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West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page vi Chapter 24 Long Term Care

24.12.2.D Temporary Stays in Distinct Parts .................................................................85 24.12.2.E Procedures Related to the PAS ....................................................................86 24.12.2.E.1 Who Completes the PAS ..........................................................................86 24.12.2.E.2 Responsibilities of the Completing Provider ..............................................86 24.12.2.E.3 Responsibilities of the Level of Care Evaluator .........................................86 24.12.2.E.4 Responsibilities of the Worker ..................................................................87 24.12.2.E.5 Level II Pre-Admission Screening and Annual Resident Review (PASARR)

87 24.12.3 ESTABLISHING RETROACTIVE MEDICAL NECESSITY USING PHYSICIAN’S PROGRESS NOTES OR ORDERS.......................................................................................88 24.13 SPECIAL PROCEDURES RELATED TO COVERAGE GROUPS .............................89 24.13.1 SUPPLEMENTAL SECURITY INCOME (SSI) RECIPIENTS ...............................89 24.13.2 DEEMED SSI RECIPIENTS ................................................................................89 24.14 MANAGEMENT OF THE PERSONAL NEEDS ALLOWANCE (PNA) .......................90 24.14.1 NURSING FACILITY RESPONSIBILITIES ..........................................................90 24.14.2 CHARGES NOT PERMITTED .............................................................................91 24.14.3 CHARGES PERMITTED .....................................................................................92 24.14.4 WORKER RESPONSIBILITIES ...........................................................................92 24.15 BILLING PROCEDURES AND PAYMENT AMOUNTS ..............................................93 INTERMEDIATE CARE FACILITIES/INDIVIDUALS WITH INTELLECTUAL DISABILITIES ...94 24.16 APPLICATION/REDETERMINATION ........................................................................94 24.17 COMMON ELIGIBILITY REQUIREMENTS ................................................................96 24.18 ELIGIBILITY DETERMINATION GROUPS ................................................................97 24.18.1 THE ASSISTANCE GROUP (AG) ........................................................................97 24.18.2 THE INCOME GROUP (IG) .................................................................................97 24.18.3 THE NEEDS GROUP (NG) ..................................................................................97 24.18.4 CASE COMPOSITION .........................................................................................97 24.19 INCOME .....................................................................................................................98 24.19.1 ELIGIBILITY ........................................................................................................98 24.19.2 POST-ELIGIBILITY ..............................................................................................98