NewHow to Certify SSP

The following are instructions are a basic example of a State Supplemental Payment (SSP) certification. Kenny Parton applied for disability benefits. He is getting $943 in SSI. He is single and shares a house with his brother. He declares $500 in a bank account as his only resource. Kenny Parton does not have Medicare. Use […]

NewSpecial Medical – 1619B

Special Medical Category 1619B Explanation and Examples

Income – Adoption Subsidy

Explanation of Adoption Subsidy Income countable for Medical Eligibility.

Income – Garnishment, Overpayment, or Deferments

For ABD benefits, always count the gross.

How to Process Adult Day Care

Step by Step instructions and flow chart

Absence from the Home: Temporary vs Permanent

Determining whether an absence is temporary or permanent.

How to Deny LTC Medical and Section K LTC Authorizations

Instructions regarding proper denials for LTC

PACE Procedures – Certifying PACE with Vending Medical

Procedure for Certifying PACE with Vending Medical

Harmony Procedures – Financial Eligibility

ELDERS Procedures regarding Financial Eligibility

Harmony Procedures – Closures/Denials

ELDERS Procedures concerning Closures and Denials