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C. The Regional MFP Transition Coordinator coordinates and collaborates with the local agency during the Medicaid/MFP eligibility determination process.

III. CHANGES IN SITUATION

A. County Transfers

1. A MFP beneficiary, who moves from one county to another, remains MFP eligible

2. A PACE/MFP beneficiary who moves to another county may no longer be PACE and MFP eligible

a. When the new county is serviced by PACE, the beneficiary remains eligible for MFP services

b. When the new county is not serviced by a PACE entity

(1) Evaluate for CAP eligibility in the new county

(2) If found eligible for CAP, MFP eligibility may resume

3. A TBI/MFP beneficiary who moves to another county may no longer be TBI and MFP eligible

a. When the new county is serviced by Alliance Behavioral Health, the beneficiary remains eligible for MFP services

b. When the new county is not serviced by Alliance Behavioral Health

(1) Evaluate for other Medicaid programs

(2) Remove the beneficiary from the TBI program

B. Terminations

1. MFP participation terminates automatically after 365 days

2. MFP participation may terminate before 365 days for any of the following reasons:

a. Beneficiary returns to a facility for longer than 30 days and not for short- term respite as authorized by relevant waiver