FAQs about the State Medical Review Team (SMRT)

The State Medical Review Team (SMRT) completes disability determinations using criteria defined by the Social Security Administration. 

A SMRT disability certification establishes a basis of eligibility for Medical Assistance (MA), MA for Employed People with Disabilities (MA-EPD) and children whose MA eligibility is determined under the TEFRA option. 

County and tribal workers submit applications and communicate with the team on behalf of their clients.

SMRT consists of state staff and contracted physicians and psychologists.

A disability is a physical or mental health condition that is both: 

• Expected to last at least 12 months
• Severe enough to prevent or limit an adult’s ability to perform work-related activities or a child’s ability to do activities of daily living

The MA-TEFRA option is a service that helps families with the cost of caring for a child with a disability at home. The child must meet disability criteria and need the level of care required by a facility.