Aids help, inc provides project aids care client eligibility.

General requirements:

• Medicaid eligible (SSI, AFDC),
• AIDS or HIV Diagnosis,
• patient meets level of care criteria,
• waiver services cannot exceed cost of institutional care.

Special Income Level:

• applies to hospital and nursing home groups, income under $1158/month. R
• esources under $2000, must be disabled.

Procedures:

1) Case manager completes client screen;

2) Client referred for eligibility determined;

3) State determines disability and financial eligibility;

4) State determines level of care;

5) State notifies CM of eligibility;

6) Case Manager assesses need/designs care plan;

7) Case Manager notifies client and DCF of final eligibility;

8) State notifies client of enrollment;

9) Case Manager authorizes service delivery;

10) Case Manager bills Medicaid;

11) Service providers send claims to Case Manager;

12) Case Manager authorizes claim for payment;

13) Medicaid pays claim;

14) Plan of care eligibility, level of care reassessed annually.

This is the lead agency for Community Planning.

Aicp case manager:

arlo peterson, (305) 293-3667.