Auto-Renewal Process

Explanation of criteria for the ABD (SSP) Auto Renewal Process

UpdatedAnnual Reviews – Best Practices

Best Practices for Annual Reviews

UpdatedHow Do I Code Phenylketonuria (PKU) Eligibility in FACS?

Explanation of PKU Certification

Nursing Facility (NF) Review Process

An annual review, redetermination of financial eligibility, is required for the continuation of benefits. The current income and resources of the individual receiving Nursing Facility benefits must be verified. The income of the spouse, if any, must be verified for the purpose of deeming. The resources of the spouse must be reviewed to verify whether […]

ADvantage Review Process

An annual review, redetermination of financial eligibility, is required for the continuation of benefits. The current income and resources of the individual receiving ADvantage Waiver benefits must be verified. The resources of the spouse, if any, must be reviewed to verify whether or not a transfer of assets has occurred. See article entitled LTC: Transfer […]