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#Scounty helth inpsector sterns county minnesota template full#
For children enrolled in a full time Applied Behavior Analysis (ABA) therapy program: current Individual Treatment Plan (ITP) and any updated progress notes.Reports, assessments or evaluations from any consulting medical specialists, therapists or psychologists.Results of a physical exam no more than 3 months old performed by a medical doctor.Most recent Evaluation Summary Report from the school district if in school.Most recent Individualized Education Plan (IEP) or Individual Family Service Plan (IFSP) if in school.Completed & signed Authorization to Release Protected Health Information form.Completed & signed Children’s or Adult Disability Worksheet.SMRT documentation required for Developmental Disabilities based on age Please note: the SMRT process can take at least 3 months from the date the SMRT receives the county referral. Applicants may contact The Arc Minnesota for more information about their rights, important timelines and the appeal process. Applicants may appeal the decision following the information listed on the SMRT denial notice.Applicants receive a Minnesota Health Care Programs Member ID card and county approval notice in the mail within a few weeks.Applicants should follow up with county financial worker or team to confirm.The county also receives notification of the decision. Applicants receive a disability certification letter in the mail with SMRT’s decision and length of certification.They may also work with applicants to schedule assessments or evaluations as needed for the disability certification. SMRT case manager may request documents directly from medical providers or a school district. An assigned SMRT case manager contacts the applicant by letter or phone and requests any required documentation (see list below).Applicants complete and return both forms to SMRT with the PMI number written on each.The applicant’s unique Person Master Index (PMI) number, which is also called an MA number.Release of information form to allow SMRT to collect medical and educational records on behalf of the applicant.The Children’s or Adult Disability Worksheet.Applicants receive a SMRT “welcome letter” in the mail acknowledging the referral.The county financial unit processes the application, reviews initial eligibility for a MA healthcare program and completes the “Referral for Disability Determination” form before submitting it to SMRT.Applicants submit initial MA applications to their county indicating that they have a disability.Applicants who go through the SMRT process may be required to apply for Social Security benefits if they appear to be eligible for them.These individuals apply for MA using the DHS 3876 “Application for Certain Populations” and provide a copy of their Social Security award letter.
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These certifications last from one to seven years, based on an individual’s age and diagnosis. The SMRT uses the Social Security Administration’s disability criteria to certify disabilities. Census Bureau American Community Survey, 2018 ACS 5-Year Estimates.The State Medical Review Team (SMRT) is a group of medical professionals and staff at the Minnesota Department of Human Services (DHS) who complete disability determinations for healthcare eligibility for Medical Assistance (MA). Find Stearns County Population of People With Disabilities, Population by Disability Type, Public Health Insurance Coverage, and Private Health Insurance Coverage.ĭata Source: U.S.