Topic: nursing facility
When and how to submit a Hardship Waiver request
MMIS stands for: Medicaid Management Information System. It is used to verify eligibility for medical programs. Access MMIS Extranet from your desktop or from the InfoNet. Refer to article: How Do I Access MMIS Extranet from the InfoNet? On the initial screen of MMIS Extranet Page, click Eligibility Select from 4 options to look up […]
THERE IS NO RESOURCE STANDARD TEST The following apply: 60 month look-back period on all assets Penalty for transfer of assets Rules on annuities, promissory notes, life estates and trusts are the same as for ABD related NOT subject to Medicaid lien on home property Subject to Medicaid Estate Recovery if age 55 older when […]
The resource standard for an individual is as shown on Appendix C-1 , Schedule VIII.D If applicant has a spouse, refer to article LTC: Spousal Impoverishment. Exempt Resources: Home Property (under certain circumstances) refer to article LTC: Home Property Overview. One Automobile, if it is used for transportation of the individual or member of the […]
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.
List appropriate codes to use for authorization closures or denials.
Steps to take when processing a certification on Nursing Facility (NF) Applications
Updating Authorization to Denial “2” If found either financially or medically ineligible the AFS worker must code the ACTION BLOCK in the NF authorization In IMS, type EKL <space> case number and press enter. Tab down to the authorization in application status , type aul and press enter. Enter the following Tab to the action […]
Medicaid Income Pension Trust OAC 317:35-5-41.6(6)(B) A Medicaid Income Pension Trust (MIPT) is established for the benefit of an individual when the individual is in need of nursing home, ADvantage, or DDS waivered services and has countable income above the categorically needy standard for long-term care but less than the maximum monthly countable income for […]