New York State Medicaid Disability Review Unit
Medicaid Disability Manual
For questions regarding disability documentation requirements email SDRU@health.ny.gov or call the State Disability Review Unit toll free number 1-866-330-0591 Monday through Friday 8am-5pm.
The Medicaid Disability Manual is the official policy guide for disability determinations for the Medicaid program in New York State. It includes six sections: Table of Contents, Introduction, Official Policy, Listing of Impairments, Adult and Children (Appendix I), Medical Vocational Guidelines (Appendix II), and Disability Review Forms.
The Manual is updated whenever changes in disability policy, procedures, or Listing of Impairments take effect. These updates are listed below.
The Medicaid Disability Manual is available online at the DOH website. Forms referred to in the Manual may be obtained online through the Health Commerce System (Access Required).
Medicaid Disability Manual Updates
Note: The following changes have been included in the above manual.
2024
2023
December 2023
October 2023
- (Listing of Impairments, Appendix 1, Part A, Section Overview) (PDF)
- (Listing of Impairments, Appendix 1, Part A, Section 1.00C,7,a) (PDF)
- (Listing of Impairments, Appendix 1, Part A, Section 2.00 B1c) (PDF)
- (Listing of Impairments, Appendix 1, Part A, Section 5.00) (PDF)
- (Listing of Impairments, Appendix 1, Part A, Section 6.00 C7) (PDF)
- (Listing of Impairments, Appendix 1, Part A, Section 8.00) (PDF)
- (Listing of Impairments, Appendix 1, Part A, Section 14.00 C12) (PDF)
- (Listing of Impairments, Appendix 1, Part A, Section 14.00 F5) (PDF)
- (Listing of Impairments, Appendix 1, Part A, Section 14.00 J2) (PDF)
- (Listing of Impairments, Appendix 1, Part A, Section 14.02 B4) (PDF)
- (Listing of Impairments, Appendix 1, Part A, Section 14.09 A1, A2) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section Overview) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section 100.00 C2a,b,c) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section 100.05 A1c, A2c) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section 101.00 C3d) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section 101.00 C7a) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section F1) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section 103.00 K2a,b,c) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section 103.06 B1c, B2c) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section 104.00 C1b) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section 104.00 C3b, C3b(iii)) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section 104.02 C1c, C2c) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section 105.00) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section 106.00 C5a,b) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section 108.00) (PDF)
- (Listing of Impairments, Appendix 1, Part B, section 114.00 C12) (PDF)
- (Listing of Impairments, Appendix 1, Part B, Section 114.00 F7) (PDF)
2022
2021
December 2021
Listing of Impairments, Appendix 1
- Part A, Section Overview (PDF)
- Part A, Section 6.00, C1, C1b, C2, C4 (PDF)
- Part A, 6.03, 6.04, 6.05, 6.06, 6.09 (PDF)
- Part B, Section Overview (PDF)
- Part B, Section 106.00A, B, C (PDF)
- Part Bc, Section 106.00 C6, D (PDF)
Official Policy
August 2021 (Appendix 1 Listing of Impairments)
Listing of Impairments - April 2021
Appendix I Part A
- Section Overview - (PDF)
- Section 1.00 Musculoskeletal Disorders - (PDF)
- Section 4.00 G2 and 4b - (PDF)
- Section 14.00 C6, C7, C8 - (PDF)
- Section 14.00 D(e)(i) and D(e)(ii) - (PDF)
- Section 14.00 H - (PDF)
- Section 14.00 J2a,b,c,d,e,f,g,h,i,j,k,l - (PDF)
- Section 14.04 B1a,b, B2, B3a,b, C2a,b,c - (PDF)
- Section 14.05 A1,2,3 - (PDF)
- Section 14.09 A1a,b, A2, B - (PDF)
Appendix I Part B
- Section Overview - (PDF)
- Section 101.00 Musculoskeletal Disorders - (PDF)
- Section 104.00 F9b - (PDF)
- Section 109.00 C - (PDF)
- Section 114.00 C6, C7, C8 - (PDF)
- Section 114.00 D4(c)(ii) - (PDF)
- Section 114.00 D6(a) - (PDF)
- Section 114.00 D6(e)(i) and D6(e)(ii) - (PDF)
- Section 114.00 H - (PDF)
- Section 114.04 B1a,b, 2, 3a,b, 4, C1,2a,b,c - (PDF)
- Section 114.05 A1,2,3 - (PDF)
- Section 114.09 A1a,b, 2, B1,2 - (PDF)
Official Policy
Appendix II (Medical Vocational Guidelines) - 1.7.2021
2020
December 2020 Official Policy
- Section II, D, 4, (c) (PDF)
- Section II, E, 1, b (5)(c) (PDF)
- Section II, E, 2, b (PDF)
- Section II, C, 4, (a)(III) (PDF)
January 2020 Official Policy
2019
January 2019 Official Policy
2018
January 2018 Official Policy
2017
October 2017 Official Policy
- Section II, D, 5, c (PDF)
- Section II,L, 2, c (2)(a) (PDF)
- Section II, L, 2, c, (2)(b) (PDF)
May 2017 Official Policy
- Introduction (PDF)
- Section II, A, 3(PDF)
- Section II, C, 3, b, (5)(7)(8)(9), c, d, (1)(2) (PDF)
- Section II, D, 3, a(1)(2)(3), e(1)(2)(3)(a)(b)(c)
- Section II, J, 1 (PDF)
- Section II, L, 1, a
- Section II, M, 3, (a)(1)(i), (b)(2) (PDF)
March 2017
February 2017
January 2017