Common use of Disability Determination Process and Tools Clause in Contracts

Disability Determination Process and Tools. ‌ a. The district’s process for determining an individual’s disabilities and/or work limitations must be in accordance with 18 NYCRR 385.2(d). Indicate below what the district’s process is for determining an individual’s disabilities and/or work limitations. (Select all that apply, and describe the process) District participates in the OTDA managed contract for 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 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. b. Indicated below is the process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited and describe the process by which the determination is made. (Select all that apply) 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

Disability Determination Process and Tools. ‌ a. The district’s process for determining an individual’s disabilities and/or work limitations must be is in accordance with 18 NYCRR 385.2(d). Indicate below what the district’s process is for determining an individual’s disabilities and/or work limitations. (Select 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 necessary. Other process Self (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. b. Indicated below is the .  The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited and describe the process by which the determination is made. (Select all that apply) 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 ) 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 determinationdetermination 

Disability Determination Process and Tools. ‌ a. The district’s process for determining an individual’s disabilities and/or work limitations must be in accordance with 18 NYCRR 385.2(d). Indicate below what the district’s process is for determining an individual’s disabilities and/or work limitations. (Select 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 Self Sufficiency staffTo determine an individual's disability and/or medical limitations, temporary assistance examiner staffa current medical statement is required at application, recertification or at intervals determined by the circumstances. The DSS medical or mental evaluation is completed and submitted to the department within 10 days; once received, is reviewed to determine initial ability to work or address work limitations. Once all documentation to be reviewed is obtained and a determination is made, the individual will be notified of such, and the right to a fair hearing. The district will inform work activity providers of any individual's limitations; to ensure the worksite is responding to the respective limitations of each participant, the DSS Employment staff contacts the site supervisor regularly, making adjustments in work assignment/location when necessary, or contracted assessment staff may review as warranted upon receipt of updated medical documentation and make determinations on whether individuals are exempt, nonexempt, or work-limited and complete the LDSS-4005 (Notice statements. The district will inform providers 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 any limitations in order to make a determinationwriting. b. Indicated below is the process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited and describe the process by which the determination is made. (Select all that apply) 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 Medicals submitted by the designated Self Sufficiency Examiner staffparticipants from their practitioner are used for employability determination by the Employment Supervisor & staff to determine what, and if, any activities can be done within the documented limitations/restrictions listed. In situations that are complex Additional medical or an individual psychological evaluations may be requested should the district feel it is contesting the determination, MCDSS may request additional testing or evaluations from IMA or from another appropriate community resource in order to make a determinationwarranted.

Disability Determination Process and Tools. ‌ a. The district’s process for determining an individual’s disabilities and/or work limitations must be is in accordance with 18 NYCRR 385.2(d). Indicate below what the district’s process is for determining an individual’s disabilities and/or work limitations. (Select 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 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. b. Indicated below is the . The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited and describe the process by which the determination is made. (Select all that apply) 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 ) 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

