the appropriate referrals at that time (providers, drug and alchohol evaluationalcohol providers, etc.). The Welfare Employment Representative reviews on-site OASAS provider, independent medical evaluations, and any other information deemed pertinent by OCDSS to determine the appropriate referrals status of the individual's disability as well as the medical documentation and determines whether individual's potential to be restored to self-sufficiency. Local district staff use this information to determine if the individual is exempt, non-exemptnonexempt, or work limited based on the evidence provided and limited. The individual is notified in accordance with NYCRR guidelines. Once the determination is made the Welfare Employment Representative will notify the individual writing of the district's disability determination in writing with the LDSS-4005 and 4005a, Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt)via forms LDSS-4005/4005a.

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 Welfare Employment Representative meets If at application or recertification, or during the assessment process, a client is identified as having a physical or mental impairment which would limit his or her ability to participate in work activities the client will be verbally advised and for the TANF population referred to Industrial Medicine Associates (IMA) for a medical evaluation and the individual is informed to bring any medical documentation to the IMA exam, or within 4 days following the date of the exam, for IMA to consider. Both the SN and NTA SNAP population, are given the medical examination form (DSS 4526) to have their medical practitioner complete and return within ten days, along with the individual DSS2642 which officially affords them ten days. In the case where a Safety Net client presents a completed medical(DSS4526), the district will review it and gives them make a determination based on information contained in that medical. Upon receipt of a fully completed medical or an IMA evaluation, the LDSS- 2642 (client is provided a LDSS4005 or 4005(a), via mail or in person, to notify him or her of the disability determination and the right to request a fair hearing. If a SNAP recipient fails to supply documentation requirements) followed by the LDSS-4526 (medical examination for employability assessmentof a claimed exemption, disability screening, and alcoholismhe/drug addiction determination) she will be determined to be completed and returned to the Welfare Employment Representative within 10 business days. The district has contracted with St. Mary's Hospital for physical, mental health and drug/alcohol evaluations. Individuals are generally referred to the contracted provider for an evaluation when they do not already have a treating practitioner. The Welfare Employment Representative can also accept medical documentation non-exempt from the individuals practionerSNAP work requirements. 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: The Intake WorkerIn cases where IMA is not utilized, makes Employment workers review and determine status. Upon receipt of a fully completed medical , the initial employability client is provided a LDSS4005 or 4005(a), via mail or in person, to notify him or her of the disability determination during and the application processright to request a fair hearing. At this Each time it is determined as to whether the individual is employable a determination or needs medical documentation. The Intake worker will make the appropriate referrals at that time (drug and alchohol evaluation, etc.). The Welfare Employment Representative reviews the appropriate referrals as well as the medical documentation and determines whether the individual is exempt, nonre-exempt, or work limited based on the evidence provided and in accordance with NYCRR guidelines. Once the determination is made of an exempt or non-exempt status the Welfare Employment Representative will notify appropriate LDSS-4005 or LDSS 4005(a) notice is sent to the individual of the determination in writing with the LDSS-4005 and 4005a, Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt)individual.

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 Welfare Employment Representative meets with When a disability is claimed by a Temporary Assistance applicant or recipient the individual and gives them the LDSS- 2642 (documentation requirements) followed by the LDSS-4526 (medical examination is given an LDSS 4526, Medical Examination for employability assessmentEmployment Assessment, disability screeningDisability Screening, and alcoholismAlcoholism/drug addiction determination) Drug Addiction Determination, to be have completed by their physician and returned to the Welfare Employment Representative this Agency within 10 business days. The district When the completed LDSS 4526 is returned to this Agency the form is reviewed by the worker to determine if it has contracted with St. Mary's Hospital for physicalall necessary information to determine employability. If it does not, mental health and drug/alcohol evaluations. Individuals are generally referred the worker contacts the doctor to gather the contracted provider for an evaluation when they do not already have a treating practitioner. The Welfare Employment Representative can also accept medical documentation from the individuals practioneradditional information needed to determine employability. 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: The Intake WorkerWhen a disability is claimed at application or recertification, makes or whenever there is reason to believe that an individual has a physical or mental impairment, the initial employability determination during the application process. At this time it is determined as to whether social services official will give the individual is employable or needs a medical documentationform to be completed and returned to the agency within 10 days. The Intake worker will make individual is advised that this documentation is required in order for the appropriate referrals at that time (drug and alchohol evaluation, etc.). The Welfare Employment Representative reviews the appropriate referrals as well as the medical documentation and determines district to determine whether the individual is exempt, non-exempt, nonexempt or work limited based on limited. When all documentation is submitted the evidence provided employment worker and in accordance with NYCRR guidelinessupervisor reviews and determines status. Once The worker sends the determination is made the Welfare Employment Representative will notify the individual client a LDSS 4005 or LDSS 4005A advising them of the determination in writing districts employability determination. Each individual claiming a disability has a face-to-face meeting with an employment worker to review their medical information and to accomplish the LDSS-4005 and 4005a, Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt).following steps:

