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

C 248 Optional Participation for ARChoices Waiver

the provider assume the responsibility of liability should the client not meet all criteria for eligibility and services to begin.

C-248 Optional Participation for ARChoices Waiver MS Manual 07/01/20 Neither Waiver providers nor Waiver applicants are required to begin or receive services prior to the establishment of Medicaid eligibility. Participation is offered by the DHS RN at the time of assessment. If services are started based on the receipt of a Provisional Service Plan, it is the responsibility of each provider to explain the process and the financial liability to the applicant and/or family members prior to beginning services. The decision to begin services prior to eligibility must be a joint decision between the provider and the applicant.

C-249 ARChoices Waiver Approvals for Medicaid Recipients Who Leave a Nursing Facility MS Manual 07/01/20 No Waiver eligibility date may be established prior to an applicant’s discharge date from an institution. Therefore, if a Provisional Service Plan is developed while an applicant is a resident of a nursing home or an inpatient in an institution, the earliest Waiver eligibility date will be the day the applicant was discharged home.

C-250 Assisted Living Facility (ALF) Application Process MS Manual 07/01/20 Applications for ALF Waiver will be made on the Long-Term Services and Supports Application, DHS-0777 in the DHS County Office where the facility is located. Applications can be made by the applicant, designated representative, next of kin, or person acting responsibly for the individual. If application is made before the applicant enters a facility, he/she will have 30 days from the date of approval to move into a Medicaid approved Assisted Living Facility. If the individual has not moved into the ALF within the 30-day time period, the application will be denied.