Page 21

CODE OF COLORADO REGULATIONS 10 CCR 2505-10 8.100 Medical Services Board

21 6. When a recipient moves from his/her home to a nursing facility in another county or when a recipient moves from one nursing facility to another in a different county: a. the initiating eligibility site will transfer the case electronically in the eligibility system to the eligibility site in which the nursing facility is located when the individual is determined eligible; and b. The following items shall be furnished by the initiating eligibility site to the new eligibility site in hard copy format or via electronic transmission: i) 5615 that was sent to the nursing facility indicating the case transfer; and ii) Identification and citizenship documents; and iii) Long-Term Services and Supports Level of Care Eligibility Determination 7. When transferring a case, the initiating eligibility site will send an AP-5615 form to the nursing facility administrator of the new nursing facility showing the date of case closure and the current patient payment at the time of transfer. Should the Medical Assistance Program reimbursement be interrupted, the receiving eligibility site will have the responsibility to process the application and back date the Medical Assistance eligibility date to cover the period of ineligibility. 8.100.3.D. Processing Requirements 1. The eligibility site shall process a Single Streamlined Application for Medical Assistance Program benefits within the following deadlines: a. 90 days for persons who apply for the Medical Assistance Program and a disability determination is required. b. 45 days for all other Medical Assistance Program applicants. c. The above deadlines cover the period from the date of receipt of a complete application to the date the eligibility site mails a notice of its decision to the applicant.