When a Consumer Active on MAGI Coverage Needs to be Approved for LTC Coverage

 

The following process should be followed when staff encounter a consumer who is active on MAGI coverage but needs to be approved for LTC coverage on a seperate program block.

  1. Run negative action on the MAGI program block in the come-up month, allowing for timely notice.

    1. Negative Action Reason of Voluntary Withdrawal will need to be used.

  2. Run EDBC on the LTC program block for the benefit month LTC coverage begins through come up month.

  3. Rerun EDBC for the MAGI program block for come up month to give the consumer a status of FSO.