Other Required Actions

Determine if the A/R meets all points of eligibility.

Complete mandatory clearinghouse requirements.

Follow appropriate documentation standards for ABD Medicaid.

Explore Medicaid eligibility for the three prior months.

Obtain required verification.

For LA-D A/Rs whose income exceeds the Medicaid Cap, provide the following as a handout to the A/R or AREP:

Form 936 - Certification of DCH Approved Qualified Income Trust

Form 945 - Qualified Income Trust (QIT) – A Guide for Trustees

Form 946 - Qualified Income Trust (QIT) Worksheet

Form 948 - QIT Approved Template 1