Procedures

Follow the steps below to determine ABD Medicaid eligibility under the Hospital COA.

Step 1 Accept the A/R’s Medicaid application. Step 2 Obtain information required to complete the eligibility determination. Step 3 Determine basic eligibility, including Length of Stay (LOS) and Level of Care (LOC). Refer to Chapter 2200, Basic Eligibility Criteria. Step 4 Determine financial eligibility. Refer to Chapter 2500, ABD Financial Responsibility and Budgeting for procedures on whose resources to consider and the resource limit to use in determining resource eligibility. Complete a Medicaid CAP budget to determine income eligibility. Refer to Section 2510 Medicaid Cap Budgeting . There is no patient liability or cost share under this COA. Step 5 Approve Medicaid under the Hospital COA if the A/R meets all the above eligibility criteria. Do not approve Medicaid under the Hospital COA for any month in which the A/R was not hospitalized for at least one day of the month.

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Procedures

Official source

Follow the steps below to determine ABD Medicaid eligibility under the Hospital COA.

Step 1 Accept the A/R’s Medicaid application. Step 2 Obtain information required to complete the eligibility determination. Step 3 Determine basic eligibility, including Length of Stay (LOS) and Level of Care (LOC). Refer to Chapter 2200, Basic Eligibility Criteria. Step 4 Determine financial eligibility. Refer to Chapter 2500, ABD Financial Responsibility and Budgeting for procedures on whose resources to consider and the resource limit to use in determining resource eligibility. Complete a Medicaid CAP budget to determine income eligibility. Refer to Section 2510 Medicaid Cap Budgeting . There is no patient liability or cost share under this COA. Step 5 Approve Medicaid under the Hospital COA if the A/R meets all the above eligibility criteria. Do not approve Medicaid under the Hospital COA for any month in which the A/R was not hospitalized for at least one day of the month.