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B. Termination of CAP Services

1. When the CAP Lead Agency notifies the local agency that participation in CAP is to be terminated, the local agency will receive the DHB-2193, Memorandum of CAP Waiver Enrollment Status.

2. Re-compute the budget for the remainder of the 6 or 12-month certification period.

3. Apply spouse-for-spouse or parent-for-child financial responsibility.

4. Caseworkers are required to the send appropriate termination notices. Follow rules in section, MA-2420, Notice and Hearings Process.

a. When CAP services are terminating and the beneficiary remains eligible for Medicaid, send an adequate DSS-8110, Notice of Modification, Termination, or Continuation of Public Assistance.

b. When Medicaid terminates because eligibility is dependent upon eligibility for CAP services, or CAP termination results in a Medicaid deductible, send a timely DSS-8110, Notice of Modification, Termination, or Continuation of Public Assistance.

c. When CAP services and Medicaid are terminating; send a timely DSS- 8110, Notice of Modification, Termination, or Continuation of Public Assistance.

C. Change in Level of Care/Acuity Level

The local agency will receive the DHB-2193, Memorandum of CAP Waiver Enrollment Status and POC Summary from the CAP case management entity there is a change in the level of care/acuity level.

D. Transition from CAP/DA to CAP/CD

The local agency will receive the DHB-2193, Memorandum of CAP Waiver Enrollment Status, and POC Summary from the CAP case management entity when the category transitions from CAP/DA to CAP/CD.

E. Transition from CAP/CD to CAP/DA

The local agency will receive the DHB-2193, Memorandum of CAP Waiver Enrollment Status and POC Summary from the CAP case management entity when the category transitions from CAP/CD to CAP/DA.