Disability Determination - Review of Disability
DSHS Home Page
 
Search     for:
DSHS Home    Acronyms    Revisions    WAC Number Index    WCCC

Disability Determination - Review of Disability

Revised November 1, 2011

WAC 388-449-0150When does my eligibility for the Aged, Blind, or Disabled (ABD) cash benefits end?

WAC 388-449-0150

WAC 388-449-0150

Effective November 1, 2011

WAC 388-449-0150 When does my eligibility for the Aged, Blind, or Disabled (ABD) cash benefits end?

1.    The maximum period of eligibility for ABD cash is twenty four months before we must review additional medical evidence. If you remain on ABD cash at the end of the twenty-four month period, we determine your eligibility using current medical evidence.

2.    If your application for SSI is denied:

a.    We review your eligibility for the ABD cash program;

b.    We stop your benefits if you do not provide proof you have filed an appeal with SSA within sixty days of a SSI denial for not being disabled.

3.    We stop your benefits after the final decision on your application for SSI/SSA benefits or if you fail to follow through with any part of the SSI/SSA application or appeals process.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

Review and Termination of ABD Cash

  1. Eligibility for ABD cash ends when a final disability determination has been made at the SSA Post-Appeal stage, or when an unfavorable disability determination is made at the initial, reconsideration, or hearing stage and the person fails to file a timely appeal.
  2. The client may also no longer be likely to be eligible for SSI when:
    1. There is a change in the person's resources or income.
    2. The person becomes employed.
    3. The person's medical condition improves.
  3. Terminate cash assistance and facilitation services when the person no longer meets ABD cash program financial or disability criteria per WAC 388-400-0060,388-449-0001.
  4. Authorize MCS medical if the person meets incapacity criteria defined in WAC 182-508-0010 through 182-508-0120.

NOTE: If a client is approved for ABD cash assistance based on a NGMA approval, and SSA denies their application for SSI, the SSI denial stands and the NGMA decision is no longer valid. The person must BOTH file a timely SSI and be approved through the 5 step disability determination process in ICMS to remain eligible for ABD.
Modification Date: November 1, 2011