Sometimes, a person seeking Medicaid coverage or waiver services must prove they have a disability in order to qualify for coverage or services. If the individual does not have a disability determination from the Social Security Administration (SSA), Medicaid's State Review Team can make the disability determination.
What's the State Review Team?
The State Review Team (SRT) is a group made up of medical professionals in the Division of Medicaid and Long-Term Care. The SRT reviews medical records submitted by the applicant.
The SRT makes a disability determination based on the Social Security Administration's disability guidelines. For more information on these SSA disability guidelines, visit Social Security's website.
Medicaid applicants seeking a disability determination from the SRT should complete a Medicaid application and the
Health Care Providers
Complete the DM-5 form for your patient.
Submit the completed form and supportive medical records to the SRT.