Disability level assessment

Disability level is the complexly evaluated extent of loss of individual health condition, autonomy in daily activities and opportunities to develop oneself. The disability level is assessed for individuals below 18 except for individuals who have (had) State Social insurance coverage. The disability level is assessed following the criteria and order description of the Disability level assessment.   

The disability level is assessed:

  • after personal examination at the territorial branch of DWCAO or medical examination at home (hospital) in case of grave health malfunctions;
  • with participation of a child‘s parents (foster-parents), guardian or caretaker if there is no doubt about the disability level determination from the provided medical and other documentation.

While assessing the disability level, DWCAO evaluates medical and other documents needed for the disability level assessment.

On June 1 2012, after the Order No. V-188/A1-84/ISAK-487 On Approval of the Description of the Criteria and Procedure for the Disability Level Assessment, dated on 23 March 2005, of the Minister of Social Security and Labour of the Republic of Lithuania, the Minister of Health of the Republic of Lithuania, and the Minister of Education and Science of the Republic of Lithuania entered into force, to confirm the amendments, during the assessment of disability level the parents (foster parents),guardians or caretakers of the children (from 4 to 18 years of age) shall participate in the territorial divisions of The Disability and Working Capacity Assessment Office for filling in “The Questionnaire of individual's activity and ability to participate“ as well as to sign it.

Having received all the necessary documents, DWCAO territorial branches within 15 work-days take the final decision on:

  • the individual’s disability level, its reason, appearance time and duration.​

There are three levels of disability:

  • High disability level means condition of an individual when the individual has significantly reduced abilities of development, participation, activity and needs regular nursing, care, assistance of other persons due to a disease, trauma, injury, inborn or childhood-acquired health problems or negative environment impact;
  • Medium disability level means condition of an individual when the individual has reduced abilities of development, participation, activity and needs irregular nursing, care, assistance of other persons due to a disease, trauma, injury, inborn or childhood-acquired health problems or negative environment impact;
  • Low disability level means condition of an individual when the individual has insignificantly reduced abilities of development, participation, activity and needs regular nursing, care, assistance of other persons due to a disease, trauma, injury, inborn or childhood-acquired health problems or negative environment impact.

Disability level may be determined for the following periods:

  • Six months if the disability level is assessed for the first time, and (or) quick change in individual’s health condition that makes impact on the individual’s disability level is forecasted;
  • One year if the disability level is assessed for the first time, and (or) a change in individual’s health condition that makes impact on the individual’s disability level is forecasted within the next 12 month;
  • Two years if a change in individual’s health condition that makes impact on the individual’s disability level is forecasted within the next 24 month;
  • Up to reaching 18 years old if a change in health condition that makes impact on an individual’s health condition is not forecasted; individual’s health problems are of a constant, invariable character.

DWCAO performs repeated assessment of the disability level in the following cases:

  • Upon completion of the determined disability level duration;
  • Having changed the individual’s health condition;
  • If individual’s parents (foster-parents), guardians or caretakers, or  benefit paying institution do not agree with the decision taken by the DWCAO;
  • Implementing the decision of the Dispute Commission under the Ministry of Social Security and Labour of the Republic of Lithuania (hereinafter – Dispute Commission).

Having repeatedly received all the documents needed for disability level assessment, DWCAO assesses the disability level and takes a decision within 15 work-days.

The referral to the DWCAO, issued by the doctor treating an individual and other medical documents are valid for 60 calendar days – during this period of time an individual needs to submit them to the DWCAO.

The following documents are to be submitted for the disability level assessment:

  • A completed referral to DWCAO;
  • Medical analyses (instrumental, laboratorial) extracts, conclusions of consulting physicians proving the disease gravity and diagnosis or their copies, as well as character of bodily malfunctions and gravity, extracts of the Clinical hospital treatment record (form No. 003/a), Personal health records (form No. 025/a);

Additional documents describing the nature of bodily dysfunctions:

  • informing about the Barthel index, the functional independence measure test, the pain assessment scale, the muscular condition assessment, the degree of mobility dysfunction in case of mobility disorders;
  • informing about the personal intellectual coefficient (IQ); the completed Mini Mental Test, a psychological personality analysis, the ones proving the degree of mental handicap, behavioral, emotional, will and other disorders, in case of mental diseases and disorders;
  • informing about special control analyses proving visual and/or hearing disorders;
  • the language analysis test, in case of language dysfunction;

Documents may be submitted by:

  • Individual’s parents (foster-parents), guardians or caretakers;
  • A doctor treating the patient, if the documents are in an electronic form.

Individual’s parents (foster parents), guardians or caretakers may additionally submit the following documents:

  • An application to assess the disability level (for the individuals under 18 years old) (an application may be filled in by arriving to the DWCAO or by filling in an online application form and printing it out;
  • A personal identification document of a person for whom the disability level is assessed (passport of the Republic of Lithuania or passport, ID card or permission to live in the Republic of Lithuania) and (or) birth certificate, a personal identification document of an authorised person (passport of the Republic of Lithuania or passport, ID card or permission to live in the Republic of Lithuania) except for the cases when such a service is provided through e-Government system, and application on the assessment of the disability leve is filled in online;
  • If applicable, a certificate of a Pedagogical-Psychological Service or Educational Service regarding the primary/ repeated pedagogical-psychological assessment of special educational needs (except for needs arising due to exceptional abilities) applying pedagogical, psychological, medical and social pedagogical aspects listed in the description of order confirmed by the Order No. V-1775 of the Minister of Education and Science of the Republic of Lithuania dated on 30 September 2011;
  • 1 photo ( 3x4) cm;

If documents are submitted by caretakers (guardians), a personal identification document (passport of the Republic of Lithuania or passport, ID card or permission to live in the Republic of Lithuania) of the caretaker (guardian) are to be additionally submitted.

Copies of submitted personal documents may be certified by the DWCAO specialists. This requires having original copies of personal documents.

If the documents are sent by registered mail, copies of the personal documents must be notarised, or certified by an elder or a consular officer of the Republic of Lithuania.

  • When the individual‘s parents (foster-parents, guardians, caretakers) disagree with the decision of a territorial branch of DWCAO, the decision may be appealed by submitting a complaint to the Director of DWCAO within 30 calendar days after documentation delivery or dispatch to the individual.
  • When the pensions or benefits paying institution disagrees with the decision of a territorial branch of DWCAO, the decision may be appealed by submitting a complaint to the Director of DWCAO within 90 calendar days after notification of pension or benefits paying institution.
  • When the individual‘s parents (foster-parents, guardian or caretaker) or the pension or benefit paying institution disagree with the decision of DWCAO, the decision may be appealed by submitting a complaint to the Dispute Commission within 30 calendar days. The Dispute Commission scrutinises the decisions of DWCAO and takes decisions following the order set by the Minister of Social Security and Labour.
Last updated: 18-06-2019