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MEDICAL SERVICES POLICY MANUAL,SECTION C C-200 Alternative Application Processes

C 245 Approval/Denial for New ARChoices Waiver Applicants

at MS H-200 will apply.

C-245 Approval/Denial for New ARChoices Waiver Applicants MS Manual 07/01/20 The policy and procedures outlined in MS C-246-249 that determine the Waiver eligibility date will apply to applicants entering Waiver programs from both the community and from institutions. If the ARChoices Waiver application is denied for any reason and Waiver services were provided during the period of ineligibility, any charges incurred will be the financial responsibility of the applicant. If the ARChoices application is denied, the client has the right to appeal by filing for a Fair Hearing. Refer to the MS L-100 section.

C-246 Effective Date of Eligibility for ARChoices Waiver MS Manual 07/01/20 After all eligibility criteria have been established, the effective date of ARChoices Waiver Medicaid eligibility will be the date of approval.  NOTE:The ARChoices eligibility date will not be established prior to the date of approval unless an earlier date is provided by DHS RN based on the Provisional Service Plan of Care (see C-247 and C-248) .

C-247 Provisional and Comprehensive Service Plan for ARChoices Waiver MS Manual 07/01/20 A Provisional Service Plan is developed when, based onthe assessment, the individual has met functional/medical criteria, but financial eligibility has not yet been determined. The client and