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Wisconsin Department of Health and Family Services Obsolete Medicaid Eligibility Handbook For the current MEH, see http://www.emhandbooks.wi.gov/meh-ebd/ For the current BC Plus Handbook, see http://www.emhandbooks.wi.gov/bcplus/ |
MA card services are all the MA covered services (7.1.1) except SNF/ICF Intermediate Care Facility payments and ancillary services (Wis. Ad. Code 107.09(2) and (4)(a). These excepted services consist of the routine, day-to-day health care services that are provided to MA recipients by a nursing home and that are reimbursed within the daily care rate.
A person who, because of divestment, isn't eligible for services reimbursed within the daily institutional care rate is still eligible for MA card services.
Community waivers (CW) clients who have divested cannot receive CW benefits and can’t use CW eligibility criteria. They may be eligible for MA card services. Determine eligibility using regular MA methodology.
Send a notice to the CW case manager telling him/her of the client’s ineligibility for waiver services.
This page last updated in Release Number : 01-05
Release Date : 10-01-01
Effective Date :10-01-01