MA-2270 LONG TERM CARE NEED AND BUDGETING

MA-2270 LONG TERM CARE NEED AND BUDGETING

  1. INTRODUCTION
  2. WHEN TO USE LTC BUDGETING
  3. EXCEPTIONS TO LTC BUDGETING
  4. DETERMINING ELIGIBILITY FOR THE MONTHS PRIOR TO LONG-TERM CARE BUDGETING
  5. LONG TERM CARE BUDGETING COMPUTATION
  6. THE COMMUNITY SPOUSE INCOME ALLOWANCE (SPOUSE IN PLA)
  7. THE DEPENDENT FAMILY MEMBER ALLOWANCE
  8. UNMET MEDICAL NEEDS ALLOWANCE
  9. REPORTING PATIENT MONTHLY LIABILITY ON DMA-5016
  10. HOSPITAL LEVEL OF CARE CHANGE AND DECERTIFIED FACILITY PROCEDURES
  11. CHANGE IN SITUATION
  12. PROCEDURES FOR OTHER MEDICAID COVERED SERVICES ONLY (STEP III)
  13. PLA PROCEDURES WHEN THE A/B IS INELIGIBLE FOR COST OF CARE FOR REASONS NOT RELATED TO INCOME
  14. MEDICARE COVERAGE
  15. PRIOR APPROVALS (FL-2 AND MR-2)
  16. LONG TERM CARE OMBUDSMEN