medicaid eligibility and patient liability determinations - Kymmis.com

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MEDICAID ELIGIBILITY The Department for Medicaid Services (DMS) contracts with the Department for Community Based Services (DCBS) to determine technical and financial eligibility for Medicaid applicants. The Eligibility Policy Branch in the Division of Member Services monitors this contract.
Medicaid Application Process Kentucky is a 1634 state, meaning that we rely on the Social Security Administration to determine Medicaid eligibility for the Supplemental Security Income (SSI) beneficiaries of our state.
Page 1: MEDICAID ELIGIBILITY AND PATIENT LI
Page 5 and 6: Federal Eligibility groups • Mean
Page 7 and 8: Eligibility Systems • KAMES-Kentu
Page 9 and 10: Basic Medicaid Eligibility • Must
Page 11 and 12: Medicaid Financial Eligibility For
Page 13 and 14: Look Back Rules With the passage of
Page 15 and 16: Spousal Impoverishment Rules Income
Page 17 and 18: Cost Share Rules • When receiving
Page 19 and 20: Income limits for LTC • Under the
Page 21 and 22: Active member’s with a new LOC Fo
Page 23 and 24: The LOC passed to KAMES includes:
Page 25 and 26: LOC for SSI recipients There are va
Page 27 and 28: LOC for an SSI recipient What can y
Page 29 and 30: LOC for non-SSI Active Members If t
Page 31 and 32: LOC for non-Medicaid individuals
Page 33 and 34: LOC for non-Medicaid individuals Th
Page 35 and 36: PATIENT LIABILITY DETERMINATIONS Th
Page 37 and 38: • For example. Undue Hardship - M
Page 39 and 40: Frequent Problems and Resolution
Page 41 and 42: Frequent Problems and Resolution

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