101.11 NOTIFICATION

Official source

The recipient and, when applicable, the medical facility must be notified in writing or electronically of the action taken on an application or an active case when eligibility or benefit level is affected by a change either at the time of a full review or as a result of a reported change prompting a special review. Notices are generated by the system based on the type of contact and the results of the eligibility determination. NOTE: It is the specialist’s responsibility to review and, if needed, correct notices in the system before they are mailed to the recipient. If a manual notice is required for the recipient, refer to instructions for the DOM-305, Notice of Action, or DOM-306, Notice of Adverse Action. When a manual notice must be issued to a facility, DOM-317, Exchange of Information Between Long Term Care Facility and Medicaid Regional Office, is used.

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101.11 NOTIFICATION

Official source

The recipient and, when applicable, the medical facility must be notified in writing or electronically of the action taken on an application or an active case when eligibility or benefit level is affected by a change either at the time of a full review or as a result of a reported change prompting a special review. Notices are generated by the system based on the type of contact and the results of the eligibility determination. NOTE: It is the specialist’s responsibility to review and, if needed, correct notices in the system before they are mailed to the recipient. If a manual notice is required for the recipient, refer to instructions for the DOM-305, Notice of Action, or DOM-306, Notice of Adverse Action. When a manual notice must be issued to a facility, DOM-317, Exchange of Information Between Long Term Care Facility and Medicaid Regional Office, is used.