NewABD Flowchart

ABD Flowchart to display steps of what to check for and consider with a medical application?

NewHow to Code Eligible Individual with Social Security and Earned Income

The following is an instructional article on coding on the INCOME TAB in the interview notebook for an eligible individual who receives both social security (RSDI) income and earned income.  Kevin receives $900 in social security benefits monthly. He is also employed and earns $600 monthly. Income calculation: $900 – $20 General Income Exclusion (GIE) […]

UpdatedHow to Certify SSP

Coding Instructions in FACS for SSP Certification

Special Medical – 1619B

Special Medical Category 1619B Explanation and Examples

UpdatedIncome – Adoption Subsidy

Explanation of Adoption Subsidy Income countable for Medical Eligibility.

UpdatedIncome – Garnishment, Overpayment, Deferments, or Suspension Status

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