Discontinue Institutional Care - PPS

1. 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.

2. Click the View Details button in the Medical Programs block. The Medical Detail page displays in view mode.

3. Click the Edit button. The Medical Detail page redisplays in editable format.

4. Click the Edit button in the Program Persons section to add the foster care Placement Provider. The Medical Person Detail page displays.

   NOTE: If the child is returning to an adoptive home, proceed to STEP 19.

5. Click the Edit button next to the PRTF in the Administrative Roles section. The Administrative Role Detail page displays.

6. Enter the date prior to discharge in the End Date field using the <mm/dd/yyyy> format or the calendar icon.

7. Click the Save and Return button. The Medical Detail page displays with only the child in the Administrative Roles section.

8. Click the Add button in the Administrative Roles section. The Administrative Role Detail page displays.

9. Select Placement Provider from the Administrative Role drop-down menu. The Resource label displays.

10. Click the Select button under Resource. The Select Resource page displays.

11. Enter the Placement Provider in the Name field.

    NOTE: The spelling of a name may give the user incomplete results.

    Examples: “Addams” will not display “Adams”. “Tracy” will be limiting; whereas, “Trac” will return “Tracy”, “Tracey”, “Traci”, “Tracie”, etc.

12. Select Foster Care from the Category drop-down menu.

13. Enter as must information as possible to limit the search results.

14. Click the Search button. The Select Resource page re-displays with the results.

15. Click the radio button next to the correct resource name.

    NOTE: The selected resource must have a Status of Active.

16. Click the Select button. The Administrative Role Detail page displays with the selected resource.

17. Enter the date the child was placed with the specific resource in the Begin Date field using the <mm/dd/yyyy> format or calendar icon.

18. Click the Save and Return button. The Medical Detail page displays.

19. Click the Edit button in the Program Persons section. The Medical Person Detail page displays.

20. Click the Add button in the Requested Medical Type section. The Requested Medical Type Detail page displays.

21. Select PPS from the Requested Medical Type drop-down menu.

22. Enter the month following the month of discharge in the Begin Month field using the <mm/yyyy> format or the calendar icon.

23. Click the Save and Return button. The Medical Person Detail page displays.

24. Click the Save and Return button. The Medical Program Detail page displays.

25. Click the Save and Return button. The Case Summary page displays.

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

27. Click the Edit button on the Institutional Care record that is ending. The LTC Data Detail page displays.

28. Select Yes from the Discharge Information drop-down menu. Enter the Discharge Date as reported on the MS-2126 using the <mm/dd/yyyy> format or the calendar icon.

29. Enter any other necessary information from the MS-2126 Notification of Nursing Facility Admission/Discharge.

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

31. Refer to PPS Medical to HCBS If the child is to receive HCBS.

32. Click the + next to Foster Care from Task Navigation to expand the Foster Care data collection pages.

    NOTE: If the child is in an adoptive home, proceed to STEP 50.

33. Select Child Placement from Task Navigation. The Child Placement List page displays.

34. Click the Add button. The Child Placement Detail page displays.

35. Click the Search button associated with the Placement Resource. The Resource Search page displays.

36. Enter as must information about the new placement as possible. Click the Search button. The Resource Search page redisplays with a list of resources.

37. Click the radio button next to the appropriate resource and click the Accept button. The Child Placement Detail page displays with the resource populated.

38. Select Child Welfare Agency from the Payee drop-down menu. The Search button dynamically displays.

39. Click the Search button. The Resource Search page displays.

40. Enter as much information as possible for the Case Management Agency. Click the Search button. The Resource Search page displays with a list of resources.

41. Click the radio button for the appropriate resource and click the Accept button. The Child Placement Detail page displays with the Case Management Agency populated in the Payee field.

42. Enter the date the child entered the foster care placement in the Begin Date field using the <mm/dd/yyyy> format or the calendar icon.

43. Click the Save and Return button. The Effective Dating Confirmation List page displays with the Begin Date for the current placement and the Begin Date and End Date for the previous placement.

44. Click the Save button. The Child Placement List page displays with a record showing the current placement for the child.

45. Select Run EDBC from Task Navigation. The EDBC List page displays. Select the month of the placement change from the Benefit Month drop-down menu. Click the Select button.

46. Select the check box for Foster Care and click the Run EDBC button. The EDBC List page displays.

47. Click the Foster Care hyperlink with a Run Status of Not Accepted. The Foster Care EDBC page displays.

48. Verify the Foster Care Aid Code and the Placement Information are correct on the Foster Care EDBC page.

    • If the information is correct, click the Accept button. The EDBC List page displays with a Run Status of Accepted – Not Saved. Proceed to STEP 49.

    • If the information is incorrect, click the Cancel button and return to the data collection pages to make corrections.

    NOTE: The Foster Care EDBC must be Accepted and Saved prior to running EDBC for medical.

49. Click the Save and Continue button. The Case Summary page displays.

50. Select Run EDBC from Task Navigation. The Run EDBC page displays.

51. Select the month the Consumer was discharged from the PRTF from the Benefit Month drop-down menu. Click the Select button.

52. Select the check box for Medical.

53. Select Yes from the Timely Notice Exception drop-down menu.

54. Select LTC Late Change from the Reason drop-down menu.

55. Click the Run EDBC button. The EDBC List page displays.

56. Click the Medical hyperlink with a Run Status of Not Accepted. The Medical EDBC Summary page displays with an aid code of FCM/DC/N/N and LTC Details IC/BF/MH.

57. Click the Foster Care Medical hyperlink. The Requested Medicaid EDBC – Foster Care Medical page displays. The LTC Details at the bottom of the page shows the IC/BF/MH with an End Date.

58. Click the Close button. The EDBC Summary page displays.

59. Click the Accept button. The EDBC List page displays with a Run Status of Accepted – Not Saved.

60. Click the Save and Continue button. The Distributed Documents page displays with the Notice of Action (NOA) generated. Select the check box for the Notice of Action. Click the Delete button. The NOA is removed from the Distributed Documents page.

    NOTE: Run EDBC for each month through the come-up month.

    • Use a Reason of LTC Late Change for each month requiring a Timely Notice Exception.

    • Verify there is no Aid Code in the LTC Details on the EDBC Medical Summary page.

    • Delete notices which are generated.

61. Select Journal from Utility Navigation. Record all actions taken on the case. See Journal for more information about journaling functionality.