California Department of Social Services - State Hearings Division
Notes from the Training Bureau - April 14, 1997

Item 97-04-02L
CDHS ACWDL 96-64 -- November 27, 1996 (Synopsis): Presumptive Disability for Medi-Cal Benefits

Reference: Medi-Cal Eligibility Procedures Manual (MEPM) Article 22, §C-3

Counties may establish presumptive disability (PD) and approve Medi-Cal benefits in accordance with federal regulations as specified in Article 22, §C-3 of the MEPM.

A PD determination is temporary pending a final disability determination by State Programs-Disability and Adult Programs Division (SP-DAPD) formerly named Disability Evaluation Division (DED). A PD determination may be initiated by DAPD or by a county if an applicant’s alleged impairment matches one of the impairments in the PD categories in Section C-3 of the MEPM.

If the Social Security Administration denied disability on the same impairment during the previous 12 months, a PD cannot be established.