North Carolina General Statutes Chapter 108A. Social Services § 108A-42. Determination of disability

(a) For purposes of G.S. 108A-41(b)(1), a person is permanently and totally disabled if:

(b) For purposes of G.S. 108A-41(d), a “Certain Disabled” person is a person in a private living arrangement who is age 18 but less than age 65, having a physical or mental impairment which substantially precludes him from obtaining gainful employment, which impairment appears reasonably certain to continue without substantial improvement throughout his lifetime.

(c) Disability shall be reviewed by medical consultants employed by the Department. The final decision on the disability shall be made by these medical consultants under rules and regulations adopted by the Social Services Commission.