Disability Determination Process and Tools. ‌ a. ‌ The district’s process for determining an individual’s disabilities and/or work limitations must be is in accordance with 18 NYCRR 385.2(d). Indicate below what the district’s process is for determining an individual’s disabilities and/or work limitations. (Select 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 necessary. Other process Self Sufficiency staff(please describe): Our district has a district managed contract to provide independent medical evaluations. Our district has a district managed contract to provide independent medical evaluations through IMA. Determinations made by IMA are considered final decisions on what type and duration of the exemption. Medicals from the clients’ doctors are reviewed by Senior Social Welfare Examiners, temporary assistance examiner staff, or contracted assessment staff may review placed on a data base and referred to the medical documentation and make determinations home visit vendor. The Senior Social Welfare Examiner will determine the duration of the exemption based on whether individuals are exempt, nonexempt, or work-limited and complete the LDSS-4005 (Notice of Disability Determination) accordinglydoctors’ recommendations. If it is longer than 12 months they will be referred to our SSI determination unit. In situations where all cases the individuals have previously been coded exempt and are being redistrict will notify the individual of the determination in writing with the LDSS- 4005/a Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-evaluated, the medical statements and determinations will be handled by the designated Self Sufficiency Examiner staffExempt). 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. b. Indicated below is the The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited and describe the process by which the determination is made. (Select all that apply) 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: Orange County has a contract with Merakey to do in-home assessments of our temporary disabled population. Other Self Sufficiency staffThe workers make home visits, temporary assistance examiner staffdo complete assessments, or contracted assessment staff may review medical help with doctor appointments and assist with SSI forms if needed. The Merakey workers collect the documentation and bring this information back to the DSS office where caseworkers and supervisors make determinations on whether individuals are exempt, nonexempt, and plan next steps. The goal of the contract is to return temporary disabled clients to employment or work-limited to assist with receiving SSI/SSD benefits. We also use an independent medial service (IMA) to determine the cleint's employability. The combination of the two services minimizes the amount of clients that receive exemptions from employment and complete maximizes our use of 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 determinationSocial Security system.

Disability Determination Process and Tools. ‌ a. ‌ The district’s process for determining an individual’s disabilities and/or work limitations must be is in accordance with 18 NYCRR 385.2(d). Indicate below what the district’s process is for determining an individual’s disabilities and/or work limitations. (Select 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 necessary. Other process Self Sufficiency staff, temporary assistance examiner staff, or contracted assessment staff may review medical (please describe): Steps on how determination is made: 1. A specific diagnosis 2. Any specific work limitations caused by this diagnosis 3. The expected duration of these work limitations/prognosis 4. The duration of the disability The local district has sole discretion in determining if the 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 provided is contesting the determination, MCDSS may request additional testing or evaluations from IMA or from another appropriate community resource in order sufficient to make a determination. b. Indicated below determination of medical impairment. Submitting the required documentation is described above to determine the initial claim of impairment by an applicant, or in evaluating the continuing claim of a recipient who has been previously determined exempt from participation in work activities, shall be a condition of initial or ongoing eligibility for Temporary Assistance. For SNAP, failure to document a disability causes the individual to lose exempt status. The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited and describe the process by which the determination is made. (Select all that apply) 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: Family Services or Center for Workforce issues a Medical Evaluation form that is requested to be returned to DFS worker within 10 days, unless more time is needed due to individual's circumstances. Other Self Sufficiency staffDistrict's Employment Services Coordinator reviews information obtained from the participant, temporary assistance examiner staffparticipant's medical providers, or contracted assessment drug and alcohol providers, independent medical evaluations, and any other information deemed pertinent to determine the status of the individual's disability as well as the individual's potential to be restored to selfsufficiency. Local district staff may review medical documentation and make determinations on whether individuals are use this information to determine if the individual is exempt, nonexempt, or work-limited and complete the LDSS-4005 (Notice of Disability Determination) accordinglywork limited. 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 The individual is contesting notified in writing of the determination, MCDSS may request additional testing or evaluations from IMA or from another appropriate community resource in order to make a determinationditrict's disability determination via the LDSS- 4005/4005a.

Disability Determination Process and Tools. ‌ a. The district’s process for determining an individual’s disabilities and/or work limitations must be is in accordance with 18 NYCRR 385.2(d). Indicate below what the district’s process is for determining an individual’s disabilities and/or work limitations. (Select 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 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. b. Indicated below is the . The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited and describe the process by which the determination is made. (Select all that apply) 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 ) 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-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.

