Auto-Renewal Process

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

UpdatedAnnual Reviews – Best Practices

Best Practices for Annual Reviews

State Supplemental Payment (SSP) & ABD Renewals

State Supplemental Payment (SSP) Renewals as well as other ABD renewals, also known as Annual Reviews may appear as any of the following reports on the CWA: (17) Benefit Reporting Case List Reports (05) Reviews Due Next Month, (07) Reviews Due Next Month, and (03) Delinquent Reviews; display reviews that have not been taken care […]

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

Eligibility Pending inclusion in the SSI-DCP permanent rules, the following eligibility requirements must be met by the applicant. Individual must: Be under age 21 Be a resident of Oklahoma Provide verification of a diagnosis of Phenylketonuria (PKU) No income / resource limits for this program. Certification If the client is not eligible for Title XIX […]

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 […]