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 Welfare Employment Representative meets To document an individual’s disability and/ or medical limitations the applicant/ recipient is provided the LDSS 4526 with a return envelope with the individual and gives them request to bring the LDSS- 2642 (documentation requirements) followed by form to their next appointment provided the LDSS-4526 (medical examination appointment is within 14 days, or the LDSS 4526, Medical Examination for employability assessmentEmployability Assessment, disability screeningDisability Screening, and alcoholismAlcoholism/drug addiction determination) to be completed and returned Drug Addiction Determination, is mailed directly to the Welfare A/R physician for completion. Once the medical report is obtained the district reviews the information and notifies the applicant/recipient in writing of their employment status, exempt or non-exempt, or work limited via the LDSS 4005 or 4005(a). If applicable, the Employment Representative within 10 business daysCoordinator will inform the worksite in writing of the A/R limitations and will follow up weekly with the work site supervisor of any changes. The district has contracted with St. Mary's Hospital for physical, mental health shall determine intervals to update the medical documentation and drug/alcohol evaluations. Individuals are generally referred will make adjustments to the contracted provider for an evaluation work assignment when they do not already have a treating practitioner. The Welfare Employment Representative can also accept medical documentation from the individuals practionernecessary. 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: The Intake Worker, makes Dictrict will contact individual physician directly if there are any questions regarding the initial employability determination during the application process. At this time it is determined as to whether the individual is employable or needs medical documentation. The Intake worker will make the appropriate referrals at that time (drug and alchohol evaluation, etcindividual's limitations of abilities.). The Welfare Employment Representative reviews the appropriate referrals as well as the medical documentation and determines whether the individual is exempt, non-exempt, or work limited based on the evidence provided and in accordance with NYCRR guidelines. Once the determination is made the Welfare Employment Representative will notify the individual of the determination in writing with the LDSS-4005 and 4005a, Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt).

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 Welfare Employment Representative meets with Once an individual claims medical issues, an LDSS 4526 is given to the individual to have his/her health care practitioner fill out and gives them return within the LDSS- 2642 (documentation requirements) followed by required timeframe. Once the LDSS-4526 (form is returned, the agency will review it and make the determination of work limitations. If the medical examination for employability assessmentform is not returned within the required timeframe, disability screening, and alcoholism/drug addiction determination) to be completed and returned to the Welfare Employment Representative within 10 business days. The district has contracted agency proceeds with St. Mary's Hospital for physical, mental health and drug/alcohol evaluations. Individuals are generally referred to the contracted provider for an evaluation when they do not already have a treating practitioner. The Welfare Employment Representative can also accept medical documentation from the individuals practionercase 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 Intake WorkerEmployment Counselor, makes with the initial 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 monitored by Their respective Employment Counselor or Disability Specialist (contracted through United Cerebral Palsy). They will assess and reassess as necessary, obtain updated medical information and make employability determination during the application process. At this time it is determined as to whether the individual is employable or needs medical documentation. The Intake worker will make the appropriate referrals at that time (drug and alchohol evaluation, etc.). The Welfare Employment Representative reviews the appropriate referrals as well as the medical documentation and determines whether the individual is exempt, non-exempt, or work limited based on the evidence provided updated information, and in accordance with NYCRR guidelines. Once the determination is made the Welfare Employment Representative will notify the individual of the determination in writing with the LDSS-4005 make referrals as needed to ACCESS VR, Mental Health, Certified Alcohol Sustance Counselor, and 4005a, Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt)to our SSI Legal Aid project.

