Disability Unit REHABILITATION PROCESS
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Disability Unit

     
    REHABILITATION PROCESS

 

     If the physician who conducts a retiree's Comprehensive Medical Examination (CME) determines that the retiree may be able to return to performing the essential duties of the position from which he/she retired or a similar position after completion of a rehabilitation program, the physician will submit a rehabilitation plan to PERAC’s Rehabilitation Unit that includes the goals of the program, the medical services necessary to achieve the goals, the costs and the anticipated timeframes.

     A PERAC Nurse Case Manager will review the rehabilitation plan and will discuss possible modifications with the physician.

     PERAC’s Disability Unit will submit the rehabilitation plan to a vendor for utilization review to insure that the rehabilitation services are reasonable and necessary.

     If the utilization review vendor determines that the proposed rehabilitation plan is reasonable and necessary, PERAC's Disability Unit applies fees to the plan which are based on the Human Resource Division's Workers' Compensation medical fee schedule.

     A retiree may terminate his/her participation in a rehabilitation program if he or she can show good cause for doing so. If a retiree refuses to participate or terminates the rehabilitation program without good cause, the Disability Unit will direct the retirement board to suspend the member's retirement allowance. The board must first give the retiree written notice of the suspension and his/her opportunity to be heard by the retirement board. The member may appeal this suspension to the Contributory Retirement Appeal Board.

 
Rehabilitation Outcomes
 

Aside from termination of the rehabilitation program with or without good cause, there are two possible outcomes to the rehabilitation process:

  • A retiree may be found to be able to perform the essential duties of the position from which he/she retired (or a similar position within the same department for which he/she is qualified) and the retiree will be scheduled for a restoration to service examination.
  • A retiree may be found to be unable to perform the essential duties of the position from which he/she retired (or a similar position within the same department for which he/she is qualified) and no further action will be taken.
 
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