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DAAS ADMINISTRATIVE LETTER NO: 13-02 DMA ADMINISTRATIVE LETTER NO: 01-13, MEDICAID TERMINATION FOR ALL SPECIAL ASSISTANCE BENEFICIARIES IN AN INSTITUTION FOR MENTAL DISEASE (IMD)

DATE: February 11, 2013

SUBJECT: Medicaid Suspension for All Special Assistance Beneficiaries in an

DISTRIBUTION: County Directors

I. BACKGROUND

II. EFFECT ON MEDICAID ELIGIBILITY

III. PROCEDURES FOR SUSPENDING MEDICAID FOR SA CASES IN AN IMD

 

IV. PROCEDURES FOR REINSTATING MEDICAID FOR SA CASES WHO REMAIN IN THE FACILITY WHEN THE FACILITY IS NO LONGER AN IMD

V. PROCEDURES FOR SA CASES WHO MOVE OUT OF THE IMD FACILITY

VI. PROCEDURES FOR REDETERMINATIONS WHEN SA CASE REMAINS IN AN IMD FACILITY

VII. PROCEDURES FOR SA APPROVALS WHEN THE BENEFICIARY IS IN AN IMD FACILITY

VIII. PROCEDURES FOR SA APPROVALS WHEN THE BENEFICIARY WAS IN A FACILITY THAT WAS AN IMD BUT IS NO LONGER AN IMD

IX. EIS NOTICES

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