Program |
Manual Section |
ALTCS |
Follow the procedures below to screen for and process other AHCCCS eligibility when ALTCS eligibility is being denied or discontinued.
Follow the steps below to determine if an ALTCS-ineligible customer is potentially eligible for SSI MAO, MSP, FTW, or other MA benefits:
Step |
Action |
1 |
Did HEAplus screen for SSI MAO, FTW, or MSP on the disposition screen?
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2 |
Is the customer screening for SSI-MAO or FTW, but does not have a disability verified by SOLQI??
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3 |
If the customer provided all information requested, but is ineligible for SSI MAO, MSP and FTW, would the customer like to continue an application for Acute Services?
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4 |
Process the eligibility for the programs screened as potentially eligible. NOTE See the procedures in sections 2 and 3 below for details on handling applicants with active acute eligibility or when denying ALTCS for “Missed Appointment” |
Use the steps below to correctly disposition customers’ ongoing eligibility in other programs when denying ALTCS:
Step |
Action |
1 |
Did the customer miss the financial appointment?
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2 |
When the ALTCS denial is for voluntary withdrawal, determine whether the customer wants to withdraw from ALTCS only or from the other program as well. Does the customer want to withdraw the ALTCS application AND from SSI MAO, FTW, or MSP?
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3 |
Is the information provided on the current ALTCS application different than the information on the most recent SSI MAO, FTW, or MSP application?
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4 |
Review verification factors and send an RFI for any pending factors if needed. |
5 |
Did the customer provide all proof needed to redetermine eligibility?
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When denying ALTCS for “Missed Appointment”, take the following steps for customers who are not currently receiving, but screen potentially eligible for SSI MAO, FTW, or MSP.
Step |
Action |
1 |
View the “Registration Information” screen under the “Who is applying for ALTCS” battery to see if the customer has been informed of how their information will be used. NOTE When the request for application for ALTCS benefits is submitted by someone who is NOT authorized to apply for the customer this box should not be checked. See MA1301A.2 for a list of people who can apply and sign on behalf of a customer. |
2 |
Using the best available information, answer the questions in all of the following batteries in the application flow:
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3 |
Is the box in Step One checked?
NOTE Do not check that box in step one without informing the customer, representative, or responsible relative of how their information will be used. |
4 |
Are there any factors that need verification?
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5 |
Was the information provided by the due date?
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