DHA Case No. MKB 214020 (Wis. Div. Hearings and Appeals Oct. 17, 2024) (DHS) ↓ Download PDF To be considered disabled for the Katie Beckett program, a child must have an impairment that causes marked and severe functional limitations. In this case, a 5-year-old girl was determined no longer eligible after her recertification in January […] Read more

DHA Case No. MKB 213737 (Wis. Div. Hearings and Appeals Aug. 22, 2024) (DHS) ↓ Download PDF To be considered disabled for the Katie Beckett program, a child must have an impairment that causes marked and severe functional limitations. In this case, a 4-year-old boy’s application was denied because his speech delay, pediatric feeding disorder, […] Read more

DHA Case No. MKB 213619 (Wis. Div. Hearings and Appeals Aug. 12, 2024) (DHS) ↓ Download PDF To be considered disabled for the Katie Beckett program, a child must have an impairment that causes marked and severe functional limitations. In this case, the petitioner was a 15-year-old boy who had hearing loss, narcolepsy, and sleep […] Read more

DHA Case No. MGE 211748 (Wis. Div. of Hearings and Appeals April 3, 2024) (DHS) ↓ Download PDF A person must be a U.S. citizen or qualifying lawful immigrant to be eligible for Medicaid. In this case, the petitioner was an immigrant with “temporary protected status.” Her Medicaid application was mistakenly approved in 2022 and the […] Read more

DHA Case No. MED 292938 (Wis. Div. of Hearings and Appeals September 3, 2008) (DHS) ↓ Download PDF Gifts received by a Medicaid recipient must be reported within ten days. In this case, the petitioner was disabled with cancer. Her community held a fundraiser and gave her almost $30,000, which she failed to report. Although […] Read more

DHA Case No. SSO 206537 (Wis. Div. of Hearings and Appeals January 18, 2023) (DHS) ↓ Download PDF In a fair hearing on an overpayment determination, the agency has the burden of proof. In this case, the petitioner lived in her car and drove to Arizona for the winter. She continued to receive federal SSI […] Read more

DHA Case No. MTI 208493 (Wis. Div. of Hearings and Appeals July 14, 2023) (DHS) ↓ Download PDF To be recoverable, an overpayment must be caused by the recipient’s error—overpayments caused by agency error are not recoverable. In this case, the petitioner misread a notice of FoodShare benefits ending, believing all her benefits were ending. In fact, […] Read more

DHA Case No. MDD 208783 (Wis. Div. of Hearings and Appeals August 15, 2023) (DHS) ↓ Download PDF In making a disability determination, the Disability Determination Bureau (DDB) applies a 5-step test. Step 5 considers whether the individual can adjust to types of work the individual has not performed in the past, considering his or […] Read more

DHA Case No. MDD 208892 (Wis. Div. of Hearings and Appeals August 22, 2023) (DHS) ↓ Download PDF In making a disability determination, the Disability Determination Bureau (DDB) applies a 5-step test. Step 5 considers whether the individual can adjust to types of work the individual has not performed in the past, considering his or […] Read more

DHA Case No. SSO 208238 (Wis. Div. of Hearings and Appeals June 22, 2023) (DHS) ↓ Download PDF Wisconsin pays a state supplement to SSI recipients who are Wisconsin residents. In this case, the state SSI office claimed an overpayment because the Social Security Administration coded the petitioner as a California resident from December 2021 […] Read more

DHA Case No. MKB 200031 (Wis. Div. of Hearings and Appeals January 14, 2021) (DHS) ↓ Download PDF Mosaic Down Syndrome and non-mosaic Down Syndrome are treated differently under the Social Security disability rules. The latter is listed as a severe impairment and automatically meets the requirements; the former is not. So for mosaic Down […] Read more

DHA Case No. MKB 207607 (Wis. Div. of Hearings and Appeals April 28, 2023) (DHS) ↓ Download PDF To qualify for the Katie Beckett Medicaid program, a child must meet the Social Security standards for childhood disability, which requires “a disabling impairment … that causes marked and severe functional limitations.” In this case, the child […] Read more

DHA Case No. MDD 207614 (Wis. Div. of Hearings and Appeals April 24, 2023) (DHS) ↓ Download PDF To be eligible for the MAPP program, the applicant must meet the SSI definition of disability. This disability determination considers the applicant’s functional capacity to do various kinds of work. In this case, the applicant was 30 […] Read more

DHA Case No. BCS 207530 (Wis. Div. of Hearings and Appeals April 6, 2023) (DHS) ↓ Download PDF Wisconsin law provides that able-bodied adults who refused to cooperate in establishing the paternity of a child without good cause are ineligible for MA. In this case, the petitioner refused to identify the father of her child […] Read more