State Funded LTC - SSI Related for Non-Citizens at Home or Alternate Living Facility (L24)

Created on: 
Jan 04 2016

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

Who is eligible for L24 (State Funded LTC - SSI Related for Non-Citizens at Home or Alternate Living Facility) medical?

Non-citizen clients at home or in an Alternate Living Facility (ALF) who are pre-approved by the Aging and Long-Term Support Administration (ALTSA) and meet the eligibility requirements described in: 

How long is the L24 (State Funded LTC - SSI Related for Non-Citizens at Home or Alternate Living Facility) medical certification period?

L24 medical is certified for 12 months.

Online Processing

How do I screen an L24 (State Funded LTC - SSI Related for Non-Citizens at Home or Alternate Living Facility) medical Assistance Unit (AU)?

An L24 AU is initially screened as L22 (Categorically Needy Waiver or Hospice Services - SSI Related). Follow the steps in How do I screen an application for a client?

  • On the Programs page, click the checkbox next to HCS Waiver/DDA Waiver/Hospice.
  • On the Finalize page, select the L22 AU. The L22 AU will trickle to an L24 during finalize if appropriate based on eligibility, living arrangement, institutional coding, and citizenship coding.

How do I process an L24 (State Funded LTC - SSI Related for Non-Citizens at Home or Alternate Living Facility) medical Assistance Unit (AU)?

To process a pending L24 AU, follow the steps in How do I process a pending L02 AU?

  1. On the Institutional Care/Expenses page in the Home Community Based Service section, complete the following fields:
  • HCBS Type field - Select WA State Waiver (W) from the drop down menu..
  • Start Date field - Enter the [date the new waiver service begins].
  • Approval Source field - Select Home & Community Services (HC) from the drop down menu.
  • Payment Auth Date field - Enter the [date payment should begin]. This is the date services are approved and displays on the award letter.
NOTE: If the Payment Auth Date field is not completed, the AU may approve; however, the cost of care is not calculated.
  1. On the Client Details page in the Alien Medical section, update the following field:
  • Alien Medical Approval Source field ADSA Headquarter Approved (A) using the drop down menu.

Mainframe Processing

How do I screen an L24 (State Funded LTC - SSI Related for Non-Citizens at Home or Alternate Living Facility) medical Assistance Unit (AU)?

This function is not currently available in ACES Mainframe. See Online Processing - How do I screen an L24 (State Funded Long Term Care for Non-Citizens) medical Assistance Unit (AU)? for more information. 

How do I process an L24 (State Funded LTC - SSI Related for Non-Citizens at Home or Alternate Living Facility) medical Assistance Unit (AU)?

To process a pending L24 AU, follow the steps in How do I process a pending L02 AU?

  1. On the INST screen in the Home Community Based Service section, update the following fields:
  • HCBS Type field - [W] - Washington State Funded Waiver.
  • Start Date field - Enter the [date the new waiver service begins].
  • Approval Source field - [HC] - Home & Community Services (HCS).
  • Payment Auth Date field - Enter the [date payment should begin]. This is the date services are approved and displays on the award letter.
NOTE: If the Payment Auth Date field is not completed, the AU may approve; however, the cost of care is not calculated.
  1. On the ALAS screen in the Alien Medical section, update the following field:
  • Approv Source field - [A] - ADSA Headquarter Approved.

 

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