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 cases and not ME Medicaid -AF cases.

1. The IV-E worker will maintain the Medicaid case in FSO Field Service Office 060.
    

2. When DMHDD Division of Mental Health and Development Disabilities notifies the appropriate DPA Division of Public Assistance LTC Long Term Care 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 or information from DDS Disability Determination Service .
    

3. When DMHDD Division of Mental Health and Development Disabilities 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 IV-E worker regarding what actions were taken.
      

4. The IV-E caseworker 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.