Page 2006

West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 81 Chapter 24 Long Term Care

24.10 CASE MAINTENANCE See Chapter 10 for policies and procedures for the appropriate coverage group. 24.10.1 NURSING FACILITY TRANSFER When an individual transfer facilities in West Virginia a new Pre-Admission Screening (PAS) form must be obtained. See Section 24.12. See Section 24.9 for notification requirements and Section 24.7.8 for information regarding prorating payments between facilities. If an individual transfers to a nursing facility in West Virginia, his eligibility must be evaluated as any other applicant. 24.10.2 CHANGES REQUIRING REEVALUATION Changes that affect the client’s income, assets, medical eligibility, and/or post-eligibility calculations require reevaluation of Medicaid eligibility and/or the client’s contribution toward his cost of care. 24.10.3 DISCHARGES AND CLOSURES When a client is no longer in need of nursing facility care or returns home, eligibility for nursing facility services ends after the notice period expires. Upon discharge, the Worker must: • Determine if proration of the client’s contribution to his cost of care is applicable. See Section 24.7.4. • Notify the Bureau for Medical Services (BMS) Long Term Care (LTC) Unit. • Take the appropriate data system action. • If losing Medicaid coverage, evaluate the client for all Medicaid coverage groups.

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Page 2006

Official source

West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 81 Chapter 24 Long Term Care

24.10 CASE MAINTENANCE See Chapter 10 for policies and procedures for the appropriate coverage group. 24.10.1 NURSING FACILITY TRANSFER When an individual transfer facilities in West Virginia a new Pre-Admission Screening (PAS) form must be obtained. See Section 24.12. See Section 24.9 for notification requirements and Section 24.7.8 for information regarding prorating payments between facilities. If an individual transfers to a nursing facility in West Virginia, his eligibility must be evaluated as any other applicant. 24.10.2 CHANGES REQUIRING REEVALUATION Changes that affect the client’s income, assets, medical eligibility, and/or post-eligibility calculations require reevaluation of Medicaid eligibility and/or the client’s contribution toward his cost of care. 24.10.3 DISCHARGES AND CLOSURES When a client is no longer in need of nursing facility care or returns home, eligibility for nursing facility services ends after the notice period expires. Upon discharge, the Worker must: • Determine if proration of the client’s contribution to his cost of care is applicable. See Section 24.7.4. • Notify the Bureau for Medical Services (BMS) Long Term Care (LTC) Unit. • Take the appropriate data system action. • If losing Medicaid coverage, evaluate the client for all Medicaid coverage groups.