The Contractor shall perform comprehensive case management, review, and records management for applications for disability retirement benefits from the State, including ordinary, inactive, and accidental disability benefits (collectively, “Disability Recommendation Services”). Upon receipt of an application from the State, the Contractor shall review the application together with the medical records provided and determine whether any additional medical records or related documents are needed to evaluate each application and request the same from the applicant and/or medical provider(s), as applicable. The Contractor shall obtain any necessary releases and coordinate the receipt of medical records and related documents for review through verbal or written contact with the applicant and/or the applicant’s medical providers. The Contractor shall compile all necessary medical records and other documentation to make a complete case file (a “Complete File”) within thirty (30) business days of receipt of the application from the State. When the medical diagnosis or condition at issue is commonly treated by a specialty physician, the Contractor will coordinate review by an applicable specialist. The Contractor shall assist the State in developing application forms and other materials as requested by the State. The Contractor shall create and maintain a log of all communications related to each disability file, including the information collected and the date and time of the communication.
