Income Maintenance Manual

Chapter 17
Long Term Care

 
C17 -TOC Table of Contents
 
17.1 Introduction
 

Nursing Facility Services
 

17.2 Application/Redetermination
 
17.3 Case Maintenance
 
17.4 Verification
 
17.5 Resource Development
 
17.6 Notification
 
17.7 Common Eligibility Requirements
17.8 Eligibility Determination Groups
 
17.9 Income
 
17.10 Assets
 
17.11 Establishing Medicaid Categorical Relatedness and the Medical Necessity for Nursing Facility Care
 
17.12 Special Procedures Related to Coverage Groups
 
17.13 Benefit Repayment
 
17.14 Reserved for Future Use
 
17.15 Management of the Personal Needs Allowance
 
17.16 Billing Procedures and Payment Amounts
 
Aged and Disabled Waiver (ADW)
 
17.17 The Application/Redetermination Process
 
17.18 Case Maintenance
 
17.19 Verification
 
17.20 Resource Development
 
17.21 Notification
 
17.22 Common Eligibility Requirements
 
17.23 Eligibility Determination Groups
 
17.24 Income
 
17.25 Assets
 
17.26 Establishing Medical Necessity
 
17.27 Special Procedures Related to Coverage Groups
 
17.28 Benefit Repayment
 
17.29 Special Data System Instructions
 
17.30 Management of the Personal Needs Allowance
 
17.31 Billing Procedures and Payment Amounts
 
Intellectual Disabilities and Developmental Disabilities (I/DD)
 
17.32 The Application/Redetermination Process
 
17.33 Case Maintenance
 
17.34 Verification
 
17.35 Resource Development
 
17.36 Notification
 
17.37 Common Eligibility Requirements
 
17.38 Eligibility Determination Groups
 
17.39 Income
 
17.40 Assets
 
17.41 Establishing Medical Necessity
 
17.42 Special Procedures Related to Coverage Groups
 
17.43 Benefit Repayment
 
17.44

Special Data System Instructions
 

17.45 Personal Needs Allowance
 
17.46 Billing Procedures and Payment Amounts
 

Intermediate Care Facility/Mentally Retarded (ICF/MR)
 

17.47 The Application/Redetermination Process
 
17.48 Case Maintenance
 
17.49 Verification
 
17.50 Resource Development
 
17.51 Notification
 
17.52 Common Eligibility Requirements
 
17.53 Eligibility Determination Groups
 
17.54 Income
 
17.55 Assets
 
17.56 Establishing Medical Necessity
 
17.57 Special Procedures Related to Coverage Groups
 
17.58 Benefit Replacement
 
17.59 Special Data System Instructions
 
17.60 Management of Personal Needs Allowance
17.61 Billing Procedures and Payment Amounts
 

Traumatic Brain Injury Waiver (TBI)

 

17.62 The Application/Redetermination Process
17.63 Case Maintenance
17.64 Verification
17.65 Resource Development
17.66 Notification
17.67

Common Eligibility Requirements

 

17.68 Eligibility Determination Groups
17.69 Income
17.70 Assets
17.71 Establishing Medical Necessity
17.72 Special Procedures Related to Coverage Groups
17.73 Benefit Repayment
17.74 Special Data System Instructions
17.75 Management of the Personal Needs Allowance
17.76 Billing Procedures and Payment Amounts
Appendix A Transfer of Resource Policies
 
Appendix B Remainder Interest Tables
 
Appendix C Patient's Rights
 
Appendix D Nursing Home Medicaid Rates
Appendix E Life Expectancy Tables
Appendix F

Public Forms
DFA-NH-RR-1 - Nursing Home Only - Rights & Responsibilities

Appendix G Long Term Care Period Life Tables

Appendix H

Transfers Made on or After 8/11/93
VS
Transfers Made on or After 2/8/06

Appendix I Contract Agency Listing
Appendix J


Long-Term-Care Insurance Partnership (LTCIP) State's Implementation Dates
 

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This page was last updated on July 2, 2015 .