How is disability determined?
The ODJFS Disability Determination Unit determines if a Medicaid applicant meets the definition of disability. To be considered disabled, an applicant, aged eighteen or older, must be unable to engage in any substantial gainful employment by reason of any medically determinable physical or mental impairment, which can be expected to last for a continuous period of not less than twelve months or result in death.
The FCDJFS Disability Determination Area requests an applicant alleging disability complete a Disability Questionnaire, which includes social, employment, education, and medical histories. The applicant signs Authorization for the Release or Use of Protected Health Information forms, which allows collection of medical evidence pertaining to each alleged disability.
How long will it take before the applicant knows if they are eligible for Medicaid benefits?
To receive Medicaid, the applicant must meet financial and disability criterion. Medicaid also requires an individual to apply for Social Security disability benefits. The Medicaid eligibility process should be completed within ninety (90) days of application.
What if the applicant thinks they are disabled, but do not have any documentation from either the physician or mental health professional?
The applicant will be scheduled for medical evaluations and/or psychological evaluations at no cost to the applicant.
How is an applicant referred to the FCDJFS Disability Determination Area?
An applicant should tell their case manager that they believe they have a disability. The case worker will refer the individual to the FCDJFS Disability Determination Area.
If an individual is found eligible for cash assistance from the Disability Financial Assistance (DFA) Program, how much money will the person receive?
The current monthly cash allotment is $115
How do I find out more information about nursing homes and Medicaid?
Please find below more information
How do I verify 30 days of income when I just started my job?