LTC specialty financial worker - eligibility

Determines eligibility requirements for institutional Medicaid described in WAC 182-513-1315 .

Determines resource eligibility for institutional medical described in WAC 182-513-1350 .

Determines excess resources in the month of application described in WAC 182-513-1350 and applies any excess resource toward the cost of care in the admittance month. For recipients, excess resources are countable resources which are available for resident's use when over the $2,000 resource limit and have not been exhausted by the first moment of the first day of the following month.

Determines income and post eligibility (participation determination) described in WAC 182-513-1380 . The financial worker inputs the information to the ACES system and issues an award letter. The income and post eligibility section has information on guardianships .

Sends the award letter with a copy of the notice of financial responsibility (NFR) by certified mail return receipt requested (CMRRR) to the POA, payee/guardian, OFR and the resident's RHC facility.