Policy Memo: Two-Step Eligibility Policy Memo: Process for Persons in Long Term Care Facilities

Helping Families. Supporting Communities. Empowering Individuals.

6/29/2012

Policy Memo: Process for Persons in Long Term Care Facilities

Summary:

  • A two-step process is introduced for financial eligibility determination and income budgeting for persons in long term care facilities;
  • The initial step determines financial eligibility for medical assistance, using the AABD community medical standard. After eligibility has been established, income is budgeted in a second post-eligibility step;
  • This change is made because federal regulations require that all similarly-situated clients have eligibility determined the same way.