When a long term care spenddown (unmet) case returns to the community and is changed to a community spenddown (unmet) case, complete Form 552:

  • Item 2 -Enter the current processing month and year (MM/YY).
  • Item 3 -Enter 31.
  • Item 20 -Delete the long term care facility code. Enter the appropriate unit composition code.
  • Item 33 -Enter 57.
  • Item 44 -See WAG 27-44-00.
  • Item 45 -Delete entry.
  • Item 80 -Delete 391 SPDGC. Enter 390 SPD and 158 CI.