MA-2270 LONG TERM CARE NEED AND BUDGETING

I. INTRODUCTION
II. WHEN TO USE LTC BUDGETING
III. EXCEPTIONS TO LTC BUDGETING
IV. DETERMINING ELIGIBILITY FOR THE MONTHS PRIOR TO LONG-TERM CARE BUDGETING
V. LONG TERM CARE BUDGETING COMPUTATION
VI. THE COMMUNITY SPOUSE INCOME ALLOWANCE (SPOUSE IN PLA)
VII. THE DEPENDENT FAMILY MEMBER ALLOWANCE
VIII. UNMET MEDICAL NEEDS ALLOWANCE
IX. REPORTING PATIENT MONTHLY LIABILITY ON DMA-5016
X. HOSPITAL LEVEL OF CARE CHANGE AND DECERTIFIED FACILITY PROCEDURES
XI. CHANGE IN SITUATION
XII. PROCEDURES FOR OTHER MEDICAID COVERED SERVICES ONLY (STEP III)
XIII. PLA PROCEDURES WHEN THE A/B IS INELIGIBLE FOR COST OF CARE FOR REASONS NOT RELATED TO INCOME
XIV. MEDICARE COVERAGE
XV. PRIOR APPROVALS (FL-2 AND MR-2)
XVI. LONG TERM CARE OMBUDSMEN

LTC Evidence Changes Prior to Eligibility Determination Listserv
Prepaid Health Plan Notification of Nursing Facility Level of Care Form
Medicaid Procedures for Requesting Corrections – DSS Support Unit