Categorically Needy Waiver or Hospice Services – SSI Recipients (L21)

Created on: 
Oct 12 2015

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

Who is eligible for L21 (Categorically Needy Waiver or Hospice Services - SSI Recipients) medical?

A person with SSI income who meets the criteria in the following manual sections may be eligible for L21 medical:

How long is the L21 (Categorically Needy Waiver or Hospice Services - SSI Recipients) certification period?

L21 medical has no review end date and is certified for as long as the client is eligible for both SSI and waiver service coverage.

Online Processing

How do I screen L21 (Categorically Needy Waiver or Hospice Services - SSI Recipients) medical?

To screen an L21 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.
  • If ONLY the HCS Waiver/DDA Waiver/Hospice box is checked on the Programs page in screening, the AU initially starts as a L22 (Categorically Needy Waiver or Hospice Services – SSI Related) AU.

How do I process a pending L21 (Categorically Needy Waiver or Hospice Services - SSI Recipients) Assistance Unit (AU)?

To process a pending L21 AU, follow the steps in How do I process a pending L02 AU?

  • If a client is living in an assisted living facility, adult family home, or in a medical facility on hospice it is necessary to complete the Facility and the Home Community Based Services pages.

Mainframe Processing

How do I screen L21 (Categorically Needy Waiver or Hospice Services - SSI Recipients) medical?

To screen an L21 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.
  • If ONLY the HCS Waiver/DDA Waiver/Hospice box is checked on the Programs page in screening, the AU initially starts as a L22 (Categorically Needy Waiver or Hospice Services – SSI Related) AU.

How do I process a pending L21 (Categorically Needy Waiver or Hospice Services - SSI Recipients) Assistance Unit (AU)?

To process a pending L21 AU, follow the steps in How do I process a pending L02 AU?

  • If a client is living in an assisted living facility, adult family home, or in a medical facility on hospice it is necessary to complete the Facility and the Home Community Based Service sections on the INST screen.

 

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