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.
Forms & Guides
Applicants
Medicaid applicants seeking a disability determination from the SRT should complete a Medicaid application and the
MILTC-63 form.
Health Care Providers
Complete the DM-5 form for your patient.
Submit the completed form and supportive medical records to the SRT.
With any general questions on how the State Review Team makes disability determinations, or any questions on a specific client application, please contact
iServe.