Thursday, June 16, 2011

Recent PA DPW Medicaid Long Term Care Policy Clarifications

In Pennsylvania, Department of Public Welfare (DPW) County Assistance Office (CAO) income maintenance caseworkers review applications for Medical Assistance long term care benefits and make eligibility determinations. To help these CAO caseworkers, DPW’s Bureau of Policy provides interpretive guidelines in its Long Term Care Handbook

DPW also transmits various policy clarifications, program directives, and memoranda to the local CAOs, and provides ongoing trainings for local caseworkers where policies regarding eligibility determinations are discussed. DPW makes its policy clarifications and other program directives and memoranda intermittently available on the Department’s website.  Recent policy clarifications have included the following: 

PMN15801468: Revised Spousal Maintenance Allowance Effective 7/1/11 (June 3, 2011)

PMN15762403 : Managed Care Organization (MCO) Disenrollment for an Active Medical Assistance (MA) Recipient entering a Long Term Care (LTC) Facility (May 25, 2011)

Treatment of Income from Participating in Clinical Trials for Rare Diseases and Conditions (May 24, 2011)

PMN15789440: Transfer of Assets to a Disabled Child (May 18, 2011)

PMN15777389: Eligibility for Home and Community Based Services (HCBS) in Spend-down Category of Medical Assistance (MA)(May 5, 2011)

PMN15737468: Deduction Limitation for Guardian Fees, Including Costs to Establish Guardianship (April 10, 2011)

PMN15573440: Establishing the Penalty Period for a Recipient of Long Term Care (LTC) Facility Services or Home and Community Based Services (HCBS) (December 8, 2010)

PMN15565389: Procedures for HCBS Waiver Programs under the Office of Long Term Living (Revised January 13, 2011) 

PMN15421440: Resources for Home and Community Based Services (Aug 5, 2010)

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