Andreas’ Review Questions

<%@LANGUAGE="JAVASCRIPT" CODEPAGE="65001"%> Andreas’ Review Questions

Training Caseload - Page 8a

Andreas’ Review Questions

Answer the following questions based on reviewing Andreas’ request for MA-LTC.

1. Has Andreas completed the appropriate MA-LTC request form?

Yes, Andreas has completed the appropriate MA-LTC form. Because he is already an MA enrollee he only needs to complete the MHCP Request for Payment of Long-Term Care Services (DHS-3543) to request payment of LTC services.

2. What is the date of Andreas’ request for MA-LTC?

Andreas’ DHS-3543 was received in the county agency today (CM/CD/CY) as indicated by the date stamp.

3. Name the facility in which Andreas resides.

Lyngblomsten Care Center.

4. On what day was Andreas admitted?

The 19th of last month.

5. Why was Andreas admitted?

He was admitted due to his age and recovery from pneumonia.

6. Did Andreas meet the institutional level of care requirement?

Yes, a PAS was completed by Ramsey County on the 18th of last month.

7. Where did Andreas reside prior to entering the LTCF?

8. Has the DHS-1503 been signed by the health care professional?

Yes, it was signed by his placing physician.

9. What is the begin date of Andreas’ MA-LTC?

The begin date is the 19th of last month, because he was both requesting coverage for that month (because he is an MA enrollee there is no retro coverage limitation except back to the date of admission to the LTCF or the MA eligibility begin date) and he resided in the LTCF (based on his DHS-1503).

10. Do you need to complete the DHS-3050 for Andreas?

No, you do not have to send a DHS-3050 at this time because you have received the DHS-1503 already. You will have to return the DHS-1503 once an MA-LTC eligibility decision is reached.

To Do: Update the fields found in the first section on page one of Andreas’ DHS-5590, found at the back of his case packet, based on the answers you just provided.

Updated October 13, 2011.
Copyright © 2011 Health Care Eligibility and Access (HCEA).