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To qualify for KidsCare, a person cannot be living in an IMD.
Exception:
Customers who are on KidsCare when they are admitted to an IMD can stay on KidsCare until their annual renewal. If they are still in the IMD when their renewal is due, they do not qualify for KidsCare.
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Term |
Definition |
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Institution for Mental Disease (IMD) |
Medical facility primarily engaged in providing diagnosis, treatment or care of persons with mental diseases, including medical attention, nursing care and related services. |
Proof that the customer is living in an IMD is obtained through a collateral contact with the facility. The collateral contact should determine:
If the facility is unable to confirm whether or not it is an IMD, submit a PCR. To determine living arrangements for ALTCS customers who are in an IMD, see MA521.
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Program |
Legal Authorities |
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KidsCare |
42 CFR 457.310(c)(2)(ii) ARS 36-2983(G)(4) AAC R9-31-303(5) |