DDSD Referral Packets

There are two types of DDSD Referral Packets: full and limited.

Full DDSD Packet

A Full DDSD Packet Includes:

  • A copy of prior MC 221, if applicable, and SP2 DDSD 221R, and
  • A new MC 221 with Item #8 properly marked (i.e., reexamination, redetermination, initial referral, etc.), and
  • MC 223 (for over age 18) or MC 223C (for under age 18), and
  • MC 220 for every medical source listed on the MC 223 or MC 223C.

Limited DDSD Packet

A Limited DDSD Packet includes:

  • A copy of the prior MC 221 if available, and SP2 DDSD 221R, and
  • A New MC 221 with the reason for the limited referral clearly stated in the “County Worker Comments” section.
    • Note: Indicate on Item #10 if the referral is for redetermination after break in aid of 12 months of less, unless a full referral packet is sent.

Reminder: The DDSD referral packet must be scanned into Imaging.

Related Topics

MAGI MC and DDSD

DDSD Referral Not Required

DDSD Referral Required

Individuals Who Must Not be Referred to DDSD

Disability Referral Checklist

Documents to Include in the DDSD Referral