Disability Procedures
Resources in this Category
ALL Agency Rules & Procedures Practice Materials
| Title | Date | ||
|---|---|---|---|
| DES Functional Capacity Questionnaire | 7/21/2008 | ||
| DES Mental Impairment Questionairre | 7/21/2008 | ||
| Disability Evaluations: FY04 Inter-Department Service Agreement Between DTA and UMass Medical Contract between DTA and U Mass Medical describing the disability review tasks umass will do for TAFDC and EAEDC disability claims. Current for July 1, 2003 to June 30, 2004. | 6/19/2003 | ||
| FYI: Completion of Disability Evaluation Services (DES) Medical Release Forms Explains DES requirements for medical release forms, including that every individual provider at a particular clinic must be listed separately on a separate form. Case workers are responsible for contacting clients when additional release forms are needed. Missing or incorrectly completed release forms should not delay case worker processing of the disability claim or an application for benefits. | 11/22/2006 | ||
| PS 98-01: Determining Disability for Applicants and Recipients Alleging Drug and Alcohol Addiction (DAA) Revised December 13, 2005. This is the revised version. | 7/15/1998 | ||
| PS 98-02: Establishing Onset Date of Disability | 7/15/1998 | ||
| PS 98-03 Establishing Duration (Review) Dates Revised January 19, 2006. This is the revised version. | 7/28/1998 | ||
| PS 98-04 Processing a Priority Case Revised March 1, 2006. This is the revised version. | 9/23/1998 | ||
| PS 98-05 Use of "Good Cause" related to CE appts. Revised April 24, 2006 to comply with Thibault litigation. This is the revised version. | 9/16/1998 | ||
| PS 98-06 Determining Severity This document was revised on March 1, 2006. The revised version is posted here, as it replaces the one written in 1998. | 9/24/1998 | ||
| PS 98-07 Clarification of Procedures Regarding the Assignment of Disability Duration This PS is no longer in effect; it was superseded with the revision of Procedural Standard 98-3 dated January 19, 2006. | 9/23/1998 | ||
| PS 99-01 Assessing the quality and adequacy of info in an EAEDC Med Rept and Supplmnt | 2/22/1999 | ||
| PS 99-02 Medical Equivalence for adults and children | 2/22/1999 | ||
| PS 99-03 Pursuit of supplemental information from a treating provider This memo was revised June 2, 2008. Attached is the revised version. | 6/2/2008 | ||
| PS 99-04 Role of Nurse Practicioners, PAs, and LICSW in CE Process | 3/10/1999 | ||
| PS 99-05 Consultative examinations by psychiatrist and psychologists - revision | 9/20/1999 | ||
| PS 99-06 Utilization of Interpreters for Consultative Examination Process This document was revised in 2006; the revised version is attached. | 6/30/2006 | ||
| PS 99-07 Documentation | 6/2/1999 | ||
| PS 99-08 Documentation Methods | 6/2/1999 | ||
| PS 99-09 Equivalencies for FVC, FEVl, Wt/Ht, Hct, PO2/PCO2, Renal Impairment | 6/9/1999 | ||
| PS 99-10 Determining conditions or diagnoses requiring additional information | 7/14/1999 | ||
| PS 99-11 Unanticipated clinical finding during consultative examination Revised January 11, 2005. This is the revised version. | 8/24/1999 | ||
| PS 99-12 Reassignment of open cases to Team 100 | 8/30/1999 | ||
| PS 99-13 Procedure for processing prior approvals with time remaining This form was revised in 2006. The revised version is attached. | 4/24/2006 | ||
| PS 99-14 Follow-up for applicant's complaint about CE Provider This form was revised on April 24, 2006. This is the revised version. | 3/10/2000 | ||
| PS 99-15 Procedural Standard for Identifying fraudulent EAEDC Medical Reports | 8/31/1999 | ||
| PS 99-16 Procedure for Returning Cases to DTA Based upon MMIS DATA | 9/30/1999 | ||
| PS 99-19 SSA Ruling: Revised Medical Criteria | 10/19/1999 | ||
| PS 99-20 Case File Order | 11/16/1999 | ||
| PS 00-01: Voice Mail Message Log | 3/20/2000 | ||
| PS 00-03: Requesting Consultative Examinations | 5/30/2000 | ||
| PS 00-04: Release of Medical Information This issuance is no longer in effect. See Procedural Standards PS 04-1, 04-2, and 04-3 for current language regarding similar issues. | 9/9/1999 | ||
| PS 00-05: Incomplete Dictations of CE Reports and Multiple copies of CE Reports | 6/15/2000 | ||
| PS 00-06: Disability determination on over 60 day cases | 7/6/2000 | ||
| PS 00-07: Threats of violence to self or others | 8/2/2000 | ||
| PS 01-1: CommonHealth coverage for working disabled adults aged 65 and older | 3/7/2001 | ||
| PS 01-2: Medical Equivalence for Psychotic Depression | 4/7/2001 | ||
| PS 01-3 Preference Calls | 8/16/2001 | ||
| PS 01-4 Documentation of SSI/DTA criteria standards | 11/14/2001 | ||
| PS 01-5 Determination of disability review date for vocational allowances | 11/7/2001 | ||
| PS 01-6 Withdrawal of the DMA disability application Revised November 14, 2005. This is the revised version. | 8/8/2001 | ||
| PS 01-7 Reopening a DMA Pediatric case on or after the client’s 19th birthday. | 11/14/2001 | ||
