Medical Eligibility Criteria
SECTION 1. NON-AMBULATORY DISABILITIES
1. WheeIchair4!ser. Impairmeno: which. mgardlas of cause. confiie
disabled individuals 10 wheelchaiR
SECTION 2. SMI-AMBULATORY PHYSICAL DISABILITIES
1. Rrstrictcd Mobility. Impairments which aw disabled individuals 10
walk with difticulty including. but not limited 10, individuals using a
long l e g
a walker or cnrtchcito achieve mobility or binh defects
and other musdar/skcletli disabilities, including dwrtism, cawing
mobility nsaiction
2. Arthritis. Disabled persons who suffer from anhritis causinga
funcdonalmotordefeainany~ornajmlimbs(AmaignRheumatism
-ation
criteria may be used as a guideiie for the determination
oi yrhnuc handicap; Thciapeutic Grade 4 Functional Class
or
h
o
tm
c
ia
i state Ln or w o r y is evidence of &tic
handiao.)
3. h of Extrem~ties.Disaoied pmorrs WIY) m t f c a
~ na~~~
deimty
~crl
of, a amputation of both bands, ooc hand and OIY foot,
lower
u&ty at or above the tarsal region Loss of major function may
be due to dcgmcrative changes d
c
t
dwidl VaYXlar or logical
deficiencies,traumatic loss of muscle mass or tmdans.bony or fibrous
a n k y l o s i s at unfavmble angle, or joint subluxation or instability.
4. Cerebmvascular Accident. Disabled pasons displaying one of the
following, four months postcVk
a. Pseudobulbar palsy; or
b. Funcaonal m o m d e f a t in any of two extremities; or
c. Ataxia affecting two exatmitics subslanfiiiLd by appropriate
cnebellar s i p or proprioceptive loss.
5. Respiratoory. Disabled persons d e r i n g respiratDy impairmmt
(dyspnea)of Class 3 or grutcr as defined by ‘Guids to the Evaluation
of Permanent Impairmenr The Respiratory System’ Journal of the
American Medical Association. 194:919 (l%S.
6. Cardiac Disabled persons suffering functional classifications III or
IV,and thempeutic classifications C,D, or E cardiac disease as defined
brace.
LII.
or.
byDiseascsoftheHeartandBloodVessels-NommclaaneandCriteria
for Diagnosis. New York Heart Assoc. (6th Edition).
7. Dialysis. Disabled persons who must use a kidney dialysis machine
in order to live.
8. Disorders of Spine, Persons disabled by one or more of the following:
a. Fracture of vembra. residuals or. with cord involvement with
appmpnate motor and sensory loss.
b. Generalized osteoporosis with pais limitation of back motion,
p v e n e b r a l muscle spasns. and compression fracave of vertebra.
-‘c. A n k y l o s i s or fixation of C
m
d
i or dorsolumbarspine at 30 degrees
or more of flexion measured From the n e u d position and one of
the following:
1) Calcification of the anmior and l a d ligameno: as shown by
x-ray.
2) Dilatcrai a n k y l o s i s of sacroiliac joints and abnormal apophyseai
articulation as shown byx-ray.
9. Nerve Root Compression Syndromc A pmon disabled due to any
cause by:
a. Pain and motion limitation in back of neck and
b. Cervical or l u m b a r n a v e mot compression as evidenced by
appropriateradicular distribution of sensory, motor and reflex
abnormalities
10. Motor. Persons disabled by one or more of the following:
a. Faulty coordination or palsy from bram.s
p
d a peripheral nerve
injury.
b. A functional m o m deficit in any two limbs.
c Manifestations significmtly reducing mobility, coordination and
paceptivencss not accounted for in prior u t e g o r i s
SECTION 3. VISUAL DISABILITIES
1. P m o n s disabled because of:
a V i acuity of 20/200 or l e s s in the bmcr eye with comcting
IenSS;
b. Connaction of visual field:
1) So the widest diameter of visual field subtending an angular
distance is no greater than 20 degrts; or
2) To 10 dcgrrs or ICS From the point of fiition; or
3) To 20 percent or e
l ss visual field efficiency.
2. Disabled pcrsors who. by r c w n of a visual impairment. do not qudify
for a Driver’s License undcr regulations of the Alaska Statr D e p m e n t
of Motor Vehicles
SECTION 4 HEARING DISABTtII?ES
1. PCXSOXSdiwbled because of b
g impairrnmts manifested by one
or mom of rhe following:
a. Betta car pure tone average of 90 dB HL (
u
n
a
i
d
e
d
)
for tones at
500. 1000. 2000 H z
b. &st speech discrimination score at or below 40% ( u n a i d e d ) as
m
d with scandvdized testing materials.
2. Eligbility may bc d i e d by a physicran or by an audiologist certified
bv the Amcrian Soetch Lanweze, Hearine Associ3tion.
SECTION 5. NEUROLOGICAL DISABILITIES
1. Epilepsy
a. Pnsoos disabled by mason of:
1) A ciinical discdm involving impairment of consciousness,
characterized by uncontrolled seizures (grand mal or
psychomotor) s u h u a t e d by EEG occurring more frequently
than once per week in spite of prescribed tnament with:
a) Diurnal episodcs (loss of consciousness and convulsive
seizure); or
b) N c c t ~ r depisodes which show residuals interfering with
activity during the day; or
c) A disorder involving petit mal or mild psychomotor xinus
substantiated by EEG occurring more frequently than once
per week in spite of prcscribed treatment with:
i Alteration of awareness or l o s s of consciousness; and
i. Transient postictal manifatations of conventional or
antisocial behavior.
b. Persons exhibiting seizure-frce conmi for a continuous period of
morc than six (6)months duration are not inciuded in the suternent
of epilcpsy d e f d in this sccrioa
2. NeurologiQl Handicap. .A person disabled by cerebral palsy. muscuiv
sclerosk, or other neurologul and physiul impairments not controlled
by mediation
SECTION 6. mYTAL DISABILITIES
1. Developmental Disabilities. .A pcrson disabled due to mental recudation
or other conditions found to be closely related to mental retardation
or to q
u
i
r
e tnatment sirmiar to that required by mentaily reurded
individuals a
n&
a. the disability originates before such individual at~ainsage 18,
b. has continued. or can be expected to continue, indefinitely.
c. the disability constitutes a substantial handicap to such individual.
2. Adult
Retardation. Disabled p c ~ n s
who by reason of accident
or illness occurring after age 18 are in a subsrantially similar condition
to a developmentally disabled individual.
3. Autism. Pmorrs disabled by reason of a syndrome described 3s
amsisting of withdrawal. very inadequatesocial nhtionships. language
dismbances, and monotonously repetitive motor behavior ap-g
generally before the age of six and characterired by severe withdrawal
and inappqniate response to extend stimuli.
4. Mentally Disordered
Disabilities
(Emotionally
Disturbed).
TEMPORARY PERMITS ONLY.
’ k s e pasons diagnosed as substantially disabled by m e n d
diaurtancs who:
a. Are living in a board and carc home and nceiving sute or fcdtni
finand asshance and parucipate in a state or f&ly
funded
work activity center or wortshop; or
b. Are living at home under supervision and participaaon in 3 State
or federally funded state or fedtral work activity center or workshop;
or
c.
p r i a p t i n g in any uaining or rehabilitation p
r
o
we s t A l i s h e d
u n d a federal. state. borough or city governmental 3gencia.
Res. 2293