Disability Determination Process and Tools. ‌ a. ‌ The district’s process for determining an individual’s disabilities and/or work limitations must be is in accordance with 18 NYCRR 385.2(d). Indicate below what the district’s process is for determining an individual’s disabilities and/or work limitations. (Select 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 necessary. Other process Self Sufficiency staff, temporary assistance examiner staff(please describe): If at application or recertification, or contracted during the assessment staff may review 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 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 make determinations a determination based on whether individuals are exempt, nonexempt, information contained in that medical. Upon receipt of a fully completed medical 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-evaluatedan IMA evaluation, the medical statements client is provided a LDSS4005 or 4005(a), via mail or in person, to notify him or her of the disability determination and determinations the right to request a fair hearing. If a SNAP recipient fails to supply documentation of a claimed exemption, he/she will be handled by the designated Self Sufficiency Examiner staffdetermined to be non-exempt from SNAP work requirements. 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. b. Indicated below is the The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited and describe the process by which the determination is made. (Select all that apply) 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: In cases where IMA is not utilized, Employment workers review and determine status. Upon receipt of a fully completed medical , the 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. Other Self Sufficiency staff, temporary assistance examiner staff, Each time a determination 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, determination is made of an exempt or non-exempt status the medical statements and determinations will be handled by appropriate LDSS-4005 or LDSS 4005(a) notice is sent to 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 determinationindividual.

Disability Determination Process and Tools. ‌ a. The district’s process for determining an individual’s disabilities and/or work limitations must be is in accordance with 18 NYCRR 385.2(d). Indicate below what the district’s process is for determining an individual’s disabilities and/or work limitations. (Select 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 necessary. Other process Self Sufficiency staff(please describe): Our district has a district managed contract to provide independent medical evaluations. Our district has a district managed contract to provide independent medical evaluations through IMA. Determinations made by IMA are considered final decisions on what type and duration of the exemption. Medicals from the clients’ doctors are reviewed by Senior Social Welfare Examiners, temporary assistance examiner staff, or contracted assessment staff may review placed on a data base and referred to the medical documentation and make determinations home visit vendor. The Senior Social Welfare Examiner will determine the duration of the exemption based on whether individuals are exempt, nonexempt, or work-limited and complete the LDSS-4005 (Notice of Disability Determination) accordinglydoctors’ recommendations. If it is longer than 12 months they will be referred to our SSI determination unit. In situations where all cases the individuals have previously been coded exempt and are being redistrict will notify the individual of the determination in writing with the LDSS- 4005/a Notification of Temporary Assistance Work Requirements Determination (Exempt/Non-evaluated, the medical statements and determinations will be handled by the designated Self Sufficiency Examiner staffExempt). 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. b. Indicated below is the The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited and describe the process by which the determination is made. (Select all that apply) 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: Orange County has a contract with Merakey to do in-home assessments of our temporary disabled population. Other Self Sufficiency staffThe workers make home visits, temporary assistance examiner staffdo complete assessments, or contracted assessment staff may review medical help with doctorappointments and assist with SSI forms if needed. The Merakey workers collect the documentation and bring this information back to the DSS office where caseworkers and supervisors make determinations on whether individuals are exempt, nonexempt, and plan next steps. The goal of the contract is to return temporary disabled clients to employment or work-limited to assist with receiving SSI/SSD benefits. We also use an independent medial service (IMA) to determine the cleint's employability. The combination of the two services minimizes the amount of clients that receive exemptions from employment and complete maximizes our use of 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 determinationSocial Security system.

Disability Determination Process and Tools. ‌ a. ‌ The district’s process for determining an individual’s disabilities and/or work limitations must be is in accordance with 18 NYCRR 385.2(d). Indicate below what the district’s process is for determining an individual’s disabilities and/or work limitations. (Select 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 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. b. Indicated below is the . The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited and describe the process by which the determination is made. (Select all that apply) 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 ) 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