| PS 01-8 Processing a DMA case with an open DTA case in progress. | 12/14/2001 | ||
| PS 02-1: SSI Revised Criteria This Procedural Standard describes the SSI Revisions to criteria effective February 19, 2002, that were announced in the May, 2002 edition of Social Security eNews.. | 7/1/2002 | ||
| PS 02-2: DMA Pooled Trust Applicants The purpose of this memorandum is to inform DES employees of a category of DMA clients with pooled trusts who require disability determinations regardless of age. | 7/29/2002 | ||
| PS 03-01: Evaluation of Disability on the Basis of Mental Disorders This Procedural Standard provides an overview of SSI and Department of Transitional Assistance regulations regarding the evaluation of disability on the basis of mental disorders. | 2/26/2003 | ||
| PS 03-02: DES Data Protection Policies and Procedures For the purposes of this policy Disability Evaluation Services (hereinafter referred to as DES) workforce shall include all DES employees as well as certain other personnel, such as contractors, consultants, interns, and volunteers, who perform services for DES, either on the premises of DES, or at some other remote location. All workforce members must follow these policies and procedures. | 6/11/2003 | ||
| PS 03-3: DES Data Protection Policies and Procedures For the purposes of this policy Disability Evaluation Services (hereinafter referred to as DES) workforce shall include all DES employees as well as certain other personnel, such as contractors, consultants, interns, and volunteers, who perform services for DES, either on the premises of DES, or at some other remote location. All workforce members must follow these policies and procedures. | 6/11/2003 | ||
| PS 04-01: Inadvertent Disclosure of Protected Health Info For the purposes of this policy the Disability Evaluation Services (hereinafter referred to as DES) workforce shall include all DES employees as well as certain other personnel, such as contractors, consultants, interns, and volunteers, who perform services for DES, either on the premises of DES, or at some other remote location. All workforce members must follow these policies and procedures. | 5/5/2004 | ||
| PS 04-02: Disclosure of Protected Health Info to Client/ Legal Rep. The purpose of h s guideline is to insure the proper and timely release of medical recordscontaining protected health information (PHI) requested by clients, legal representatives andor eligibility representatives. This guideline should also insure properdocumentation of additional correspondence and exchange of information regarding cases. Additionally, this documentation will cover guidelines for documenting and responding to subpoenas. Page 5) | 6/15/2004 | ||
| PS 04-03: Disclosure of Helath Information to Third Party The purpose of this guideline is to insure the proper and timely release of medical records containing protected health information (PHI) requested by third parties. This guideline shouldalso insure proper documentation of additional correspondence and exchange of information regarding cases. Additionally, this documentation will cover guidelines for documenting and responding to subpoenas. (page 6) | 6/15/2004 | ||
| PS 05-1: Determining Pregnancy-Related Disability Claims DES procedural memo to its staff regarding how to determine when pregnant women meet the disability standards for EAEDC and TAFDC. | 11/23/2005 | ||
| PS 06-01: Development of Medical and Other Informaiton in DTA-Originated Cases Explains DES' procedures for handling DTA-originated cases where the available information is insufficient to determine that the individual meets SSI disability standards. | 6/1/2007 | ||
| PS 06-02: Reopening a Prior Determination This memorandum summarizes the situations when reopening of a prior determination is appropriate and describes the procedures to follow in reopening and closing the case. | 7/3/2006 | ||
| PS 07-1: DES Data Protection Policies and Procedures Explains secure email procedures for communications between DES and other entities. | 9/24/2007 | ||
| PS 08-1: Review of Prior Application(s) in the Disability Review Process DES must review all prior DES disability files of a recipient when making determinations on new claims. Memo provides procedures for doing this. | 6/2/2008 | ||
| PS 08-2: Weighing Medical Opinions Treating source medical opinions are given controlling weight in the disability determination process unless they are not well-supported by objective clinical evidence or are in conflict or inconsistent with other medical and/or non medical evidence in the file. Such situations require a careful analysis of all available information and may involve numerous considerations including the quality, consistency and detail of the evidence provided as well as the specialty and expertise of the other medical sources. The file must contain a written explanation of the resolution of conflicting information as well as the reasoning for assigning weight to treating source or other medical opinions. | 6/2/2008 | ||





