MS 2379 (1)
[The determination that a parent meets the definition of incapacity results from analysis of medical and social factors. Incapacity determinations are also completed to determine if good cause related to a disability can excuse a work eligible individual from participation in Kentucky Works. See Volume IIIA, MS 4720.
A.Incapacity is verified either by:
1.A finding that the reason for a field determination in MS 2381 is met;
2.Form PA-6, Incapacity Determination,indicating a finding of incapacity by the Medical Review Team (MRT) if the MRT request was made for an application entered on KAMES; or
3. Through Worker Portal for applications entered on Worker Portal.
B.The determination that a parent is not incapacitated is not made by field staff. If the application cannot be approved using the criteria for field determinations outlined inMS 2381,enter a request for an incapacity determination by MRT.
C.Before the request is sent to MRT, determine if the case meets all factors of eligibility other than incapacity. If the case is ineligible based on a factor other than incapacity, deny the application and DO NOT enter the medical information on the Disability/Incapacity screen.
D.Use the following procedures to request a determination from MRT:
- On Worker Portal, the Household Questions screen, answer“Yes” to the gatepost question “Is anyone Blind, Disabled or Incapacitated/Unable to Work?”. This will trigger the Disability/Incapacity screen on which a field determination can be made or an MRT referral requested. If an MRT referral is requested, enter the medical information on the MRT Referral screen. If the client cannot remember specific dates, ask for a specific time period such as last month, within the last 6 months, not in the last year, etc.
2.Assist MRT if additional clarification or information is needed from the individual. If MRT can reach the individual by phone, they will do so.
3.For redeterminations, or if MRT has made a decision within the past year, interview the client and list only medical sources accessed since the last determination was completed.
E.If the KTAP case is denied or discontinued after the request for a MRT determination is sent, email the MRT at or send form PAFS-628, Exchange of Information, to MRT stating the determination is no longer needed.]
F.If the client refuses to provide information, be assessed, attend appointments, or cooperate in activities needed to determine incapacity, deny the application due to insufficient information on which to base a decision of eligibility.
G.Once the determination is made, incapacity continues UNLESS there is a change in the condition of the recipient, OR MRT requests additional information for a redetermination.
[1.If the client returns to work or his/her condition improves and he/she continues to be financially eligible to receive KTAP, send updated medical information and social data to MRT for a redetermination. If the client is determined not to be incapacitated, discontinue the KTAP case. Explore eligibility in the Unemployed Parent (UP) category.
2.If the client returns to work or his/her condition improves, and the client is not financially eligible for or no longer wants KTAP, discontinue the case.]