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

 

When staff encounter a consumer who has active Modified Adjusted Gross Income (MAGI) coverage but needs to be approved for Long Term Care (LTC) coverage on a separate program block, follow these steps:

  1. Create the appropriate LTC Data page for the consumer.     

  2. Run EDBC for the come-up month on the MAGI Program Block, allowing for a timely notice. The person's coverage should close as Gets LTC/SSI.

  3. Run EDBC on the LTC Program Block to approve waiver services. Send appropriate Notice of Action (NOA’s).