DHS-5181 and Institutional Level of Care Verification
For the MA-LTC waiver programs, the institutional level of care requirement (as documented through the LTCC or full team DD screening) is verified via the DHS-5181. The waiver case manager completes the DHS-5181 with the date the screening was completed, the waiver program the person is requesting and the anticipated start date of the waiver services if different from the date of the LTCC..
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Level of Care Requirement - LTC Screenings - Waivers