221.01 Verification: HCBC-ECI (AAM)

221.01 Verification: HCBC-ECI (AAM)

SR 05-22 Dated 05/05 Previous Policy

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Verify categorical eligibility and medical need for HCBC-ECI at the initial eligibility determination and at subsequent redeterminations.

Acceptable verification documents all of the following:

. the individual meets categorical requirements for OAA, ANB, APTD, or MEAD;

. BEAS has determined the medical necessity for NF level of care; and

. BEAS as determined the individual ' s needs are met at the same or lower cost than the Medicaid NF level of care cost.