WAC 388-449-0060

Effective June 1, 2012

WAC 388-449-0060 Sequential Evaluation Process step II - How does the department review medical evidence to determine if I am eligible for benefits?

When we receive your medical evidence, we review it to see if it is sufficient to decide whether your circumstances meet disability requirements.

1.    We require written medical evidence to determine disability. The medical evidence must:

a.    Contain sufficient information as described under WAC 388-449-0015;

b.    Be written by an acceptable medical source or treating provider described in WAC 388-449-0010;

c.    Document the existence of a potentially disabling condition by an acceptable medical source described in WAC 388-449-0010; and

d.    Document an impairment has lasted or is expected to last nine continuous months or more with available treatment, or result in death.

2.    If the information received isn't clear, we may require more information before we determine whether you meet ABD disability requirements. As examples, we may require you to get more medical tests or be examined by a medical specialist.

3.    We deny disability if:

a.    We don't have evidence that your impairment is of at least moderate severity as defined in WAC 388-449-0035388-449-0040388-449-0045, or 388-449-0050;

b.    Your impairment hasn't lasted or isn't expected to last nine or more months with available treatment or result in death; or

c.    We have evidence drug or alcohol abuse or addiction is material to your impairment(s) .

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.