Fundamentals of Case Management: Eligibility determination

Eligibility determination is the next step in the intake process. Case managers determine if persons are eligible for particular programs and/or services.

Whether or not persons receive services and the types of services they receive is based on eligibility criteria specific to each program. Persons who do not meet program requirements are not eligible for the programs. For example:

Program/service type	Eligibility base
Medical Assistance (MA - Medicaid)	Financial need
Medicare services	Age and/or diagnosis
Social Security Disability Benefits (SSI, RSDI)	Disability
Development Disability Rule 185 Case Management	Diagnosis, adaptive functioning and functional limitations
Minnesota Disability Health Options (MnDHO)	Medical Assistance eligible

 

 

 

 

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