Topic: LTC
LTC – is an acronym for long term care. Long-term medical care for the categorically needy includes care in a nursing facility, public and private intermediate care facility for the mentally retarded, persons age 65 years or older in mental health hospitals, Home and Community Based Waiver Services for the Intellectually Disabled, and Home and Community Based Waiver Services for frail elderly and a targeted group of adults with physical disabilities age 21 and over who have not been determined to have a developmental disability, an intellectual disability or a related condition.
Irrevocable trust – means a trust in which the grantor has expressly not retained the right to terminate or revoke the trust and reclaim the trust principal and income. Policy regarding this term is located at: SoonerCare (Medicaid): 317:35-5-41.2. Miscellaneous Personal property; 317:35-5-41.6. Trust accounts; 317:35-5-41.7. Retirement funds; and 317:35-5-41.8. Eligibility regarding long-term care services. […]
Home visit – AFS staff may need to visit a client in his or her home to conduct an interview when requested or to investigate questionable information. Policy regarding this term is located at: Child Care Subsidy 340:40-3-1. Application process Public Assistance Procedures(all programs): 340:65-3-1. Determination of eligibility; 340:65-3-7. Denial of application. SNAP: 340:50-3-3. Verification; […]
HCBW – is an acronym for Home and Community Based Waiver services. The services must be approved by Developmental Disabilities Services staff for all DDS waiver services or Aging Services staff for ADvantage waiver services and are paid through the SoonerCare (Medicaid) program. Policy regarding this term is located at: SoonerCare (Medicaid) [ABD]: 317:35-5-41.10. Changes […]
Policy Links Regarding Eligible Couple
Eligibility conditions or factors – these are circumstances that must be met in order for a person to qualify for a benefit issued by Adult and Family Services. The factors or conditions vary depending on the program and are almost always based on federal or state statutes governing the program. Policy regarding these terms is […]
Disabled individual – a term used for a person who meets the definition that the Social Security Administration uses in determining eligibility for disability benefits or for SNAP, meets the SNAP disability definition.
Delayed application – a term used when an application is not approved or denied within the time limit allowed for the program.
Community spouse – refers to the spouse of an individual applying for or receiving nursing facility or Advantage waiver services who resides in the home.
List appropriate codes to use for authorization closures or denials.