Additional Requirements: * Timeliness : determination is based on disability = 60 days, all other 45 days = mandated deadlines * Have not talked about renewals/redetermination for non – magi , timeliness to be discussed in design

2. determine cost of care requirement for LTC – - Currently manual form For nursing home institutionalized population Based on income subtract deductions and calculate patient liability * Uses fix case rate ‘ * Must have
3. Katie Beckett - cost of keeping child at home must not be over cost of keeping in institution - manually keeping record of each child in Katie beckett * For physical disability use nursing home rate, for disability use IDD rate * Occurs at eligibility determination and renewals * Division responsible for data collection and records * Date spans on rate table * Manual entry of table * One across the board
4 - if over 319% poverty limit
Only evaluating child income
Occurs at Eligibility determination and renewals * Building fpl rate table, cost neutrality * Level of care – done by outside provider – quails * Spend down notice only when determined ineligible for Katie beckett
5 – should send email informing something available in myaccount * Store email and opt in for notice * Change option from electronic to paper in both portals
7 - upto 5 year authorization * Manual ability to ping federal hub * Need to store result – will elaborate in design – lawarance jenkins – * leverage r1 with improvements
8 limit to retroactivity = 3 months no exceptions from original eligibility period * exception = qmb population – coverage starts mnth following date of coverage made
10 – check consequences of not availing Medicaid Form can show what verbiage can be used Need to have electronic signature
11 report