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): - A physical examination is required prior to any JOBTRAK assignment. Physicals are conducted by the Allegany County Health Department unless the client chooses to go to their primary care provider. - Any individual who claims to have a limitation or disability must provide the agency with the name(s) of his or her medical provider(s) and sign a release of information. - A participant claiming a limitation or disability may be required by ACDSS to make an appointment with his/her health care provider(s) to obtain current information abouth the person's xxxxxx.Xx is the client's responsibility to provide documentation of this to the agency. -If it is determined by the health care provider that the individual has no limitations, or can work with limitations, the individual will be assigned to appropriate work activities regardless of whether the individual has applied for SSI - If it is determined by the health care provider that the individual is unable to work, the district may refer the individual to a health care provider for a second opinion, and/or may require that the individual apply for SSI. - When it is indicated that an individual has a limitation or is temporarily disabled but, with treatment, is likely to improve his or her medical status, the individual will be notified that s(he) must enter into the recommended course of treatment and that failure to comply with the recommended course of treatment will be cause for case action, including sanction. These individuals will only be assigned to work activities that are determined to be within the person's limitations. Noncompliance for an exempt individual results in ineligibility for the individual. - If there are no work activities that can safely accommodate the individual's limitations and/or plan of treatment, a person with medical limitations may be offered the option of proposing a community service plan as his/her work activity. However, if the individual is unable to arrange for community service, no negative action will be taken. - An individual with documentation of permanent and/or total disability will be assisted through ACDSS's DCAP program and Legal Services, to pursue SSI. Such an individual will also be provided information regarding ACCES-VR services and the ADA, and will be encouraged to seek assistance for becoming self-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: Employment worker reviews and determines employment status. For individuals who are exempt the caseload examiner receives a copy of the medical doumentation and is responsible to follow-up at certain intervals to obtain updated medical information

Disability Determination Process and Tools. ‌ The district’s process for determining an individual’s disabilities and/or work limitations is in accordance with 18 NYCRR 385.2(d). Check all that apply, and describe the process: District participates in the OTDA managed contract for independent medical evaluations. District contracts directly with a physician to provide independent medical evaluations. District accepts physician’s statement provided by participant. District accepts physician’s statement provided by participant but refers for an independent evaluation when deemed necessary. Other process (please describe): - A physical examination is required prior When an individual indicates that they are unable to any JOBTRAK assignment. Physicals work due to medical/mental health reasons, they are conducted by the Allegany County Health Department unless the client chooses to go to their primary care provider. - Any individual who claims to have a limitation or disability must provide the agency with the name(s) of his or her medical provider(s) and sign a release of information. - A participant claiming a limitation or disability may be required by ACDSS to make an appointment with his/her health care provider(s) to obtain current information abouth the person's xxxxxx.Xx is the client's responsibility requested to provide documentation of this to such limitation by having their health care practitioner or medical provider complete a statement (preferably the agencyLDSS-4526). -If it is determined by If the health care practitioner's or medical provider's statement is not complete, or fails to provide sufficient information, the Employment Unit case manager may contact the health care practitioner or medical provider directly for clarification. If the individual does not have a health care practitioner or medical provider or has provided a health care practitioner's or medical provider's statement that is questionable, a referral for a consultative evaluation is made. When an individual indicates that they are unable to work because they are needed in the home to care for a disabled/incapaciated household member they are requested to provide documentation from the household member's health care practitioner or medical 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 impairment exists and that the individual household member is unable to work, in need of care by completing 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. - When it is indicated that an individual has a limitation or is temporarily disabled but, with treatment, is likely to improve his or her medical status, the individual will be notified that s(he) must enter into the recommended course of treatment and that failure to comply with the recommended course of treatment will be cause for case action, including sanction. These individuals will only be assigned to work activities that are determined to be within the person's limitations. Noncompliance for an exempt individual results in ineligibility for the individual. - If there are no work activities that can safely accommodate the individual's limitations and/or plan of treatment, a person with medical limitations may be offered the option of proposing a community service plan as his/her work activity. However, if the individual is unable to arrange for community service, no negative action will be taken. - An individual with documentation of permanent and/or total disability will be assisted through ACDSS's DCAP program and Legal Services, to pursue SSI. Such an individual will also be provided information regarding ACCES-VR services and the ADA, and will be encouraged to seek assistance for becoming self-supportingCaretaker Medical Information Employability Assessment (Attachment J). 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 Employment worker Unit case manager reviews the documentation provided and determines employment if completed fully will submit the documentation to the Employment Unit Medical Review Team for review and determination of status. For individuals who are exempt The decision is based primarily on the caseload examiner receives a copy “Functional Limitations” as listed by the physician in section IV of the LDSS-4526 (if that form has been presented) and/or whatever additional information the physician has written either on the form or in a separate letter indicating their opinion as to the employability of the individual. If the documentation fails to provide sufficient information to render an employability determination, a call is placed by the Employment Unit case manager to the physician to clarify their position. If the Employment Unit case manager is unable to make contact with the physician, or needs further information, the individual is referred for a consultative evaluation to receive a medical doumentation report that may provide additional information needed to make an employability code determination (all medical documentation received by the Employment Unit case manager is sent to the consultative evaluator for consideration). Through the CNS (Client Notice System) the Employment Unit case manager issues the Notice of Temporary Assistance Work Requirements Determination (LDSS-4005 or LDSS-4005a) notifying the individual of the agency’s decision including an employability determination of exempt or non-exempt and is responsible to follow-up at certain intervals to obtain updated medical informationany limitations that have been indicated.

