MEMORANDUM
2005 Memorandums
IM-153      12/20/05

SUBJECT:

ACTIVE MEDICAID RECIPIENTS WHO ENTER A MEDICAID CERTIFIED FACILITY; MANUAL REVISION #44: SECTIONS 0630.000.00, 0630.005.00, 0630.010.00, 0630.015.15, 0840.005.00 & 1060.005.25

DISCUSSION:

This memorandum clarifies the policy that a reinvestigation is not required to change the level of care for an active Medical Assistance (MA)/Supplemental Nursing Care (SNC) recipient who enters a Medicaid certified facility or moves from one facility to another. Staff must change MA/SNC cases to vendor levels of care, N, K, or D as soon as:

Note: Reinvestigations are still to be completed in a timely manner. When a reinvestigation is needed in these situations, complete it as a separate action from the change to vendor care.

NECESSARY ACTION:

DS

IM-152  |   2005 Memorandums  |  IM-154