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A. Once every 12 months

B. Continued Need Review (CNR) must be current

C. Apply the Ex-parte Process

VII. CHANGE IN SITUATION

A. Hospital Stays

1. Less Than 30 Days:

a. Continue Innovations budgeting, and

b. Follow procedures in Medicaid Deductible, for instructions on applying hospital charges to the deductible

2. 30 Days and over:

a. Send a timely DSS-8110, “Your Benefits are Changing”, to terminate Innovations services effective the first day of the month following the 31st day

b. Evaluate eligibility for Medicaid applying Long-Term Care Need Budgeting

c. Compute a patient monthly liability (PML) no earlier than the first day of the month in which falls the 31st day of hospital stay, subject to timely notice requirements

B. CAP Services Terminated

1. Re-compute the budget for remainder of the certification period

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

For keying instructions refer r to NC FAST Job AID: Completing a County Case Transfer

VIII. NOTICES

Send the LME-MCO case manager a copy of all notices sent to the applicant/beneficiary (a/b).