Answering Yes allows you to skip this page for every other customer listed on the application. Answering No requires you complete this page for each customer on the application.
Use this procedure to record Living Arrangement details between each member of the household.
The Living Arrangement page displays.
In the Living Arrangement Dates section:
Enter the Effective Begin Date of the living arrangement (required).
Enter the Reported On date for when the living arrangement was reported to the local department (required).
Enter the date the verification was received in the Verification Received On field (required).
Enter the date customer became aware of the details in the Date Change Occurred field (required).
In the Living Arrangement Details section:
Select the Living Arrangement Type from the dropdown menu.
Select Yes or No from the Does this living arrangement apply to everyone in the household? dropdown menu.
Select the Verification from the dropdown menu.
|
|
Answering Yes allows you to skip this page for every other customer listed on the application. Answering No requires you complete this page for each customer on the application. |
If applicable:
Select Yes or No from the Moved from ALF to Nursing Facility dropdown menu (enabled only when Living Arrangement Type is Hospital, Nursing, Psychiatric or Other Medical Facility).
Select Yes or No from the Has the screening for or physician statement indicated that the individual will be in a nursing facility for less than or equal to 6 months? dropdown menu (enabled only when Living Arrangement Type is Hospital, Nursing, Psychiatric or Other Medical Facility).
Select Yes or No from the Facility is a public or private non-profit organization? dropdown menu.
Select Yes or No from the Facility has less than 17 residents? dropdown menu.
Select Yes or No from the Facility certified by the appropriate agency or agencies of the state? dropdown menu.
Select Yes or No from the Authorized as a retailer by FNS? dropdown menu.
Select Yes or No from the Drug and Alcohol Treatment Center? dropdown menu.
In the Additional Information for Institutionalized Individuals section:
Enter the Facility Begin Date.
Enter the Facility End Date, if applicable.
Enter the Monthly Medicaid Rate.
Enter the Monthly Private Rate.
Click Add.
In the Additional Information for Prison / Correctional Facility section:
Enter the Facility Type.
Select Yes or No from the Was the client enrolled in Medical Assistance at the time of incarceration? dropdown menu.
Enter the Hospital Begin Date.
Enter the Hospital End Date, if applicable.
Enter the Incarceration Begin Date.
Enter the Incarceration End Date, if applicable.
In the Special Living Arrangement (SLA) Details section:
Enter the Special Living Arrangement Start Date.
Select the City / County Lived in Before Moving into SLA from the dropdown menu.
Select the State Lived in Before Moving into SLA from the dropdown menu.
Select Yes or No from the Placed in SLA by Government Agency? dropdown menu.
In the Minor Parent Information section:
Select Yes or No from the Minor parent lives with parent / step-parent / legal-guardian dropdown menu.
Select Exception for reason not living with parent(s) / step-parent(s) / legal-guardian(s) dropdown menu, if applicable.
Choose a Verification of Exception from the dropdown menu.
Select Yes or No from the Supervising adult in living situation agrees to responsibilities dropdown menu.
Enter a numeric value in the How many minor households does senior parent deem to? field.
Click Next.
Living arrangement details of the household are recorded.
Updated 04/25/2016