Disability Determination Process and Tools. ‌ a. The district’s process for determining an individual’s disabilities and/or work limitations is must be in accordance with 18 NYCRR 385.2(d). Check 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: ) X X 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): - A Local district TA eligibility workers will inquire whether the applicant/recipient has a physical examination or mental impairment which would limit his/her ability to participate in work activities. Such inquiry will be made at application, recertification or when there is required prior reason to any JOBTRAK assignmentbelieve that an applicant/recipient has an impairment. Physicals are conducted by the Allegany County Health Department unless the client chooses to go to their primary care provider. - Any individual who When an applicant/recipient claims to have a limitation mental or disability must provide physical impairment, he/she will be given written notification that he/she has ten calendar days, from the agency with the name(s) date of his or her written notice, to present medical provider(s) and sign a release of information. - A participant claiming a limitation or disability may be required by ACDSS to make an appointment with documentation from his/her health care provider(s) to obtain current information abouth the person's xxxxxx.Xx practitioner. The LDSS-4526 is the client's responsibility to provide documentation of this provided to the agencyclient and must be fully completed to determine the extent of the limitation(s). -If it is determined by Any other medical documentation must include a specific diagnosis; specify work limitations; and specify the health care provider that length of time the individual has no limitations, or can impairment will prevent the applicant/recipient from taking part in work with limitations, activities. The district will not assign 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. - When it is indicated that an individual has a limitation or is temporarily disabled but, with treatment, is likely to improve his or her medical status, the individual will be notified that s(he) must enter into the recommended course of treatment and that failure to comply with the recommended course of treatment will be cause for case action, including sanction. These individuals will only be assigned applicant/recipient to work activities that are determined to be within while waiting for medical documentation or while the persondistrict is conducting a review of the medical documentation. The district will assess the information submitted by the applicant's/recipient's limitations. Noncompliance for an exempt individual results in ineligibility for the individual. - If there are no work activities that can safely accommodate the individual's limitations and/or plan of treatment, a person with medical limitations may be offered the option of proposing a community service plan as his/her work activity. However, health care practitioner and determine if the individual applicant/recipient is unable disabled, work-limited or not disabled. Written notice of the results of the determination and the right to arrange for community service, no negative action a fair hearing to contest the determination will be takenprovided to the client, via the LDSS- 4005 and LDSS-4005(a) forms. - An individual with documentation of permanent and/or total disability will be assisted through ACDSS's DCAP program and Legal Services, to pursue SSI. Such an individual will also be provided information regarding ACCES-VR services and In the ADA, and will be encouraged to seek assistance for becoming self-supporting. The local process for reviewing event the medical documentation submitted by the applicant's/recipient's health care practitioner is insufficient to determine if make a determination, the individual applicant/recipient may be required to obtain additional documentation from their health care provider. TCDSS has recently begun participating in the OTDA managed contract for independent medical evaluations (IME) and is exempt, nonexempt, or work limited is as follows: District directs in the contracted physician or individual’s physician process of establishing a district review team to review XXXx and 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 worker reviews and determines employment status. For individuals who are exempt the caseload examiner receives a copy of the medical doumentation and is responsible to follow-up at certain intervals to obtain updated medical information.

