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Medical Services – Appendix W, ARChoices in Homecare and Living Choices Assisted Living Facility (ALF) Waiver Application Tracking and Release Procedures Appendix W Page 1 of 6 10/18/18 The ARChoices in Homecare and Living Choices Assisted Living Facility (ALF) Home and Community- Based Services (HCBS) waiver programs are experiencing a rapid growth rate. The increasing number of participants may exceed the maximum number of unduplicated beneficiaries that can be served during any given waiver year, as well as the maximum number of individuals that can be active on the waiver program on any given day. These are two separate counts that are monitored daily by Division of Aging, Adult and Behavioral Health Services (DAABH). Since exceeding the maximum number affects Federal funding, DAABH must implement an application tracking and release process at the time it appears that participants in either program may exceed the cap.  NOTE: The two programs affected, ARChoices and ALF, each have their own caps. The tracking and release procedures and, if necessary, waiting list process will be implemented separately. DCO staff will be notified via email when the tracking and release process has been implemented or lifted for either program and of any specific changes in processing instructions at that time. The tracking and release procedures will be implemented only when DAABH sends notification that it appears participants may exceed the cap. Once the cap has been reached, DAABH will send notification to implement the waiting list. When an application tracking and release procedure is implemented, no applicant will be denied or told they are not eligible due to unavailable slots. Each application will be accepted and eligibility will be determined. Medicaid eligibility in a non-HCBS waiver category will be processed and approved as normal. The following steps require actions from the DCO County Office, DCO LTSS Unit, DAABH Central Office, and the DHS RN. In order to easily identify the action steps for each party, the party responsible for each step has been written in bold print and underlined. Tracking and Release Procedure DCO County Office Responsibilities 1. The County Office will accept the application and date stamp it on the date received. 2. The County Office will scan the application into ANSWER and, a. if the County Office knows which LTSS eligibility worker it will be assigned to, they will register the application in ANSWER in the appropriate budget unit, assign the “Application Follow Up” task to the LTSS eligibility worker; and email the LTSS eligibility worker and the LTSS Local Office