Categorically Needy PACE or Institutional Hospice – SSI Recipients (L31)

Created on: 
Oct 15 2015

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

Who is eligible for L31 (Categorically Needy PACE or Institutional Hospice SSI Recipients) medical?

A person with SSI income who meets the criteria in the following Apple Health Manual sections may be eligible for L31 medical:

L31 should not be used for recipients who are not in a medical facility; instead, S01 (SSI Categorically Needy) medical should be approved for these clients.

L31 recipients in a medical facility may be issued a cash payment to bring their income up to the Personal Needs Allowance (PNA).

How long is the L31 (Categorically Needy PACE or Institutional Hospice SSI Recipients) certification period?

L31 medical has no review end date and is certified for as long as the client is eligible for SSI.  

Online Processing

How do I screen an L31 (Categorically Needy PACE or Institutional Hospice SSI Recipients) Assistance Unit (AU)?

To screen an L31 AU, take the following steps:

  1. Follow the instructions in Screening an Application.
  • On the Programs page, click the checkbox next to HCS Waiver/DDA Waiver/Hospice.
  • In the Program Determination Criteria section, click the checkbox next to SSI Eligible.
NOTE: If the HCS Waiver/DDA Waiver/Hospice box is the ONLY box checked on the Programs page, the AU initially starts as an L22 (CN SSI Related HCB Waiver AU).

How do I process a pending L31 (Categorically Needy PACE or Institutional Hospice SSI Recipients) Assistance Unit (AU)?

To process a pending L31 AU, follow the steps in How do I process a pending L02 AU?

Mainframe Processing

How do I screen an L31 (Categorically Needy - PACE or Institutional Hospice SSI Recipients) Assistance Unit (AU)?

This function is not currently available in ACES Mainframe. For more information, see Online Processing - How do I screen an L31 (Categorically Needy - PACE or Institutional Hospice SSI Recipients) Assistance Unit (AU)?

How do I process a pending L31 (Categorically Needy - PACE or Institutional Hospice SSI Recipients) Assistance Unit (AU)?

To process a pending L31 AU, follow the steps in How do I process a pending L02 AU?

 

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