Incapacity Determination - Medical Care Services (MCS) - Table of Contents

Revised September 6, 2012

Incapacity Determination Process

·         WAC 182-508-0010  Incapacity requirements for medical care services (MCS) 

·         WAC 182-508-0015  Determining if an individual is incapacitated  

·         WAC 182-508-0020  Acceptable medical evidence

·         WAC 182-508-0030  Required medical evidence 

·         WAC 182-508-0035  How severity ratings of impairment are assigned.  

Progressive Evaluation Process

·         WAC 182-508-0040   PEP Step I  - Review of medical evidence required for eligibility determination 

·         WAC 182-508-0050   PEP Step II  - Determining the severity of mental impairments 

·         WAC 182-508-0060   PEP Step III - Determining the severity of physical impairments

·         WAC 182-508-0070   PEP Step IV - Determining the severity of multiple impairments  

·         WAC 182-508-0080   PEP Step V - Determining level of function of mentally impaired individuals in a work environment

·         WAC 182-508-0090   PEP Step VI - Determining level of function of physically impaired individuals in a work environment 

·         WAC 182-508-0100   PEP Step VII - Evaluating a client's capacity to perform relevant past work

·         WAC 182-508-0110   PEP Step VIII - Evaluating a client's capacity to perform other work

Duration of Incapacity

• WAC 182-508-0120   Deciding how long a client is incapacitated

Termination of MCS

• WAC 182-508-0160  When medical care services end

Impact of Alcohol or Drug dependence

• WAC 182-508-0220   How alcohol or drug dependence affects an individual's eligibility for medical care services