Long Term Care (LTC): Waivered Service Programs – Living Choice Waiver

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The Living Choice waiver allows people who are institutionalized to move into the community with the necessary supports. To categorically relate to this program the person must be:

  • Aged (65 or older) or
  • Blind (per SSA rules)
  • Physically or Intellectually Disabled (per SSA rules)

To be eligible the person must be:

  • At least 19 years of age
  • In an institution (nursing facility or public ICF/ID) for at least 60 consecutive days prior to transition, with at least one Medicaid paid day.
  • Financially eligible for long-term care (Appendix C-1, Schedules VIII.B.1 and D)

This program is administered by OHCA. Brianna Powell in AA AL/MSU, is notified that a person has been approved for this waiver and checks financial eligibility. If it appears client is eligible financially, the nursing home authorization is closed and the waiver eligibility is added. Codes are P1 for an elderly person and P3 for a disabled person. Case Notes and Addresses are updated when Living Choice member moves into the assisted living. The case will remain with Brianna Powell until member transitions to Advantage.

Clients are only eligible for Living Choice for 365 days. The Living Choice unit at OHCA tracks these days. Client must then transition to Advantage Waiver Program if eligible. The Assisted Living Service Option is offered at that time.

If AFS worker is notified that the person has returned to the nursing home, they must wait 30 days before reapproving the person for nursing home care since the person is allowed to remain in the Living Choice Waiver for up to 30 days while in ICF care. Please contact Brianna Powell with MSU of the nursing facility placement so that OHCA can be notified.

Since this is a long-term care program with a member living in an assisted living case, it will be moved to worker number 00C 5504. These cases are maintained by Brianna Powell AA AL/MSU. Brianna Powell completes annual reviews for each specific member. Please do not move these cases out of OOC 5504.

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