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Changes in a customer’s long term care living arrangement, including admission to or discharge from a nursing facility or public institution must be reported.
For a customer who receives services under ALTCS or Freedom to Work (FTW) – ALTCS programs, living arrangement changes may affect the customer’s services, Share of Cost (SOC), or premium. See MA521 for detailed policy on living arrangements.
For a Veteran customer, a change in living arrangement may affect:
· Eligibility for VA potential benefits for the customer or applying spouse or dependent; or
· The maximum potential VA income benefit.
See Living Arrangement Changes Examples.
Use the following manual sections for policy related to other living arrangement changes:
When the customer... |
Then the following policy is followed... |
Moves out of state permanently |
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Is temporarily out of state |
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Enters a detention facility |
When the customer reports a new living arrangement the following information is needed:
· Date the customer entered the new living arrangement;
· Type of facility, when customer is residing in a medical or home and community-based setting (HCBS) facility; and
· Date the customer left the previous living arrangement.
This applies to the following programs:
· ALTCS
· FTW-ALTCS
When the customer moves from a setting in which only limited ALTCS services can be provided to a setting where full long term care services can be provided, the customer is eligible for full long term care services beginning on the date that they moved to a setting where long term care services can be provided, rather than the first of the month.
Program |
Legal Authorities |
ALTCS |
42 CFR 435.916 42 CFR 435.1005 AAC R9-28-406 AAC R9-28-411(A)(1)(b) |
FTW- ALTCS |
42 CFR 435.916 ARS §36-2950 AAC R9-28-406 and R9-28-1315 |