A medical benefit certified more than three months prior to date of application does not need to be walked up unless there is a change in income or a nursing home application.
Example:
Martin V Buren applied for disability-related medical (he says he doesn’t want anything else from DHS) as well as Social Security eight months ago. He was injured at work so he has been receiving $989 from his long term disability insurance. He has no resources besides his home. He was denied by Social Security so DHS denied him. He appealed and won. It is decided he was disabled eight months. The letter telling him he won his appeal says he will not get his first RSDI benefit for two more months.
Household Tab in the Interview Notebook:
Martin is added to the medical benefit effective 08/01/2017.
Other 1
- Monthly Amt: $989
- Indicator: Insurance/Legal Settlement
- Receiving: Check “yes”
- Countable Amt: $989
Medical Gen. Tab in Eligibility Notebook:
You will not need to put the case in application status before this process.
- Application Date: In this example, 8/15/2017
- Cert Date: 08/01/2017
- Certification Period: 12
- Effective Months: 99
- Date of Last Redetermination: 08/01/2017
- Categorical Relationship Indicator: Disabled
Medical Fin. Tab in Eligibility Notebook:
- Disability to be established by SSA or TEFRA
- Medical Application Source: CO-County Office
Note: If the client is over income or will be over income, certify the medical from the date of application to the month the client no longer meets all eligibility requirements.
Comments or Suggestions?
We want Quest to be your source for important information that you need to succeed at in your work but we need your help:
Was this article helpful? Was it missing something you needed to get the job done?
Tell us what you think, what you know about this article. What are we doing well, and what we could do better.
All fields are required.