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i. A valid FL-2 which meets all the requirements listed above is

required for SA Basic, SA SCU, SAIH and the SAIH / TCL

program.

4. SA benefits can begin no earlier than the date the FL-2 is

appropriately signed for an adult care home SA case. (For SA In-

home cases see SA-5200.) The FL-2 must be received during the

application processing time standard.

5. Be mindful that any information provided on an FL-2 may provide

eligibility leads or leads on situation changes that need further

exploration. It is the county’s responsibility for assuring all leads are

followed up.

6. Ensure that the date of the FL-2 is recorded correctly in the

Certification Start Date field of Level of Care Evidence in NC FAST.

7. Assignment of the correct SA rate in NC FAST requires that the

correct Level of Care Type is selected in Level of Care evidence on

the NC FAST dashboard. For each placement type (facility, SA In-

Home, and TCL) there is both a “Basic” and an “Enhanced” rate

option. Choosing the correct Level of Care Type ensures appropriate

rate budgeting. (Refer to NC FAST’s Special Assistance – Level of

Care Evidence Job Aid in FAST Help for more information.)

B. Ongoing Cases

1. For ongoing cases, a new FL-2 must be obtained within 12 months from the date of the last one, before reauthorizing assistance. This could occur during the redetermination process or at any time during the certification period.

2. A new FL-2 must also be obtained when the beneficiary returns to the SA facility following time spent in a facility with higher level of care, or

3. A new FL-2 must also be obtained when the beneficiary enters a different SA facility following hospitalization.

4. For ongoing cases, the minimum requirements for an FL-2 to be

valid are the same as those listed in VII. A. 3. of this manual

section.

C. Additional Requirements for Special Care Unit Payments at the SA Enhanced Rate

There is a higher SA rate for SA beneficiaries in an adult care home SA-3100 VII.