Get Pmddt

Filling out the Presumptive Medicaid Disability Determination Team (Pmddt) form online is a straightforward process designed to gather essential information for evaluating medical eligibility. This guide provides detailed steps to assist you in completing the form accurately and efficiently.

Follow the steps to fill out the Pmddt form online.

1. Press the ‘Get Form’ button to obtain the Pmddt form and open it in the editor.
2. Enter your program selection by specifying 'Aging and People with Disabilities' in the designated section.
3. For agency use only, provide the relevant branch, case number, and worker ID if applicable.
4. Fill in the case name and include the date of request, your date of birth, and applicant name.
5. Complete your contact information, including your address and phone number. Confirm if you live in Oregon and intend to remain by selecting 'Yes' or 'No'.
6. Input your Social Security number (SSN) and indicate if there are others in your household by responding to the related question.
7. Indicate your relationship with any household members listed.
8. Answer the citizenship question by selecting 'Yes' or 'No.' If you are not a U.S. citizen, provide your immigration status in the specified field.
9. Provide total resources and total income, ensuring accuracy in reporting your financial status.
10. Detail any medical conditions you have and confirm if you have a disability that will last at least 12 months by selecting 'Yes' or 'No.' Additionally, address whether the condition is terminal.
11. Respond to the questions regarding prior Social Security disability denials and provide details if applicable.
12. When finished, review the completed form for accuracy. You may then save your changes, download the completed form, print it, or share it as needed.

Start filling out your Pmddt form online today to ensure your eligibility for benefits.