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State of Maryland Medical Assistance Manual Revised April 2014

the LTCF to the community within 6 months of the waiver application date (i.e. the date that the MA waiver application was received). The Waiver CM will follow up with the LTCF to establish the discharge date, and will assist the applicant with the necessary arrangements for community living. When the applicant is ready to leave the LTCF, the waiver administering agency will send an “authorization” ATP to DEWS, specifying the discharge date from the LTCF, confirming approval of waiver enrollment, and proposing a waiver enrollment date (usually the discharge date from the LTCF). The waiver administering agency will send a revised ATP to DEWS if the discharge date changes. If the applicant moves out of the LTCF to a community home within 6 months of the application date, a new MA application is not necessary. The LTCF should send the discharge DHMH 257 to DEWS rather than to the local department of social services (LDSS) which has the MA long-term care case. If the applicant is MA eligible for the waiver, DEWS will close the MA LTC case and open the MA waiver case. DEWS will send the waiver approval notice to the applicant/representative, specifying the effective date for waiver enrollment, with a copy to the local waiver CM and the waiver administering agency. If the applicant does not move out of the LTCF within 6 months of the application date, the DEWS CM will send a denial notice to the applicant, giving as the reason that the MA application expired after 6 months. The applicant’s representative, waiver CM, waiver administrating agency and other appropriate parties should be copied. If the applicant is still interested in the waiver, the applicant will need to re-apply. A new application date and consideration period will be established by DEWS upon receipt of the new application.