Medicaid Programs and QI-1

Medicaid Benefits and QI-1 Explanation

How to Deny LTC Medical and Section K LTC Authorizations

Instructions regarding proper denials for LTC

Harmony FAQs

Article to house the link to the Harmony Frequently Asked Questions

PACE Procedures – Certifying PACE with Vending Medical

Procedure for Certifying PACE with Vending Medical

How to Access Harmony from the InfoNet

Directions for Accessing Harmony from the InfoNet

Harmony – Reporting of Benefit or Service Issues

Information to assist in locating the correct mailbox to report benefit or service issues.

Harmony Procedures – Changes

Harmony procedures concerning changes.

Harmony Procedures – Transitions

Procedures for ELDERS during case transitions

Harmony Procedures – New Application (SPPC & ADvantage)

Procedures for a New Application (ADvantage/SPPC)

Harmony Overview

Client’s medical eligibility (level of care) is recommended by an OHS HCMN I/II and determination made by an OHS HCMN III. Financial and medical eligibility should be determined simultaneously. When a person applies for, or requests, Long Term Care services the online application should be completed. The applicant, representative, or anyone assisting the applicant may […]