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Individuals Who Must Not be Referred to DDSD
There are situations when a DDSD referral is not appropriate. EWs must check for prior SSA or DDSD decisions (available in the CalSAWS/MEDS/IEVS) that are still currently in effect prior to sending disability referrals.
Situation |
Do not refer a client: |
Prior DDSD Decision - Disabled |
Who had a prior DDSD decision made within the past 12 months unless the reexamination date is due or has passed, or there is an indication that the medical condition has improved. |
Prior DDSD Decision - Not Disabled |
Who had a claim denied within the past 90 days. Client should be advised of the appeal process. However, if the EW believes that DDSD’s denial is incorrect, the case may be sent back for a reevaluation within 90 days. Note: Do not refer a client to DDSD who has an appeal pending with SSA. |
Other Factors Causing MC Ineligibility |
Who does not clearly meet other MC eligibility requirements (i.e., no California residency, over property limit, etc.). |
Client Refusal |
Who refuses to be evaluated. Clients have the right to refuse to be evaluated for a disability. Other linkage must exist to potentially qualify for MC. The client must be informed of potential advantages of being determined disabled (i.e., higher income deductions, etc.) |
Prior SSA Decision - Not Disabled |
Who was denied disability status by Social Security:
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