8111 Non-Medicaid Approved Institutions

This category applies to those institutional arrangements in which Medicaid cannot make payments on behalf of eligible individuals' care in that institution.

This includes not only care received in nonmedical facilities (e.g., penal institutions, elderly high rises, etc.) but also non-approved care or ineligibility for payment of care in medical facilities (e.g., inappropriate ACH placements, non-Medicaid certified facilities, persons assessed or reassessed as not in need of nursing facility care through the CARE assessment or resident status review process or persons who are ineligible for payment due to transfer of property provisions.)