MA-2270 LONG TERM CARE NEED AND BUDGETING

MA-2270 LONG TERM CARE NEED AND BUDGETING

1. INTRODUCTION
2. WHEN TO USE LTC BUDGETING
3. EXCEPTIONS TO LTC BUDGETING
4. DETERMINING ELIGIBILITY FOR THE MONTHS PRIOR TO LONG-TERM CARE BUDGETING
5. LONG TERM CARE BUDGETING COMPUTATION
6. THE COMMUNITY SPOUSE INCOME ALLOWANCE (SPOUSE IN PLA)
7. THE DEPENDENT FAMILY MEMBER ALLOWANCE
8. UNMET MEDICAL NEEDS ALLOWANCE
9. REPORTING PATIENT MONTHLY LIABILITY ON DMA-5016
10. HOSPITAL LEVEL OF CARE CHANGE AND DECERTIFIED FACILITY PROCEDURES
11. CHANGE IN SITUATION
12. PROCEDURES FOR OTHER MEDICAID COVERED SERVICES ONLY (STEP III)
13. PLA PROCEDURES WHEN THE A/B IS INELIGIBLE FOR COST OF CARE FOR REASONS NOT RELATED TO INCOME
14. MEDICARE COVERAGE
15. PRIOR APPROVALS (FL-2 AND MR-2)
16. LONG TERM CARE OMBUDSMEN

LTC Evidence Changes Prior to Eligibility Determination Listserv

Prepaid Health Plan Notification of Nursing Facility Level of Care Form

Medicaid Procedures for Requesting Corrections - DSS Support Unit