medicaid eligibility and patient liability determinations - Kymmis.com

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LOC for non-SSI Active Members • Some State Supplementation cases can not co-exist with Waiver. As many of these create overlapping benefits for the member. In those instances the member must indicate to their DCBS worker which services they want.
LOC for non-Medicaid individuals • An application must be filed and it is preferable that this function be completed by a family member. Facilities can make the application, however because they are not familiar with the circumstances prior to admittance, this is not the recommended practice. Making a false statement on an application for public assistance is fraud. • A MAP-14 may be needed if the facility makes the application
Page 1 and 2: MEDICAID ELIGIBILITY AND PATIENT LI
Page 3 and 4: Medicaid Application Process Kentuc
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: LOC for non-SSI Active Members If t
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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