DI 21501.105 Kentucky APTD/AB State Plan
A. Blindness requirements (2050)
To qualify for AABD or MA only due to blindness, a client must have:
A central visual acuity of 20/200, or less in the better eye with corrective glasses, or
A field defect in which the peripheral field has contracted to such an extent that the widest diameter of visual field subtends an angular distance of no greater than 20 degrees.
B. Permanent and total disability — definition (2103)
A permanently and totally disabled person is an individual who has a permanent physical or mental impairment, disease or loss that substantially precludes him from engaging in useful occupations within his competence.
Permanent refers to any condition which is not likely to respond to known therapeutic procedures or any condition which is likely to remain static or become worse unless certain therapeutic measures are carried out so long as treatment is unavailable, inadvisable or reasonably refused. Permanence does not rule out the possibility of vocational rehabilitation.
Total. A person's impairment is total when it substantially precludes him from engaging in useful occupations.
Useful occupation means productive activities which add to the economic wealth, or produce goods or services to which the public attaches a money value. Activities resulting from supervised training, treatment, or rehabilitation programs approved by the Disability Review Team are not considered as useful occupations.
Homemaking is a useful occupation if the individual devotes a major part of his or her time to maintaining a household for one or more other persons. Such other persons may be children or adults, related or unrelated. A person who cares only for herself is not a homemaker. Homemaking is not an employment situation and is not a position an individual can enter for hire. It derives from a social situation that must exist around the individual.
Homemaking includes shopping, planning and preparing meals, washing dishes, cleaning house, making beds, washing and ironing clothes. If there are children in the household, it includes bathing, dressing and feeding small children, lifting and carrying small children. It may include making fires and carrying fuel and water. If impairment prevents a homemaker from performing these activities, insofar as they are required in the situation, he or she is prevented from engaging in the useful occupation of homemaking.
Causal relationship. is a permanently and totally disabled person's ability to engage in a useful occupation and must be a direct result of his impairment.