Process

Follow the steps below for the Initial PAS process

Step Action 1 Schedule the ALTCS PAS Appointment. Take the following actions: Explain the ALTCS program and the purpose of the PAS. Ask if any accommodations are needed. Enter a case note in HEAplus that this was completed. 2 At the beginning of the PAS interview, take the following actions: Reexplain the ALTCS program and the purpose of the PAS to everybody attending the PAS interview. If the DE-202 has not already been obtained, explain the reason it is needed. Obtain a signature for the DE-202 using DocuSign. If DocuSign is not available, use another method to get the DE-202 signed, such as fax or mail. 3 Use the appropriate PAS tool to conduct the PAS interview. Follow the guidance in Investigative Interviewing . 4 Ask the customer or representative for the names of providers needed for medical records. 5 At the end of the PAS interview, explain the following to the customer or representative: What happens next in the PAS Process; They may hear from the ALTCS Benefits and Eligibility Specialist; The Appeal Process; and The customer’s right to reapply at any time if they are medically ineligible. 6 Provide a list of Community Resources for the customer and representative and include a statement in the PAS summary that the list was provided. 7 Inform the customer and representative that they will receive a call and a letter telling them of the medical eligibility determination.