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 Welfare Employment Representative meets with the individual and gives them the LDSS- 2642 (documentation requirements) followed by the LDSS-4526 (medical examination for employability assessment, disability screening, and alcoholism/drug addiction determination) to be completed and returned to the Welfare Employment Representative within 10 business days. The district has contracted with St. Mary's Hospital for physical, mental health and drug/alcohol evaluations. Individuals are generally referred to the contracted provider for an evaluation when they do not already have a treating practitioner. The Welfare Employment Representative can also accept medical documentation from the individuals practioner. 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: The Intake WorkerIf a client claims they have a disability or limitations that prevents them from being employed, makes the initial employability determination during district will issue a LDSS-4526 to the application processclient to be completed and returned to the district within 10days. At this time it If the client can demonstrate good cause for needing an extension due to physician being unable to evaluate an extension of up to 30 days may be granted. When medical documentation is determined as received by the TANF, SAFETY NET MOE or SAFETY NET NON MOE unit's, the examiner assigned to whether the individual case will review the information and, if the client's ability to be employed or assigned to other activities, or the extent of any limitations is employable or needs medical documentation. The Intake worker will clearly documented, make the appropriate referrals at that time (drug and alchohol evaluation, etc.). The Welfare Employment Representative reviews the appropriate referrals as well as the medical documentation and determines whether the individual is necessary determination of exempt, non-exempt, or work limited based on limited. The unit's examiner would process employment code changes to accurately reflect the evidence provided client's current condition and in accordance with NYCRR guidelinesprocess the necessary 4005 or 4005a form. Once If additional review of the documentation is needed, then a Senior Examiner or the unit's Principal would make the determnation as to the client's exempt, non-exempt, or work limitations. If a determination is still can not be made by the Welfare Employment Representative will notify Senior Examiner or Principal, the individual would be referred to Industrial Medical Associates for clarification. When Project HIRE initiates the medical review for employment status, the documentation received is reviewed by the Senior Examiner assigned to the case for determination of exempt, non-exempt, or work limited; the 4005 and 4005a are processed accordingly. If additional review of the documentation is needed, then a Senior Examiner II or the Employment Specialist (Supervisor) would make the determnation as to the client's exempt, non-exempt, or work limitations. If a determination in writing with still can not be made by the LDSS-4005 and 4005aSenior Examiner or Principal, Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt)the individual would be referred to Industrial Medical Associates for clarification.

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 Welfare Employment Representative meets with the individual and gives them the LDSS- 2642 (documentation requirements) followed by the LDSS-4526 (medical examination for employability assessment, disability screening, and alcoholism/drug addiction determination) to be completed and returned to the Welfare Employment Representative within 10 business days. The district has contracted with St. Mary's Hospital for physical, mental health and drug/alcohol evaluations. Individuals are generally referred to the contracted provider for an evaluation when they do not already have a treating practitioner. The Welfare Employment Representative can also accept medical documentation from the individuals practioner. 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: The Intake Worker, makes the initial employability determination during the application process. At this time it is determined as to Local district TA eligibility worker will inquire whether the individual applicant/recipient has a physical or mental health condition which would limit his/her ability to participate in work activities. Such inquiry will be made at application, recertification or when there is employable reason to believe an applicant/recipient has an impairment. When an applicant/recipient claims to have a mental health or needs physical impairment, he/she will be given written notification that he/she has ten calendar days, from the date of written notice, to present medical documentation from his/her health care practitioner. The documentation must include a specific diagnosis, specify work limitations and specify the length of time the condition will prevent the applicant/recipient from taking part in work activities. The district will not assign the applicant/recipient to work activities while waiting for medical documentation or while the district is conducting a review of the medical documentation. The Intake worker district will make assess the appropriate referrals at that time (drug information submitted by the applicant’s/recipient’s health care practitioner and alchohol evaluationdetermine if the applicant/recipient is disabled, etc.)work-limited or not disabled. The Welfare Employment Representative reviews Written notice of the appropriate referrals as well as the medical documentation and determines whether the individual is exempt, non-exempt, or work limited based on the evidence provided and in accordance with NYCRR guidelines. Once the determination is made the Welfare Employment Representative will notify the individual results of the determination in writing with and the LDSS-4005 right to a fair hearing to contest the determination will be provided to the client, via the LDSS 4005 and 4005a, Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt)4005(a) forms.

