Access the case through Person Search or enter the Case Number in the quick search field from Task Navigation and click Go. The Case Summary page displays.
If the consumer is on a program block with a spouse, or any other household member, the consumer will need to be moved to their own medical block. See Add New Program or Reapply Program.
If the consumer is on a medical program block with no other persons:
Add/Update Requested Medical Type to LTC with a Begin Date the month LTC begins.
Add/Update Administrative Role if there is a community spouse or additional correspondent who needs to receive notices. If there is a medical representative, they can be added at this point using the Resource Databank
Select Eligibility from Global Navigation. Select Customer Information from Local Navigation. Select LTC Data from Task Navigation. The LTC Data List page displays.
Click the Add button. The LTC Data Detail page displays.
Select the consumer name from the Name drop-down menu.
Select HCBS from the LTC Type drop-down menu.
Enter the date the information is being recorded in the Recorded Date field using the <mm/dd/yyyy> format or the calendar icon.
Complete the HCBS Information section.
Click the Select button to select the correct Agency. The Select Provider Resource page in the Resource Databank displays. To search for and select the correct Agency:
Enter the Provider ID for the correct MCO Agency.
|
Provider ID |
Provider |
|
1066186 |
United Health Care |
|
1066236 |
Sunflower Health Plan |
|
1912024 |
Aetna Better Health of Kansas |
|
1246712 |
HCBS MCO PLACEHOLDER |
NOTE: If an MCO was not selected and the consumer was not able to be reached to select one, the system is to automatically select the MCO. Use Provider ID 1246712 HCBS MCO PLACEHOLDER in the data details record for the MCO Agency. This will cause the system to select the MCO automatically in MMIS within 24-48 hours. Return to the case after the selection has been made in MMIS and update the Provider ID from 1246712 HCBS MCO PLACEHOLDER to the one that is now displayed in MMIS.
Select Active under Status.
Click the Search button.
NOTE: If the Agency or Provider is not found or needs to be updated, see Requesting an Addition or Change to the Resource Databank.
Click the radio button for the desired Agency.
Click the Select button. The provider selected populates on the LTC Data Detail page.
Complete all additional required fields on the LTC Data Detail page using the ES-3160 Notification of KanCare/HCBS Services.
NOTE: If allocating income to a community spouse use the Add button to add the community spouse in the Dependents of LTC/Applicant/Member or Dependents of Spouse block at the bottom of the page. The Begin Date should be the month allocation should begin.
NOTE: For AU, BI and TA waivers enter the effective date in both the choice date and effective date fields.
Click the Save and Return button when all necessary information is recorded.
NOTE: If the consumer was previously open on a program block with another household member and is now being approved on their own LTC program block, the consumer will need to be closed on the old program block in the come-up month. See Deny or Discontinue a Program or Person for more information.
Run EDBC beginning with the application month (or first prior medical month if requested) in order through the current come up month.
NOTE: If the HCBS person was previously on a spenddown, the spenddown for the HCBS person should automatically be shortened when the HCBS is approved. If the HCBS persons spenddown is not shortened the next day in KMMS and there is no other person on the spenddown then a Help Desk ticket may be needed.
Check system generated notices for accuracy. If needed, see Manual NOA Generation.
Create a Journal entry documenting the changes.