Disability Determination Process and Tools. ‌ a. The district’s process for determining an individual’s disabilities and/or work limitations is must be in accordance with 18 NYCRR 385.2(d). Check 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. X District accepts physician’s statement provided by participant but refers for an independent evaluation when deemed necessary. necessary Other process (please describe): - A physical examination is required prior Niagara County will adhere to any JOBTRAK assignmentthe disability program requirements set forth in 18 NYCRR 385.2(d). Physicals are conducted by The disability procedure will be followed whenever the Allegany County Health Department unless the client chooses applicant/recipient claims an inability to go to their primary care provider. - Any individual who claims to have work, a work limitation or disability must provide whenever the agency with district worker suspects that an inability to work or a work limitation might exist. If the name(s) of his or her medical provider(s) and sign a release of information. - A participant claiming a limitation or disability may be required by ACDSS to make an appointment with applicant/recipient has his/her own health care provider(sprovider, he/she will be provided ten (10) calendar days to obtain current information abouth submit evidence in support of the person's xxxxxx.Xx is the client's responsibility claim to provide documentation of this be unable to the agencywork or work-limited. -If In instances where it is determined by 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. It is understood that an individual's health care provider that may not be a physician or certified psychologist. However, the District reserves the right to require additional documentation from the individual has no limitations, or can work with limitations, when the individual will be assigned to appropriate work activities regardless of whether the individual has applied documentation on file is insufficient for SSI - If it is determined by the health care provider that the individual is unable to work, the district may refer to make a determination on exempt/non-exempt status. NCDSS staff will review any documentation submitted by the individual to a health care provider support his/her claim for a second opinionexemption from work program requirements. The individual's past medical history, and/or may require that work limitations, prior work history and the individual apply for SSI. - When it is indicated that an individual has a limitation or is temporarily disabled but, with treatment, is likely to improve his or her medical status, the individual availability of "light duty" worksites will be notified that s(he) must enter into the recommended course of treatment and that failure to comply with the recommended course of treatment will be cause for case action, including sanction. These individuals will only be assigned to work activities that are determined to be within the person's limitations. Noncompliance for an exempt individual results factors in ineligibility for the individual. - If there are no work activities that can safely accommodate determining the individual's limitations and/or plan exempt/nonexempt status. Niagara County will utilize the LDSS 4005 or 4005(a) to notify individuals of treatment, a person with medical limitations may be offered the option of proposing a community service plan as his/her work activity. However, if the individual is unable to arrange for community service, no negative action will be taken. - An individual with documentation of permanent and/or total disability will be assisted through ACDSSDistrict's DCAP program and Legal Services, to pursue SSI. Such an individual will also be provided information determination regarding ACCES-VR services and the ADA, and will be encouraged to seek assistance for becoming self-supporting. The local process for reviewing the medical documentation to determine if whether the individual is exempt, nonexemptwork-limited, or work limited is as follows: District directs non-exempt. The individual retains the contracted physician or individual’s physician right to determine status. District review team reviews and determines status (described below). Specialized disabilityrequest a fair hearing should the issue not be resolved to his/medical staff or unit reviews and determines status (described below) Other: Employment worker reviews and determines employment status. For individuals who are exempt the caseload examiner receives a copy of the medical doumentation and is responsible to follow-up at certain intervals to obtain updated medical informationher satisfaction.

