PERAC Disability Unit - Comprehensive Medical Evaluation Process
Public Employee Retirement Administration Commission / Image of Sunrise

Contact PERAC

Send RFP Notice

Home What's New Board Profiles Forms Jobs Memos PERAC Units Publications Chapter 32 Regulations  
FAQs
Forms
Guides
Memos
Presumptions
HRD Essential Duties
CME/RTS Brochures

Physical Abilities

Physician
       
Recruitment

Processing
Regulations
Staff
Educational Materials
 

 
Privacy Policy
Accessibility
Download Tools
 

Disability Unit

     
    COMPREHENSIVE MEDICAL EVALUATION PROCESS

 

     After a member retires for accidental or ordinary disability, his or her case must be reviewed periodically by a Nurse Case Manager in PERAC’s Disability Unit. PERAC may require a retiree to be evaluated once per year during the first two years after retirement and once every three years thereafter. A Comprehensive Medical Evaluation (CME) will also be scheduled upon the written request of a retiree. No member will be evaluated more frequently than once in any twelve-month period.

 
Review of Retiree Medical Records
 

For each retiree whose case is being reviewed, a PERAC Nurse Case Manager will initially examine PERAC’s files and all updated information submitted by the retiree and the retiree’s retirement board to determine whether or not there is a need for a CME to be conducted by a physician.

     The medical records pertaining to examinations, tests and studies performed since a member’s disability retirement became effective are of crucial importance. With access to all up-to-date medical information, PERAC’s Disability Unit is more able to make an assessment without requiring the duplication of medical tests and studies to produce relevant data.

     The possible outcomes of a records review by a nurse case manager are:

  • The catastrophic nature of a retiree’s illness or injury is such that he/she does not need to be scheduled for any further review of records or any comprehensive medical evaluations in the future.
  • The retiree is currently unable to perform the essential duties of his/her former position or a similar job. The retiree will not be scheduled for a comprehensive medical evaluation. The retiree may be scheduled for another records’ review in the future.
  • A nurse case manager may find that a comprehensive medical evaluation must be scheduled in order to complete an assessment of the retiree’s current ability to perform the essential duties of the position from which he/she retired or a similar job, with or without rehabilitation.
Comprehensive Medical Evaluation Appointment
 

     A comprehensive medical evaluation may include mental or physical examinations, vocational testing, meetings and consultations with medical professionals, including a retiree’s treating physician and vocational rehabilitation counselors. The goal is to provide objective data pertaining to a retiree’s ability to safely perform the essential duties of his/her former or similar job and whether or not a return to employment is likely to be facilitated by participation in a rehabilitation program.

     The physician who coordinates this evaluation process will have copies of all of the available medical information, a copy of the current job description associated with the position the member held at the time of retirement. If the member is a retired police officer or firefighter, a copy of the Medical Standards established by the Commonwealth’s Human Resources Division for those positions will also be given to the physician.

     The physician will submit his findings in a written report to PERAC’s Disability Unit. If the physician has concluded that the retiree may benefit from rehabilitation, the doctor will include a rehabilitation plan with the report.

 
Comprehensive Medical Evaluation Reports are Reviewed by PERAC Nurse Case Manager
 

The comprehensive medical evaluation process has three possible outcomes:

  • A retiree may be found able to perform the essential duties of the job from which he or she retired or a similar position in the same department. In this instance, PERAC’s Disability Unit will schedule a restoration-to-service examination to certify as to the retiree’s ability to perform these essential duties.
  • A retiree may be found unable to perform the essential duties of the position from which he/she retired or a similar position, with or without rehabilitation. In this instance, the retiree will be re-evaluated by a PERAC Nurse Case Manager in the future.
  • A retiree may be found able to perform the essential duties of the job from which he or she retired or a similar position, with rehabilitation. In this instance, the physician who conducted the comprehensive medical evaluation will recommend a rehabilitation program that focuses on returning the retiree to work. The plan must be reasonable and cost effective and approved by PERAC’s Disability Unit before being implemented
 
       Newsflash
   
  PERAC Pension News
   
  Annual Report
   
  Retirement Guides
   
    SEARCH