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Poverty Level special personal needs allowance is adjusted to $30. Permanent placement in a nursing facility is defined as six months or longer. DHB-5106, PACE/Medicaid Referral, is used as verification of permanent placement and the effective date of permanent placement. See IV.F and IV.H, above, evaluate for CSIA and resource protection.

2. The living arrangement evidence must be changed to reflect permanent nursing facility status. Refer to NC FAST job aid: Program of All-Inclusive Care for the Elderly (PACE).

3. Court ordered guardianship fees. Refer to MA-2270, Long-Term Care Need and Budgeting.

4. Non-discretionary mandatory deductions. Refer to MA-2270, Long-Term Care Need and Budgeting.

5. Unmet medical needs. Refer to, MA-2270, Long-Term Care Need and Budgeting.

6. Personal needs allowance for work incentive. Refer to MA-2270, Long-Term Care Need and Budgeting.

VII. MEDICAID AUTHORIZATION FOR PACE SERVICES

A. Medicaid Authorization for PACE Services Effective Date

1. The first day of the month following the month PACE enrollment agreement is signed and approved by the PACE organization

AND

2. The local agency determines eligibility and enters evidence into NC FAST by the second to the last workday of the month. If keyed after the second to the last workday of the month, the authorization for PACE services is effective the next month.

B. Applications – PACE Enrollment Pending

1. All application processing time frames apply unless the individual referred for PACE is already a Medicaid beneficiary.

2. When Medicaid eligibility is established, regardless of notification of PACE enrollment:

a. Do not wait for PACE enrollment notification.

b. Authorize Medicaid without PACE designation in NC FAST, when all eligibility factors are met.