Independent Living to PACE LTC

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

   • 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 to additional correspondent if there is a community spouse who needs to receive notices. If there is a medical representative, they can be added at this point using the Resource Databank.

2. Select Eligibility from Global Navigation. Select Customer Information from Local Navigation. Select LTC Data from Task Navigation. The LTC Data List page displays.

3. Click the Add button. The LTC Data Detail page displays.

4. Select the consumer name from the Name drop-down menu.

5. Select PACE from the LTC Type drop-down menu.

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

7. Complete the Pace Enrollment Information block:

   • Click the Retrieve Information button to select the PACE Provider.  The Select Provider Resource page in the Resource Databank displays. Search for and select the correct PACE Provider:

   • 1. • Enter the Provider ID for the correct PACE Provider:

        Provider ID	Provider
        1011885	MIDLAND CARE CONNECTION
        1066095	VIA CHRISTI HOPE (HEALTHCARE OUTREACH)
        1260029	BLUESTEM PACE

         

        • 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 PACE Provider.

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

8. Complete any other additional fields based on ES-3166 Notification of Pace Information.

NOTE: If allocating income to a community spouse click the Add button to enter 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 begins.

9. Click the Save and Return button. The LTC Data List page displays.

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. This will need to be done prior to running EDBC on the new program block in order for coding to send to MMIS correctly. See Deny or Discontinue a Program or Person for more information.

10. 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 approvedIf 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.

11. Check system generated notice for accuracy. If necessary, see Manual NOA Generation for detailed steps on sending a notice.

12. Create a Journal entry documenting the changes.