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Questions? | Policy Manual | Training Information

Both Kara and her daughter (authorized representative) must sign the DHS-3531.

Yes, you must meet with Kara’s daughter because she is requesting a meeting. An interview is not required but it is highly encouraged.

The begin date for MA-LTC for Kara is October 3, the date she was both residing in the LTCF and requesting coverage through MA-LTC. Determine basic MA eligibility for September.

You do not have to do anything. MA payment of LTC services in MMIS is inhibited until you update the information. Basic MA eligibility may continue.

The DHS-1503, Long-Term Care Physician Certification, should be sent to you from the LTCF. This form will confirm that an institutional level of care is required based on a preadmission screening (PAS).

The begin date for MA-LTC for Jacob is August 3, the date he was both an MA enrollee and he resided in the LTCF.

Mandy’s lead agency case manager must provide a DHS-5181 (Lead Agency Case Manager/ Worker Communication Form) to verify an institutional level of care is required.

The begin date for MA-LTC for Mandy is December 2, based on the LTCC date showing need of services and LOC requirements were met. Determine basic MA eligibility for November through December 1.

At least one of Joey’s parents, if they are living with him, must sign his application for MA.

Joey is not requesting MA-LTC. The TEFRA Option is not a waiver program.

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