1. Do not approve special authorization adjustments for clients in DHS facilities.
  2. Figure client spenddown, as appropriate.
  3. Send Notice of Decision - Long Term Care (Form 458LTC) to tell DHS facility of credit to be deducted from patient charges when initial approval is given.
  4. Use Notice of Change to Mental Health (Form 280) to tell DHS facility of changes in credit to be deducted from patient charges.