124-4     CHILDREN IN CUSTODY FOUND ELIGIBLE FOR HCB Home and Community Based WAIVER SERVICES

Due to the complexity and specialization of this caseload the Long Term Care (LTC Long Term Care) caseworkers have statewide access and are able to access and update cases in any Full Service Office.

HCB Home and Community Based Waiver cases are generally ME Medicaid-AD Aid to the Disabled cases and not ME Medicaid-AF Aid to Families with Dependent Children cases.

1. The OCS Office of Children's Services eligibility technician will maintain the Medicaid case in FSO Field Service Office 060.
    

2. When DSDS Division of Senior and Disabilities Services notifies the appropriate DPA Division of Public Assistance LTC Long Term Care team or caseworker of a waiver start, the caseworker will register a separate case number and, when necessary, pend the case and send notice for the needed waiver information such as a MED 3 Declaration/Denial of Asset Transfer Form or information from DDS Disability Determination Service .
    

3. When DSDS Division of Senior and Disabilities Services notifies DPA Division of Public Assistance of the waiver approval the LTC Long Term Care caseworker will enter the appropriate waiver codes on the 060 case number and authorize MEMC coupons for past months.
    

   • The LTC Long Term Care caseworker will CANO Case Notes the actions on both the 060 case and the LTC Long Term Care case.  
      

   • The LTC Long Term Care caseworker will close the waiver case.
     

   • The LTC Long Term Care caseworker will email the OCS Office of Children's Services eligibility technician regarding what actions were taken. 
     
     

4. The OCS Office of Children's Services eligibility technician maintains the case.
    

5. If a child loses waiver eligibility the LTC Long Term Care caseworker will access the 060 number, take the appropriate actions, and send the adverse action notice on the 060 number.