Disability

9.7 Disability

ATTACHED GUIDE:

Using MRT Screens

DISABLED Codes

REQUIREMENT:

To qualify for MHABD benefit under Permanent and Total Disability (PTD) criteria, a person must meet the Social Security definition of disabled. Disability, as defined by SSA and used by the Medical Review Team (MRT), is the individual’s inability to be gainfully and substantially employed for one year or longer due to a physical or mental incapacity.

VERIFICATION:

A participant’s disability must be verified. If a participant receives Supplemental Security Income (SSI) or Social Security based on disability, verification is obtain through IIVE, Award Letter, BENDEX, or SDX.

If a participant does not receive SSI or Social Security based on disability, disability must be established through MRT.

• HC – Documentary Verification Required