Long-term care home and community based services and hospice (CN)
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Long-term care home and community based services and hospice (CN)

Revised December 31, 2008

This section is commonly referred as "The COPES chapter". It is used for the eligibility of the HCS CN waiver programs. The medical coverage group is C01
Purpose: This chapter describes the general and financial eligibility requirements for categorically needy (CN) home and community based (HCB) services administered by home and community services (HCS) and hospice services administered by health and recovery services administration (HRSA). These services are administered either in a home or residential (non medical institution) setting.

NOTE:

For HCS Medically Needy (MN) Waivers see:

HCS Medically Needy in-home Waiver (MNIW)

HCS Medically Needy Residential Waiver (MNRW)

Institutional medically needy is used when the client's gross income is over the Medicaid SIL (300% of the FBR). 

WAC sections for CN HCB Waivers (COPES, New Freedom, WMIP, PACE)

388-515-1505 Long-term care home and community based services and hospice. (Table of contents WAC)
388-515-1506 What are the general eligibility requirements for home and community based (HCB) services and hospice?
388-515-1507 What are the financial requirements for home and community based (HCB) services when you are eligible for a noninstitutional categorically needy (CN) medicaid program? (Clients who do not "participate" toward personal care services because they would have been eligible for a SSI related CN medicaid program at home--S01 or S02 eligibles).
388-515-1508 How does the department determine if you are financially eligible for home and community based (HCB) services and hospice if you are not eligible for medicaid under a categorically needy (CN) program listed in WAC 388-515-1507(1)?
388-515-1509 How does the department determine how much of my income I must pay towards the cost of my care if I am only eligible for home and community based (HCB) services under WAC 388-515-1508? (The "participation" or post eligibility WAC)

This section contains the following HCB CN services:

  1. Community options program (COPES)

  2. New Freedom consumer directed services  (New Freedom)

  3. Program of all-inclusive care for the elderly  (PACE)

  4. Washington Medicaid integration partnership (WMIP)

  5. Hospice in a home setting

Clarifying Information on Hospice and Roads to Community Living

Hospice Clarifying Information

Roads to Community Living (RCL) Clarifying Information

 

Clarifying Information on HCS HCB Services (COPES, New Freedom, WMIP, PACE)

Overview including eligibility process and staff who make eligibility determinations. (This section includes instructions on New Freedom).

Working clients on COPES (or any HCB service with HCS)

1619B and "Deemed SSI eligible" clients (after DAC, Pickle/COLA, Widower exclusion)

HCS services in residential settings, room and board, ETRs, Bed-hold processes

 

Worker Responsibilities- HCB CN Services (COPES, New Freedom, WMIP PACE)

Worker responsibilities

ACES PROCEDURES

See Long Term Care, Alternate Care and Waiver Services

NSA (Equal Access) and Long Term Care

NSA and Clients receiving HCS services

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Modification Date: December 31, 2008
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