Tailored Supports for Older Adults (TSOA) Medical (T02)

Created on: 
Jan 23 2017

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

What is Tailored Supports for Older Adults (TSOA) Medical (T02)?

TSOA provides limited support services to family caregivers when the care is for a client who is not a current recipient of Categorically Needy or Alternative Benefit plan (CN/ABP) Medicaid and the client:

  • Is age 55 or older,
  • Is a Citizen or Federally Qualified Alien, US National or qualified American Indian born abroad,
  • Provides a valid Social Security Number (SSN),
  • Is not Medicaid eligible,
  • Resides in an at home sub setting and,
  • Does not reside in an Alternate Living Facility (ALF) or Medical Facility.

For more information on the TSOA medical program, see the Apple Health eligibility manual - WAC 182-513-1655, WAC 182-513-1615, WAC 182-513-1610 (Link will be provided once Policy has added to the Apple Health eligibility manual).

Who is eligible to receive Tailored Supports for Older Adults (TSOA) Medical T02)?

A client who resides in an at home sub-setting and  is found to be functionally,financially and resource eligible may be eligible for TSOA.

For more information on the TSOA medical program, see the Apple Health eligibility manual WAC 182-513-1355,WAC 182-513-1615 (Link will be provided once Policy has added to the Apple Health eligibility manual).

Online Processing

How do I screen a Tailored Supports for Older Adults (TSOA) Medical (T02) Assistance Unit (AU)?

To screen in a T02 AU, take the following steps:

  1. Follow the instructions in the How do I screen an application for a client chapter.
  2. On the Finalize page, click the Specify Program button and complete the following:
  • Program field - Select Medical Assistance (MA).
  • Medical Coverage Group field - Select Tailored Supports for Older Adults (TSOA).

How do I process a pending Tailored Supports for Older Adults(TSOA) Medical (T02) Assistance Unit (AU)?

  1. Complete the interview following the instructions in the Interview chapter.
  2. Add a Home and Community Based Service and complete the following fields:
  • Type field - Select Tailored Supports for Older Adults (T).
  • Start Date field - Enter the date the client was found to be functionally eligible for TSOA services
  • Approval Source field - Select the appropriate approval source code.
  • Payment Auth Date field - Enter the payment authorization date.
  1. After committing the interview data, follow the instructions in the How do I complete Process Application Month chapter for all pending months.
  2. Once the pending months have been processed, follow the instructions in the How do I complete Finalize Application chapter.

 

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