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 Welfare Employment Representative meets with the individual and gives them the LDSS- 2642 (documentation requirements) followed by the LDSS-4526 (medical examination for employability assessment, disability screening, and alcoholism/drug addiction determination) to be completed and returned to the Welfare Employment Representative within 10 business days. The district LDSS has contracted with St. Mary's Hospital for physical, mental health and drug/alcohol evaluations. Individuals CLients are generally referred to the contracted provider for an evaluation when they do not already have a treating practitioner. The Welfare Employment Representative can LDSS also accept accepts medical documentation from the individuals client's practioner. 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: The Generally, TA staff, namely the Intake Worker, makes the initial employability determination determinatin during the application process. At this time it is determined process as to whether the individual client will pursue a medical or is employable or needs medical documentation. employable, The Intake worker will make the appropriate referrals at that time (drug and alchohol evaluation, etc.)time. The Welfare Employment Representative reviews worker determines subsequent employability changes once the appropriate referrals as well as case is opened. They collect all of the medical documentation received on the client and determines review it to determine whether the individual is exempt, non-non- exempt, or work limited based on the this evidence provided and in accordance with NYCRR guidelines. Once the determination is made the Welfare Employment Representative worker will notify the individual of the determination in writing with the LDSS-4005 and 4005a, Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-Exempt).

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 Welfare Employment Representative meets with the individual and gives them the LDSS- 2642 (documentation requirements) followed by the LDSS-4526 (medical examination for employability assessment, disability screening, and alcoholism/drug addiction determination) to be completed and returned to the Welfare Employment Representative within 10 business days. The district has contracted with St. Mary's Hospital for physical, mental health and drug/alcohol evaluations. Individuals are generally referred to the contracted provider for an evaluation when they do not already have a treating practitioner. The Welfare Employment Representative can also accept medical documentation from the individuals practioner. 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: The Intake Worker, makes the initial employability determination during the application process. At this time Whenever it is determined as to whether believed an applicant/recipient may have a physical and/or mental impairment, the individual is employable or needs medical documentation. The Intake worker will make the appropriate referrals at that time (drug and alchohol evaluation, etc.). The Welfare Employment Representative reviews the appropriate referrals as well as the medical documentation and determines whether the individual is exempt, non-exempt, or work limited based on the evidence provided and in accordance with NYCRR guidelines. Once the determination is made the Welfare Employment Representative agency will notify the individual verbally and in writing that they have the opportunity to present to the agency, within 10 calendar days of the determination in writing notification, any medical documentation, including but not limited to, current drug prescriptions, reports from the individual’s treating healthcare practitioner. Such documentation must contain a specific diagnosis resulting from any medically appropriate tests and specify work limitations or restrictions, if any. The agency will also provide the applicant/recipient with form DSS-4526, “Medical Examination for Employability Assessment, Disability Screening and Alcoholism/Drug Addiction Determination” to take to their physician to complete and return to the agency. Should the applicant/recipient declare they are without a current healthcare practitioner; the agency will refer them to a local practitioner together with the LDSS-4005 and 4005a, DSS-4526 referenced above. The employment status is determined by the Senior Social Welfare Examiner based on medical information. The Examiners will send out the Notification of Temporary Assistance Work Requirements Requirement Determination (Exempt/Non-ExemptLDSS-4005, LDSS-4005a).