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The Case Manager must complete the assessment to ensure the PLA

is safe and appropriate.

F. If it is determined that the SAIH applicant is not eligible,

deny the SAIH application.

Notify the adult services case manager to close the case management

assessment.

G. If the application for SAIH is approved, coordinate with the

Adult Services Case Manager to ensure the transition to

PLA occurs without placing the applicant at risk.

1. Advise the individual to give notice if he/she signed a contract

requiring advance notice when leaving the facility. Facilities can

require up to 14 days notice if included in the resident contract.

Beneficiaries who do not give notice when required may be

responsible for payment for those days.

2. Advise the facility that they must refund any remaining advance

payment made to the facility after the end of the required notice

period.

3. Use the 5/10 day rule to determine when the SA payment ends. The

beneficiary is entitled to keep the SA payment for this period.

4. Calculate a partial SAIH payment for the remainder of the month in

which the 5/10-day period ends, beginning the day after the last day of

the 5/10- day period. The beneficiary is not eligible for SAIH payments

during the 5/10-day period. Refer to SA-5300: Calculation of

Payments for instructions for calculating partial SAIH payments.

5. Do not authorize SA facility payment and SAIH payment for the same

days when the individual goes from a licensed residential facility to

PLA.

6. Terminate the SA facility on the last day of the month. Send a

DSS-8110, Your Benefits Are Changing. This is an adequate notice

because the beneficiary has requested the SA be terminated and the

change is beneficial to the beneficiary.

7. Approve the SAIH application with an effective date the month

following the termination of the SA facility case. Enter the full SAIH

payment amount beginning with this month. SA-5200 VI.