MEH 6.1.13 Recoverable Services Chart

6.1.13 RECOVERABLE SERVICES CHART

	Nursing Home Resident MA	Hospital Inpatient MA	Community Resident MA	MA Waiver	FC MA FC-Non MA
Age	Any age	Any age	55 years of age or older	55 years of age or older	55 years of age or older Any age NH/Hospital
Services on or after	10/01/91	07/01/95	07/01/95	07/01/95	2/1/00
Recoverable Services	All MA benefits paid while residing in nursing home	All MA benefits paid while residing as an inpatient in a medical institution (hospital)	Home health skilled nursing Home health aide services Home health therapy and speech pathology Private duty nursing Personal care services (received on or after 4/1/00)	Home health skilled nursing Home health aide services Home health therapy and speech pathology Private duty nursing All waiver services Prescription/ legend drugs Benefits paid associated with an inpatient hospital stay Personal care services (received on or after 4/1/00)	CMO’s actual costs of services as reported to DHFS Prescription/ legend drugs Benefits paid associated with an inpatient hospital stay

Eff. 4/1/00: If the recipient meets all of the following:

Resides in a nursing home, or hospital.
Is required to contribute to the cost of care.
Is not reasonably expected to return home to live.
A lien is filed on their home.

All services listed above that were received on or after 4/1/00 may be recovered through the lien, except Family Care services which may be recovered as of 2/1/00.

This page last updated in Release Number : 02-03

Release Date: 07/01/02

Effective Date : 07/01/02