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UPDATED: JULY 2008
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OTHER ELIGIBILITY REQUIREMENTS
DISTRICT OF FISCAL RESPONSIBILITY (DFR)
(a)the person enters another district for a specific…#
(a) the person enters another district for a specific purpose (such as rehabilitation for alcohol or substance abuse, training, schooling, or vacation); and
(b)the person intends to return to the “from” district…#
(b) the person intends to return to the “from” district when the specific purpose is accomplished; and
(c)the person’s actions are not inconsistent with this…#
(c) the person’s actions are not inconsistent with this purpose. In this situation, the “from” district continues to be responsible for providing Medicaid as long as the recipient continues to engage in the activity which prompted the temporary absence.
This responsibility continues only until the temporary purpose ends. At that point, the recipient:
• returns to his/her district of legal residence; or
• is considered to have established a new legal residence and is transitioned from the “from” district to the “where found” district; or
• becomes a transient (a homeless person without a legal residence) and immediately becomes the responsibility of the “where found” district.
When an A/R chooses to receive care or treatment in a medical facility outside his/her district of residence, the district of residence retains responsibility for the cost of the A/R's care.
Transition Rule
When a non-institutionalized recipient moves from one district to another, the district from which the recipient moved must follow the rules in OTHER ELIGIBILITY REQUIREMENTS, STATE RESIDENCY, ASSISTANCE TO PERSONS WHO CHANGE RESIDENCY. (MRG)