207.01 Verification: ANB SR 13-35, 10/13 (MAM-A)

Verify all ANB eligibility requirements at the initial eligibility determination, redeterminations, and whenever questionable.

Verify blindness at the initial eligibility determination and subsequently during review months established by the Disability Determination Unit (DDU).

For ANB medical determinations, send the following forms when forwarding the request to DDU:

• DDU Form 901, Report on Eye Examination, completed by a licensed ophthalmologist or optometrist; and

• a separate DDU Form 900, Authorization for Release of Protected Health Information, for each provider listed on DDU Form 901.

Additional verification may include any of the following:

• medical records, provided they are no older than 2 years;

• any additional material which may bear on the decision; or

• supplemental information requested by *DDU, such as additional evaluations, consultations, or second opinions.

References: He-W 642.04, RSA 167:6,IV, 42 CFR 435.4, 42 CFR 435.530, 42 CFR 435.531, 42 CFR 435.914, 45 CFR 233.10(b)(2), 45 CFR 233.70, 42 USC 1202