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MEDICAL SERVICES POLICY MANUAL,SECTION F

F 100 Non Financial Eligibility Requirements

Case Closures Case closures, when applicable, will be made on the first day of the month following the month in which: 1. The court order establishing guardianshipis filed and reported. 2. The allotted120 days hasended (when OCC did not grant an extension or when no guardianship action was initiated). 3. The time extension granted by OCC has expired and guardianship has not been finalized. Advance notice of closure is not required. Overpayments If LTSS services have been paid, an overpayment will be written when: 1. The individual was not found to be incapacitatedby the court. 2. The person making the allegation failed to initiate action and to establish guardianship within the allotted time, or to finalize guardianship within the OCC extension of time, or OCC did not find an extension of the 120 days was warranted. No overpayments will be written when the court has found that the individual is incapacitated. A copy of the court order will be obtained by the County Office for the case record, and the guardian will be responsible for petitioning the court to dispose of excess resources. A redetermination of LTSS eligibility will not be made until disposition of the excess resources has been made.

F-160 Primary Care Physician Requirements MS Manual 01/01/22 A Health Care case can be approved before a Primary Care Physician (PCP) is selected; however, the PCP must be selected before most services can be accessed.

F-161 Primary Care Physician Managed Care Program MS Manual 01/01/22 ConnectCare is the Arkansas Health Care Primary Care Case Management (PCCM) system. In ConnectCare, a Health Care recipient chooses a physician or single-entity provider, such as Area Health Education Centers (AHEC), Federally Qualified Health Centers (FQHC), or family practice and internal medicine clinics at the University of Arkansas Medical Sciences campus, who is responsible for the management of the recipient’s total care.