WAG 18-05-22: Change from Community Spenddown (Unmet) to LTC Spenddown (Unmet) Case

When a community spenddown (unmet) case enters a long term care facility and is changed to a long term care 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 unit composition code. Enter the appropriate long term care facility code.
• Item 33 -Enter 57.
• Item 44 -See WAG 27-44-00.
• Item 45 -See WAG 27-45-00.
• Item 80 -Delete 390 SPD and 158 CI. Enter 391 SPDGC.