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UPDATED: JANUARY 2012

549.4

OTHER ELIGIBILITY REQUIREMENTS

MAINTAINING MEDICAID ELIGIBILITY FOR INDIVIDUALS ADMITTED TO A PSYCHIATRIC CENTER

6. Coverage for individuals who are being discharged to an OMH operated living arrangement (i.e. a State operated family care home, community residence or residential care center for adults) must be discontinued. Once the county case is closed, OMH will open a case in District 97.

7. Coverage must be discontinued for individuals who have died in the psychiatric center.

8. The DFR prior to admission to the psychiatric center must discontinue coverage for individuals who turn 65 and remain in the psychiatric center. Once the district closes its case, OMH will determine eligibility for the individual.

9. Coverage for an individual discharged to an Office for People with Developmental Disabilities (OPWDD) must be discontinued. Once the district has closed its case, OPWDD will open a case in District 98.

10. Medicaid and FHPlus must be discontinued for individuals who have moved to another state.

11. Medicaid and FHPlus must be discontinued for individuals who are discharged to an out-of-state psychiatric center.

(MRG)