Disability Determination Process and Tools. ‌ The district’s process for determining an individual’s disabilities and/or work limitations is in accordance with 18 NYCRR 385.2(d). Check all that apply, and describe the process: District participates in the OTDA managed contract for independent medical evaluations. District contracts directly with a physician to provide independent medical evaluations. District accepts physician’s statement provided by participant. District accepts physician’s statement provided by participant but refers for an independent evaluation when deemed necessary. Other process (please describe): - A Local district TA eligibility workers will inquire whether the applicant/recipient has a physical examination or mental impairment which would limit his/her ability to participate in work activities. Such inquiry will be made at application, recertification or when there is required prior reason to any JOBTRAK assignmentbelieve that an applicant/recipient has an impairment. Physicals are conducted by the Allegany County Health Department unless the client chooses to go to their primary care provider. - Any individual who When an applicant/recipient claims to have a limitation mental or disability must provide physical impairment, he/she will be given written notification that he/she has ten calendar days, from the agency with the name(s) date of his or her written notice, to present medical provider(s) and sign a release of information. - A participant claiming a limitation or disability may be required by ACDSS to make an appointment with documentation from his/her health care provider(s) to obtain current information abouth the person's xxxxxx.Xx practitioner. The LDSS-4526 is the client's responsibility to provide documentation of this provided to the agencyclient and must be fully completed to determine the extent of the limitation(s). -If it is determined by Any other medical documentation must include a specific diagnosis; specify work limitations; and specify the health care provider that length of time the individual has no limitations, or can impairment will prevent the applicant/recipient from taking part in work with limitations, activities. The district will not assign 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. - When it is indicated that an individual has a limitation or is temporarily disabled but, with treatment, is likely to improve his or her medical status, the individual will be notified that s(he) must enter into the recommended course of treatment and that failure to comply with the recommended course of treatment will be cause for case action, including sanction. These individuals will only be assigned applicant/recipient to work activities that are determined while waiting for medical documentation or while the district is conducting a review of the medical documentation. The district will assess the information submitted by the applicant’s/recipient’s health care practitioner and determine if the applicant/recipient is disabled, work-limited or not disabled. Written notice of the results of the determination and the right to a fair hearing to contest the determination will be within provided to the person's limitationsclient, via the LDSS-4005 and LDSS-4005(a) forms. Noncompliance for an exempt individual results in ineligibility for In the individual. - If there are no work activities that can safely accommodate event the individual's limitations and/or plan of treatmentmedical documentation submitted by the applicant’s/recipient’s health care practitioner is insufficient to make a determination, a person with medical limitations the applicant/recipient may be offered the option of proposing a community service plan as his/her work activity. However, if the individual is unable required to arrange for community service, no negative action will be taken. - An individual with obtain additional documentation of permanent and/or total disability will be assisted through ACDSS's DCAP program and Legal Services, to pursue SSI. Such an individual will also be provided information regarding ACCES-VR services and the ADA, and will be encouraged to seek assistance for becoming self-supportingfrom their health care provider. 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 worker Unit staff reviews and determines employment status. For individuals who are exempt status with the caseload examiner receives a copy assistance of the medical doumentation and is responsible Administrative Assistant in the Medicaid Unit when necessary. TCDSS continues to follow-up at review the options of utilizing an Independent Medical Examiner (IME) to review certain intervals to obtain updated medical informationdisability cases.

Disability Determination Process and Tools. ‌ a. The district’s process for determining an individual’s disabilities and/or work limitations is must be in accordance with 18 NYCRR 385.2(d). Check 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. necessary Other process (please describe): - When an applicant or recipient declares a medical impairment, the local district issues a Physical/Psychological Assessment for Determination of Employability. This form also states that the following information is required: 1. A physical examination 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 provided is sufficient to make a determination of medical impairment. Submitting the required prior documentation is described above to any JOBTRAK assignmentdetermine 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. Physicals are conducted by For SNAP, failure to document a disability causes the Allegany County Health Department unless the client chooses individual to go to their primary care providerlose exempt status. - Any individual who claims to have a limitation or disability must provide the agency with the name(s) of his or her medical provider(s) and sign a release of information. - A participant claiming a limitation or disability Additional documentation may be required by ACDSS to make an appointment with his/her of the individual's health care provider(s) practitioner to obtain current information abouth evaluate an individual's ongoing claim of a mental or physical impairment. In these circumstances, such individual remains exempt until a final employability determination is made by the person's xxxxxx.Xx local district. If an individual has demonstrated an inability to successfully participate in work activities or employment and the local district has reason to believe this is due to a disability or work limitation, the client's responsibility local district shall require the individual to provide documentation of this participate in a disability related screening and/or evaluation. Additionally, if an individual has demonstrated an inability to the agency. -If it successfully function in a work setting and is determined by the health care provider that the individual has no limitations, through an evaluation or can work with limitationsassessment to be exempt and in need to treatment, the individual will shall be assigned required to appropriate work activities regardless participate in necessary treatment a condition of whether the individual has applied eligibility 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. - When it is indicated that an individual has a limitation or is temporarily disabled but, with treatment, is likely to improve his or her medical status, the individual will be notified that s(he) must enter into the recommended course of treatment and that failure to comply with the recommended course of treatment will be cause for case action, including sanction. These individuals will only be assigned to work activities that are determined to be within the person's limitations. Noncompliance for an exempt individual results in ineligibility for the individual. - If there are no work activities that can safely accommodate the individual's limitations and/or plan of treatment, a person with medical limitations may be offered the option of proposing a community service plan as his/her work activity. However, if the individual is unable to arrange for community service, no negative action will be taken. - An individual with documentation of permanent and/or total disability will be assisted through ACDSS's DCAP program and Legal Services, to pursue SSI. Such an individual will also be provided information regarding ACCES-VR services and the ADA, and will be encouraged to seek assistance for becoming self-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: Employment worker reviews and determines employment status. For individuals who are exempt the caseload examiner receives a copy of the medical doumentation and is responsible to follow-up at certain intervals to obtain updated medical informationtemporary assistance.

