Basic (03-86)

DI 21501.250 Virginia APTD/AB State Plan

A. Blindness

1. Definition

An individual shall be deemed legally blind if he has with correcting glasses 20/200 vision or less in the better eye; or visual acuity greater than 20/ 200 but with a limitation in the field of vision that subtends an angle no greater than 20 degrees; or has a severe visual impairment which is disabling to the same extent as, or which will result in vision with correcting glasses no better than 20/200 or a field limitation of 20 degrees.

2. Other severe visual handicaps

There are conditions that do not involve visual acuity or peripheral field loss which are sufficiently severe to impede visual functioning to such extent as to make impossible the performance of routine tasks for which vision is required. Such conditions must be reviewed on an individual basis and a determination made by the Commission's Supervising Ophthalmologist whether or not they are sufficiently severe to qualify the individual on a visual basis for Aid to the Blind. Some of the other severe visual handicaps which require individualized determinations are:

  1. a. 


  2. b. 

    Muscle palsies

  3. c. 

    Complete ptosis of the lid

B. Permanent and total disability (203.5)

Permanent and total disability is defined as a physical, mental or functional impairment or disease, or a combination thereof, of a continuing nature, for which no known remedy is available or feasible, and which substantially precludes the individual from engaging in a useful occupation, such as holding a job or homemaking, which would otherwise be within his competence to perform. An explanation of the terms used in this definition follows:

  1. 1. 

    Permanent disability—refers to verifiable physiological, anatomical or emotional impairment of major importance which is not likely to improve or which will probably continue indefinitely. It is distinguished from a temporary condition from which recovery can be expected. Any condition not likely to respond to known therapeutic procedures, or likely to remain static or to become worse unless certain therapeutic measures are carried out, is considered “permanent” if

    1. a. 

      treatment is unavailable to the individual,

    2. b. 

      treatment is inadvisable, or

    3. c. 

      the individual refuses treatment and there is a reasonable basis for such refusal.

  2. 2. 

    Total disability — relates to the ability of the person, as revealed by the facts in his particular situation, to perform those activities necessary to carrying out specified responsibilities, such as those necessary to holding a job or home- making. Factors taken into consideration, in addition to those verified through the medical findings, are such things as the individual's age, training, education, skills and work experience and whether work within his competence to perform exists in the community.

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DI 21501.250 - Virginia APTD/AB State Plan - 01/23/1990
Batch run: 03/11/2013