While following those procedures, the information below is important to remember. For alternate care, G03 is the medical coverage group for CN benefits. G03 will trickle to G95 for MN without spenddown and G99 for MN with spenddown. Required information on the INST screen is Type, Entry Date, Level of Care and LTC rates for both Private and State. Enter only daily rates in these fields.
Type is the specific code for the type of facility.
Provider numbers are not required for this coverage group, and are not available using the F16-mmen function. ACES will determine the correct medical coverage group and notify the client of approval for medical benefits or of approval for spenddown for medical benefits. ACES will not approve CN medical for a client with income above the SIL, regardless of the LTC rates.