3. Facilitating Program Applications

Includes activities related to assisting individuals or families with the application process for LTSS, health care services, and other supports that may assist an individual to remain in the community (e.g., income supports, energy assistance, etc.). Relevant activities include: 
  • Explaining the eligibility rules and process to individuals, family members, or other representatives.
  • Assisting an individual or family member to collect/gather information and documents for program applications.
  • Assisting an individual or family in completing program applications.
  • Activities that assist in the initial and continuing eligibility for programs.
  • Providing necessary forms and other materials in preparation for eligibility determination.

Additional considerations for time study:
This code should be used for all activities related to referral, coordination or monitoring of services, including:
  • Paperwork 
  • Clerical activities, including making copies of related materials and faxing related information 
  • Time spent reviewing voicemails or emails
  • Conducting research on related topics
  • Time spent consulting with a supervisor or co-workers or supervising  
  • Travel including time spent arranging transportation 
  • Time spent entering information about the activity into a database or software program
  • Calls, emails, or other communications to obtain clarification of an inquiry

Time Study Codes
  • 3a. Medicaid Related- Use when assisting with applications for Medicaid or referring individuals/families/other representatives to the appropriate agency to complete an application regardless of their ultimate Medicaid eligibility.  Applies to assisting participants with verification of current Medicaid status and working with an individual to maintain Medicaid eligibility. Also use this code when assisting with completing an application that determines eligibility for multiple programs, one of which is Medicaid.
  • 3b. Not Medicaid Related- Use when assisting an individual or family to complete an application for non-Medicaid programs such as SSI, TANF, Meals on Wheels, Food Stamps or referring them to the appropriate agency to complete an application for those programs.


No comments:

Post a Comment