Roads to Community Living - SSI-Related Recipients (L42)

Created on: 
Oct 13 2015

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

Who is eligible for L42 (SSI Related Roads to Community Living) medical?

An SSI-related person who meets the criteria in the Apple Health eligibility manual - WAC 182-513-1235 Roads to Community Living (RCL) may be eligible for L42 medical.

How long is the L42 (SSI Related Roads to Community Living) certification period?

The certification period for L42 medical is set to the last day of the month of the Roads to Community Living (RCL) end date.  If this doesn't allow enough time to put the Assistance Unit into a review cycle, the system auto adjusts the Certification Period by one or two months.

Online Processing

How do I screen an L42 (SSI Related Roads to Community Living) Assistance Unit (AU)?

To screen an L42 AU, take the follow the steps:

  1. Follow the instructions in How do I screen an application for a client?
    • On the Programs page, click the check box next to HCS Waiver/DDA Waiver/Hospice.

How do I process a pending L42 (SSI Related Roads to Community Living) Assistance Unit (AU)?

To process a pending L42 AU, follow the steps in How do I process a pending L02 AU?

NOTE: Roads to Community Living (RCL) requires an end date.  A client is categorically eligible for RCL for 365 days. The RCL approval source determines the personal needs allowance (PNA) for the AU. For more information, see Apple Health eligibility manual - WAC 182-513-1235 Roads to Community Living (RCL)

How do I close an active L42 (SSI Related Roads to Community Living) Assistance Unit (AU)?

An active L42 AU can only be closed for one of the following reason codes:

  • Citizenship/Alien Status (202)
  • Failed Residency Requirements (210)
  • Death (244)
  • Living Arrangement (201)  
    • Jail (JL)
    • Prison (PR)
  • Whereabouts Unknown (551)
  • RCL Error in Initial Eligibility (554)
  • AU Request Closure (557)
  • Already Eligible in Another AU (557)

Mainframe Processing

How do I screen an L42 (SSI Related Roads to Community Living) Assistance Unit (AU)?

To screen an L42 AU, take the follow the steps:

  1. Follow the instructions in How do I screen an application for a client?
    • On the Programs page, click the check box next to HCS Waiver/DDA Waiver/Hospice.

How do I process a pending L42 (SSI Related Roads to Community Living) Assistance Unit (AU)?

To process a pending L42 AU, follow the steps in How do I process a pending L02 AU?

NOTE: Roads to Community Living (RCL) requires an end date.  Clients are categorically eligible for RCL for 365 days. The RCL approval source determines the personal needs allowance (PNA) for the AU. For more information, see Apple Health eligibility manual - WAC 182-513-1235 Roads to Community Living (RCL)

How do I close an active L42 (SSI Related Roads to Community Living) Assistance Unit (AU)?

An active L42 AU can only be closed for one of the following reason codes:

  • 202 - Citizenship/Alien Status
  • 210 - Failed Residency Requirements
  • 244 - Death
  • 201 - Living Arrangement 
    • JL - Jail
    • PR - Prison
  • 551 - Whereabouts Unknown
  • 554 -  RCL Error in Initial Eligibility
  • 557 - AU Request Closure
  • 587 - Already Eligible in Another AU

 

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