Disability Determination Process and Tools. ‌ a. The district’s process for determining an individual’s disabilities and/or work limitations is must be in accordance with 18 NYCRR 385.2(d). Check 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. necessary Other process (please describe): - A Local district TA eligibility worker will inquire whether the applicant/recipient has a physical examination 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 required prior reason to any JOBTRAK assignmentbelieve an applicant/recipient has an impairment. Physicals are conducted by the Allegany County Health Department unless the client chooses to go to their primary care provider. - Any individual who When an applicant/recipient claims to have a limitation mental health or disability must provide physical impairment, he/she will be given written notification that he/she has ten calendar days, from the agency with the name(s) date of his or her written notice, to present medical provider(s) and sign a release of information. - A participant claiming a limitation or disability may be required by ACDSS to make an appointment with documentation from his/her health care provider(s) to obtain current information abouth practitioner. The documentation must include a specific diagnosis, specify work limitations and specify the person's xxxxxx.Xx is length of time the client's responsibility to provide documentation of this to condition will prevent the agencyapplicant/recipient from taking part in work activities. -If it is determined by The district will not assign the health care provider that the individual has no limitations, or can work with limitations, the individual will be assigned to appropriate work activities regardless of whether the individual has applied for SSI - If it is determined by the health care provider that the individual is unable to work, the district may refer the individual to a health care provider for a second opinion, and/or may require that the individual apply for SSI. - When it is indicated that an individual has a limitation or is temporarily disabled but, with treatment, is likely to improve his or her medical status, the individual will be notified that s(he) must enter into the recommended course of treatment and that failure to comply with the recommended course of treatment will be cause for case action, including sanction. These individuals will only be assigned applicant/recipient to work activities that are determined to be within while waiting for medical documentation or while the person's limitations. Noncompliance for an exempt individual results in ineligibility for district is conducting a review of the individual. - If there are no work activities that can safely accommodate the individual's limitations and/or plan of treatment, a person with medical limitations may be offered the option of proposing a community service plan as his/her work activity. However, if the individual is unable to arrange for community service, no negative action will be taken. - An individual with documentation of permanent and/or total disability will be assisted through ACDSS's DCAP program and Legal Services, to pursue SSI. Such an individual will also be provided information regarding ACCES-VR services and the ADA, and will be encouraged to seek assistance for becoming self-supportingdocumentation. The local process for reviewing district will assess the medical documentation to information submitted by the applicant's/recipient's health care practitioner and determine if the individual applicant/recipient is exemptdisabled, nonexempt, work-limited or work limited is as follows: District directs the contracted physician or individual’s physician to determine statusnot disabled. District review team reviews and determines status (described below). Specialized disability/medical staff or unit reviews and determines status (described below) Other: Employment worker reviews and determines employment status. For individuals who are exempt the caseload examiner receives a copy Written notice of the medical doumentation results of the determination and is responsible the right to follow-up at certain intervals a fair hearing to obtain updated medical informationcontest the determination will be provided to the client, via the LDSS 4005 and 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): - A physical examination is required prior to At application, clients will complete the medical section of the employment assessment form. Based on an interview with the individual and any JOBTRAK assignment. Physicals are conducted additional information provided by the Allegany County Health Department unless client, a member of the client chooses to go to their primary care providerEmployment unit will determine if a possible disability/limitation exists. - Any individual who claims to have a limitation or disability must provide the agency with the name(s) of his or her medical provider(s) and sign a release of information. - A participant claiming a limitation or disability may be required by ACDSS to make an appointment with his/her health care provider(s) to obtain current information abouth the person's xxxxxx.Xx is the client's responsibility to provide documentation of this to the agency. -If it is determined by the health care provider that the individual has no limitations, or can work with limitations, the individual will be assigned to appropriate work activities regardless of whether the individual has applied for SSI - If it is determined at assessment that there is a possible disability/limitation, the LDSS will require medical documentation from the client to verify any claim(s). The client has ten (10) days to provide this verification to the LDSS. All clients will be provided with the LDSS 