Topic: Financial Eligibility
ELDERS Procedures regarding Financial Eligibility
ELDERS Procedures concerning Closures and Denials
Harmony Procedures for Approval of Services
Key Differences between Personal Care and ADvantage Waivers.
Examples of standardized wording that is sent to Social Services Specialists and Supervisor when the medical decision has been made on an application in ELDERS.
Treatment of annuities purchased on or after February 8, 2006. 317:35-5-41.8(c)
Although each spouse’s income is considered separately when determining financial eligibility for long-term care, there’s no provision in SSP policy to allow the Community Spouse to become eligibile for SSP when the couple’s combined income is over the ABD couple standard. When one or both is approved for ADvantage or other HCBW all income is […]
Updating Authorization to Financial “F” Status If the AFS worker determines the client to be financially eligible, the ADvantage authroization needs to be updated from “A” application to “F” financially eligible. Do not code an authorization with “f” until 100% certain of financial eligibility In IMS, type EKL <space> case number, and press enter. Tab […]
Penalty or disqualification period – the length of time an individual or household is not eligible or the benefit is reduced. Depending on the program, the penalty may be removed as soon as the individual cooperates or it may be assigned for a certain time frame. Policy regarding this term is located at: Public Assistance […]
Household composition – includes every household member that must be included in the benefit and/or whose income and/or resources are considered when determining eligibility. Policy regarding this term is located at: Child Care: 340:40-7-6. Household composition and income consideration. 340:40-9-2. Case changes. Public Assistance Procedures (all programs): 340:65-3-9. Variable conditions of eligibility; and 340:65-5-1. Case […]