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Wisconsin Department of Health and Family Services |
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Wisconsin Department of Health and Family Services |
An individual who is blind or disabled is non-financially eligible. (1.1.1.2). Disability and blindness determinations are made by the Disability Determination Bureau ( DDB ) in the Department of Health and Family Services. The Economic Support Agency ( ESA ) should submit an application for a disability determination even if the client has already applied for SSI or SSDI. Send applications, medical reports and releases to:
Regular Mail
Disability Determination Bureau
P.O. Box 7886
Madison, WI 53707-7886
Certified Mail
Disability Determination Bureau
722 Williamson Street
Madison, WI 53703-3546
A DDB disability decision on a SSDI or SSI case generally has binding authority. A Medicare or SSDI disability certification notice is acceptable verification of disability.
To check on the status of a disability case, call (608) 266-1565 and DDB will connect you with the examiner assigned to the case. Direct procedural or policy questions to Terri Klubertanz at (608) 266-7604.
Pend the case in CARES Client Assistance for Re-employment & Economic Support while you are waiting for a disability decision from DDB. Go to ANDI and enter a ? in the disability verification field. Extend the date on AGVC and send a manual notice telling the client that eligibility is pending the disability decision. Remind him/her to report any changes within 10 days.
The law defines disability for Medicaid ( MA ) as: The inability to engage in any substantial gainful activity ( SGA ) by reason of any medically determinable physical or mental impairment(s) which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months. Substantial gainful activity is currently defined as gross income Income is anything you receive in cash or in kind that you can use to meet your needs for food, clothing, and shelter. of $800 or more per month. See 3.6.9 for the Medicaid Purchase Plan ( MAPP The Medicaid Purchase Plan (MAPP) offers people with disabilities who are working or interested in working the opportunity to obtain health care coverage through the Wisconsin Medicaid Program. ) disability definition.
This page last updated in Release Number : 04-03
Release Date: 08/02/04
Effective Date: 08/02/04
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