January 24, 2011
Area Agency on Aging (AAA) Directors
Home and Community Services (HCS) Division Regional Administrators
Division of Developmental Disabilities (DDD) Regional Administrators
FROM: / Bill Moss, Director, Home and Community Services Division
Linda Rolfe, Director, Division of Developmental Disabilities
SUBJECT: /
Changes in the ACES Medical Coverage Group Codes for Categorically Needy (CN) Waivers, Hospice CN and Medically Needy (MN)
Purpose: / To inform staff about changes in ACES that affect the medical coverage group codes for HCS and DDD CN waiver services and hospice.Background: / In order to process changes in services for clients moving between a waiver program or hospice and a medical facility, financial service specialists must complete a program change in ACES. This is a time-consuming and error prone process.
What’s new, changed, or
Clarified / Effective January 18, 2011 the ACES program codes C01, C95 and C99 that have been used for HCS and DDD CN Waivers and Hospice will be eliminated and replaced with new program codes:
Previous Code / New Code / Description
C01 / L21 / · SSI recipients receiving HCS or DDD home and community based services (example: COPES or DDD waivers)
· SSI recipients receiving Hospice only services
C01 / L22 / · Aged, Blind or Disabled individuals receiving HCS or DDD home & community based services (example: COPES or DDD waivers
· Aged, Blind or Disabled individuals receiving Hospice only services
C95
L95 / L95
L95 / · Hospice only Medically Needy –Displays the word “HOSPICE” on the AU Summary Screen.
· Continues to be used for non-Hospice MN coverage in a medical facility.
Post-Eligibility Changes:
· In a change month, a deduction that is allowed in any setting during the month is allowed for all settings during the month.
· If an allowable deduction is a different amount depending on the setting during a change month, the amount used in all settings will be the highest amount based on all settings where the person received services in the month.
ACTION: / Training about the changes in ACES has been scheduled for HCS and CSD financial services staff. It is recommended that all financial workers processing long-term care programs attend. If you have not received a notice, you can register using the links below:
Day / Date / Time
Tues / Jan 18th / 9:00am – 12:00pm / Click Here to Register
Tues / Jan 18th / 1:30pm – 4:30pm / Click Here to Register
Weds / Jan 19th / 1:30pm – 4:30pm / Click Here to Register
Tues / Jan 25th / 9:00am – 12:00pm / Click Here to Register
If you have questions about the training, contact Peggy Rezac, Financial Policy Analyst at 360-725-2582.
Related
REFERENCES: / The EAZ, ACES manual will be updated with this information. http://www.dshs.wa.gov/manuals/
The LTC manual will be updated with this information.
ATTACHMENT(S): / ACES Release BI gives detailed information on the Long term care changes including 2nd bullet:
http://osd.esa.dshs.wa.lcl/acesinfo/Documents/ACES Releases/Release BI Anticipated Changes.docx
CONTACT(S): / For questions regarding HCS Waiver services:
Debbie Johnson
(360) 725-2531
For questions regarding DDD Waiver Services:
Kris Pederson
(360) 725-3445
For questions regarding financial eligibility:
David Armes
(360) 725-2318
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