4005 or LDSS 4005(a), whichever is appropriate. This document will provide the client with notification regarding their work capability status. A client could be found “fully employable without exemptions,” “work limited-with exemptions but the work activity does not conflict with the documented disability/limitations(s)”, or “not employable” – the disability/limitations(s) are to the point that most activities are contraindicated. Clients with partial or full limitations will still be required, consistent with the verified medical limitation and/or treatment plan, to continue to be engaged in work activities. Based on the client’s current disability, there exists the potential to be restored to self- sufficiency. Examples of self-sufficiency activities could include involvement in medical/drug/alcohol treatment known to LDSS, SSI/SSD application appeal known to the LDSS, independent medical exams assigned by the LDSS, psychological counseling known to the LDSS and prescribed by a mental health care provider that professional, and/or LDSS approved education/training as outlined in this Plan. If the individual LDSS is unable to workmake a determination based on an interview with client from the verification provided by the client or the client refutes the LDSS’s determination, the district may refer the individual agency can make a referral to a health care provider certified by the Office of Disability Determinations (ODD) for an independent medical examination (IME). Clients claiming disabilities’/limitations may submit their own medical documentation to the provider certified by the ODD for consideration. Any documentation available from the client’s practitioner must be submitted to the IME provider no later than four (4) business days from the date of the independent examination to submit additional documentation. The LDSS staff as the basis for work activity assignments will use the results of the IME. Clients who are verified as having disability/limitations must work with the LDSS staff to access education/training/rehabilitation necessary to remove or reduce the disability or limitations. They must provide medical documentation for determining the individual’s ability to recover and accept medical care to assist in recovery. Clients will be required to accept referrals to and enrollment in a treatment or rehabilitation program and provide evidence of participation in the assigned program. Clients must also work with LDSS staff to apply for SSI or SSD benefits, comply with all requirements of the application process, and exhaust all possible appeals in the process. At the point of placing a client with a documented limitation(s) on a worksite, the LDSS will send notice to the cooperating agency of the scope of limitations. A representative of the cooperating worksite and the agency’s Employment unit supervisor, (TA Director) must sign a statement acknowledging the limitation(s) an assuring that the work assigned will not exceed the specified limitations(s). On a quarterly basis, the cooperating agencies will be required to reaffirm their knowledge of the limitation(s) and assure that limitations have not been exceeded in a written statement to the LDSS. These statements will be kept in the client’s employment file, kept at LDSS. Clients who meet one or more of the following categories will be exempt from work activities: • Sixty years of age or older; • Pregnant and within thirty (30) of medically verified delivery date; or • The single parent or caretaker relative of a child under age one for a second opinion, and/or may require lifetime maximum of twelve (12) months It is important to note that the individual apply for SSI. - When it is indicated that an individual has a limitation or is temporarily disabled butLDSS does not provide, with treatment, is likely to improve his or her medical statusgenerally, the individual will be notified that s(hefull twelve (12) must enter into month exemption at any one time for clients who are the recommended course single parent or caretaker relative of treatment and that failure to comply with the recommended course of treatment will be cause for case action, including sanctiona child under age one. These individuals will Because this exemption can only be assigned given for a lifetime maximum of twelve (12) month, the LDSS: Offers this exemption for a lesser duration, generally three (3) months or less; May extend the exemption based on case-by-case circumstances up to work activities that are determined to be within the person's limitations. Noncompliance for an exempt individual results in ineligibility for the individual. - If there are no work activities that can safely accommodate the individual's limitations and/or plan of treatment, a person with medical limitations may be offered the option of proposing a community service plan as his/her work activity. However, if the individual is unable to arrange for community service, no negative action will be taken. - An individual with documentation of permanent and/or total disability will be assisted through ACDSS's DCAP program and Legal Services, to pursue SSI. Such an individual will also be provided information regarding ACCES-VR services and the ADA, and will be encouraged to seek assistance for becoming self-supportingtwelve (12) month lifetime maximum. 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: Please refer to the above description of the process as outlined in Section 6 of this Plan. Ultimately, based on all of the available medical documentation, the Employment worker reviews and determines employment the status. For individuals who are exempt the caseload examiner receives a copy of the medical doumentation and is responsible to follow-up at certain intervals to obtain updated medical information.