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5.13.3 FAMILY CARE MA & NON-MA

There are two types of Family Care financial eligibility:

 

Family Care MA clients are eligible for MA services and receive a Forward Card.  They have their long-term care needs met via a Family Care CMO.  They may have a cost share or a spenddown.  In CARES Client Assistance for Re-employment & Economic Support, their MA eligibility is represented by an open MA assistance group (which may include a community waivers AG) for example NS, MCWW, MAOR, etc.  Enrollment in the Family Care CMO is represented by an open “FC” assistance group in CARES.  Family Care MA participants have both an open MA and an open FC AG.

 

Family Care Non-MA participants are not eligible for MA (usually due to excess assets or income Income is anything you receive in cash or in kind that you can use to meet your needs for food, clothing, and shelter.).  They do not receive a Forward Card.  However they are eligible to receive their long-term care services via a Family Care CMO.  They have a cost share.   In CARES, Family Care non-MA participants will show a closed or denied MA AG, and an open FC AG which represents their enrollment in the Family Care CMO.  

 

 

This page last updated in Release Number : 01-05

Release Date : 10-01-01

Effective Date : 10-01-01