Maryland's Temporary Disability Assistance Program (TDAP) is state-funded cash help for adults whose impairment keeps them from working, short term or while an SSI claim is pending. Form 500-C is the medical evidence for it. The provider gives the clinical diagnosis, substance use status, whether the impairment prevents work or training, and whether it will last at least 3 months or 12 months or more.
A health care provider with independent diagnostic authority, such as a physician, NP, PA, licensed psychologist or LCSW-C, completes Sections B to E and signs with title and license number. The local Department of Social Services fills in the office, case manager and customer details.
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TDAP Medical Report Form 500-C
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The Temporary Disability Assistance Program, Maryland's state-funded cash program for adults with an impairment that prevents work, either short term or while an SSI application is pending. Form 500-C supplies the medical information the local Department of Social Services uses to decide eligibility.
The form asks whether the impairment is expected to last at least 3 months and, if so, whether it will last 12 months or more, then asks for the expected start and end dates. The local department applies the TDAP rules to those answers.