Disability Determination Process and Tools. ‌ a. ‌ The district’s process for determining an individual’s disabilities and/or work limitations must be is in accordance with 18 NYCRR 385.2(d). Indicate below what the district’s process is for determining an individual’s disabilities and/or work limitations. (Select 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 necessary. Other process Self Sufficiency staff, temporary assistance examiner staff, or contracted assessment staff may review (please describe): All medical documentation and make determinations for applicant/recipients of TA is reviewed by the Sr. Social Welfare or the Social Welfare Examiner in the Employment Unit. The Sr. Social Welfare Examiner or the Social Welfare Examiner in the Employment Unit reviews the medical information in addition to other information available which may include duration on assistance, medical/mental health limitations from case file, known employment barriers, compliance history or previous SSI/SSD denial. The Sr. Social Welfare Examiner or the Social Examiner will determine whether individuals are there is sufficient supporting documentation to determine if the individual is exempt, nonexempt, or work-limited and complete work limited. The Sr. Social Welfare Examiner may require the LDSS-4005 individual to undergo an independent medical evaluation with IMA (Notice Industrial Medicine Associates) in Binghamton, NY to identify limitations and/or potential for restoring employability or recommendations for treatment needs. Transportation assistance is offered to the individual to assure individuals compliance with scheduled evaluation. Upon receipt of Disability Determination) accordingly. In situations where the individuals have previously been coded exempt and are being re-evaluatedcompleted IMA evaluation report, the Sr. Social Welfare Examiner reviews the medical statements report and determinations will be handled by determines the designated Self Sufficiency Examiner staffappropriate employment code, performs data entry of information onto WTWCMS and refers case information to the Employment/OET worker for update or completion of employment plan with individual. 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. b. Indicated below is the The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited and describe the process by which the determination is made. (Select all that apply) 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 the individual is determined to be exempt due to a disability expected to last more than twelve months, the Social Welfare Examiner will engage the individual in DCAP (Disabled Client Assistance Program) and will provide referral and application assistance to the individual to access additional government entitlements or program/support services available such as SSI/SSD, VA benefits, etc. Other Self Sufficiency staff, temporary assistance examiner staffThe district will notify an individual of exempt/nonexempt status whenever an individual alleges to be unable to participate, or contracted assessment staff may the individual otherwise participates in the employability disability review medical documentation described in 18 NYCRR 385.2. The LDSS-4005 will be used to notify individuals determined to be exempt and make determinations on whether the LDSS-4005(a) will be used to notify individuals are exempt, determined to be 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 determinationincluding work limited.

Disability Determination Process and Tools. ‌ a. ‌ The district’s process for determining an individual’s disabilities and/or work limitations must be is in accordance with 18 NYCRR 385.2(d). Indicate below what the district’s process is for determining an individual’s disabilities and/or work limitations. (Select 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 necessary. Other process Self Sufficiency staff, temporary assistance examiner staff, or contracted assessment staff may review medical (please describe): Steps on how determination is made: 1. A specific diagnosis 2. Any specific work limitations caused by this diagnosis 3. The expected duration of these work limitations/prognosis 4. The duration of the disability The local district has sole discretion in determining if the 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 provided is contesting the determination, MCDSS may request additional testing or evaluations from IMA or from another appropriate community resource in order sufficient to make a determination. b. Indicated below determination of medical impairment. Submitting the required documentation is described above to determine the initial claim of impairment by an applicant, or in evaluating the continuing claim of a recipient who has been previously determined exempt from participation in work activities, shall be a condition of initial or ongoing eligibility for Temporary Assistance. For SNAP, failure to document a disability causes the individual to lose exempt status. The local process for reviewing the medical documentation to determine if the individual is exempt, nonexempt, or work limited and describe the process by which the determination is made. (Select all that apply) 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: Family Services or Center for Workforce issues a Medical Evaluation form that is requested to be returned to DFS worker within 10 days, unless more time is needed due to individual's circumstances. Other Self Sufficiency staffDistrict's Employment Services Coordinator reviews information obtained from the participant, temporary assistance examiner staffparticipant's medical providers, or contracted assessment drug and alcohol providers, independent medical evaluations, and any other information deemed pertinent to determine the status of the individual's disability as well as the individual's potential to be restored to self-sufficiency. Local district staff may review medical documentation and make determinations on whether individuals are use this information to determine if the individual is 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