Worker responsibilities

The PBS will:

Complete a Financial Communication to Social Services (07-104) referral when an application is received on an active MAGI case.

Add text stating that unless an assessment is completed and determines HCB Waiver is needed, the client will remain on MAGI.

Send a general correspondence letter to the client indicating the application was received and because the client is currently receiving Medicaid services, additional information isn't needed for financial eligibility.

MAGI and nursing facilities (NF)

If an 18-005 is received on an active MAGI case and the client is in a NF or hospice care center, no action is needed by the PBS. MAGI covers NF and Hospice under the scope of care. Exception is N21/N25 AEM MAGI.

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Worker responsibilities

Official source

The PBS will:

Complete a Financial Communication to Social Services (07-104) referral when an application is received on an active MAGI case.

Add text stating that unless an assessment is completed and determines HCB Waiver is needed, the client will remain on MAGI.

Send a general correspondence letter to the client indicating the application was received and because the client is currently receiving Medicaid services, additional information isn't needed for financial eligibility.

MAGI and nursing facilities (NF)

If an 18-005 is received on an active MAGI case and the client is in a NF or hospice care center, no action is needed by the PBS. MAGI covers NF and Hospice under the scope of care. Exception is N21/N25 AEM MAGI.