DATE: FEBRUARY 22, 2008
Manual: Aged, Blind, and Disabled Medicaid
Change No: 09 - 08
To: County Directors of Social Services
Effective: March 01, 2008
MA-2360, Medicaid Deductible III. D.1.a. and b. have been changed to maintain consistency with the Family and Children’s manual.
Also in MA 2360, Figure 4, Applying Diagnosis Related Groupings (DRG) Policy, # 11 was added to address that authorization for Medicaid must be for both dates of hospital admission when an a/r is transferred from one acute care facility to another when client has a deductible so that the second acute care facility can receive payment.
This policy is effective March 1, 2008. Please apply to all applications taken and redeterminations started on or after March 1, 2008, as well as those presently in process.
A. Remove: MA-2360, Medicaid Deductible, pages 3 and 4
B. Insert: MA-2360, Medicaid Deductible, pages 3 and 4, effective March 1, 2008
C. Remove: MA-2360, Figure 4, Applying DRG Policy
NOTE: In some cases, you may need to “X” out MA-2360, Figure 4 found
on the back of MA-2360, Figure 3, page 5.
D. Insert: MA-2360, Figure 4 revised March 1, 2008, effective March 1, 2008
If you have any questions regarding this information, please contact your Medicaid Program Representative. For any issues that are not able to be handled through that venue, Mrs. Angela Floyd, Assistant Director for Recipient and Provider Services, will be your point of contact and can be reached at (919) 855-4000.
William W. Lawrence, Jr., M.D.,
(This material was researched and written by Susan K. Castle, Policy Consultant, Medicaid Eligibility Unit)
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.