Medical Eligibility Determination (MED) Tool
- Medical Eligibility Determination Form (Adobe PDF*)- This is
the entire form, including Background information, Clinical Detail, Scoring Sheet/Eligibility Determination,
Careplan and Outcome.
- Manual (Adobe PDF*) (Microsoft
Word*) - Instructions for completing the Medical Eligibility Determination Form
- Below are the individual components in separate PDF files.
- Referral Form (PDF*)
- MEDXX Version 3 Use Memo - July 11, 2001 (Word*) (PDF*)
- Version 3 Change Notes - July 11, 2001 (Word*) (PDF*)