Medically Needy LTC – Family (K95)

Created on: 
Oct 14 2015

See ACES Screens and Online Pages for an example of pages or screens used in this chapter.

Who is eligible to receive K95 (MN Family LTC - No Spenddown) medical?

K95 medical is available only to children (20 years and younger) and has the same non-financial eligibility requirements as K01. For more information, see Apple Health eligibility manual – WAC 182-514-0230  MAGI-based long-term care program and Apple Health eligibility manual – WAC 182-519-0100 Eligibility for the medically needy program.

K01 trickles to K95 if the child is age 18 or younger and their income is over 200%  of the Federal Poverty Level (FPL), but below the monthly state rate in the institution.

K01 trickles to K95 if the child is age 19 or 20 and their income is over the one-person Temporary Assistance for Needy Families (TANF) standard but below the monthly state rate in an institution.

How long is the K95 (MN Family LTC - No Spenddown) certification period?

K95 medical is certified for 12 months.

Online Processing

How do I screen a K95 (MN Family LTC - No Spenddown) Assistance Unit (AU)?

K95 AUs are initially screened into ACES as a K01 (Categorically Needy LTC - Family) AU, following the instructions in How do I screen a K01 AU?

How do I process a pending K95 (MN Family LTC - No Spenddown) Assistance Unit (AU)?

While pending, the AU is a K01 (Categorically Needy LTC – Family) AU and is processed following the steps in How do I process a pending K01 AU?

The K01 AU trickles to K95 during finalize, if appropriate, based on eligibility, living arrangement and coding on the Institutional Care/Expenses Summary page

Mainframe Processing

How do I screen a K95 (MN Family LTC - No Spenddown) Assistance Unit (AU)?

K95 AUs are initially screened into ACES as a K01 AU, following the instructions in How do I screen K01 medical?

How do I process a pending K95 (MN Family LTC - No Spenddown) Assistance Unit (AU)?

While pending, the AU is a K01 (Categorically Needy LTC – Family) AU and is processed following the steps in How do I process a pending K01 AU?

The K01 AU trickles to K95 during finalize, if appropriate, based on eligibility, living arrangement and coding on the INST screen.

 

See ACES Screens and Online Pages for an example of pages or screens used in this chapter.