Independent Living to Institutional Care - Temporary Stay

 

Helpful Links

Discontinuing a Temporary Stay –No Other Medical Program

 

Discontinuing a Temporary Stay - Existing/Continuing Medical Program

 

Changing an Institutional Care Temporary Stay to a Permanent Stay

 

 

Complete the Following Steps:

 

  1. Access the case through Person Search or enter the Case Number in the quick search field from Task Navigation and click Go.

    1. 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.

    2. If the consumer is on a medical program block with no other persons:

      1. Add/Update Requested Medical Type to LTC with a Begin Date the month LTC begins.

      2. 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.

 

  1. Select Eligibility from Global Navigation. Select Customer Information from Local Navigation. Select LTC Data from Task Navigation.

 

  1. Click the Add button on the LTC Data List page. The LTC Data Detail page displays.

 

  1. Select the consumer’s name from the Name drop-down menu.

 

  1. Select Institutional Care from the LTC Type drop-down menu.

 

  1. Enter the date the information is being recorded in the Recorded Date field using the <mm/dd/yyyy> format or the calendar icon.

 

  1. Complete the Facility Information block.

    1. Click the Select button in the Facility Information block.  The Select Provider Resource page in the Resource Databank displays. To search for and select the correct Facility Name/Location:

      1. Enter the Provider ID using the Active Nursing Facility (NF) List..

      2. Select Active under Status.

      3. 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.

 

  1. Click the radio button for the desired Facility Name/Location.

  2. Click the Select button. The provider selected populates on the LTC Data Detail page.

 

  1. Select Yes next to the Admission Information field.

 

  1. Select Yes next to the Discharge Information if it is known, and enter the Discharge Date using the <mm/dd/yyyy> format or the calendar icon.

 

  1. Using MS-2126 Notification of Facility Admission/Discharge received from the facility, complete the required fields.

  1. Enter the Admission Date using the <mm/dd/yyyy> format or the calendar icon.

  1. Select Less than 30 days from the Anticipated Length of Stay drop-down menu.

 

NOTE: Admitted From Hospital requests the Previous Admission Date. The Previous Admission Date is used to determine the Community Spouse Resource Allowance start date.

 

  1. Select the Current Level of Care in Your Facility using the drop-down menu.

  2. Enter the Cost of Care.

 

NOTE: The amount used for the Cost of Care depends on the situation:

 

  1. Enter the Discharge Date, if known, using the <mm/dd/yyyy> format or the calendar icon.

  2. Complete the CARE Screening information using the provided information from KDADS. Under Care Screening, select Yes if the consumer meets the CARE Screening requirements, if they do not meet the CARE Screening requirement select No. Enter the Date Screening Completed using the <mm/dd/yyyy> format or the calendar icon.

  3. In some situations the consumer may be exempt from a CARE Screening. In this scenario the user should enter Yes for CARE Screening Met and the date the consumer became exempt from the screening requirement.

  4. Record this information in the Journal.

 

NOTE: If the facility did not complete the CARE Screening in a timely manner, but the consumer is still eligible for Medicaid, please contact the Help Desk for processing instructions.

 

  1. If allocating income complete the Dependents of LTC/Applicant/Member or Dependents of Spouse block. See  Income Allocation for more information.

 

  1. 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 before LTC begins. See Deny or Discontinue a Program or Person for more information.

 

  1. 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 LTC person was previously on a spenddown, the spenddown for the LTC person should automatically be shortened when the LTC is approved. If the LTC 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.

 

  1. Check system generated notice for accuracy. If needed, see Manual NOA Generation and Generating a Form for an Institutional Care Facility for detailed steps on sending the notifications.

 

  1. Create a Journal entry documenting the changes.