Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 20 - Division of County Operations › Rule 016.20.97-015 - Alternatives for Adults with Physical Disabilities (AAPD) Waiver: The AAPD Waiver has been added to the Medical Services Policy manual that policies and procedures relating to Waiver eligibility for this new group.

Current through Register Vol. 49, No. 6, June, 2024
2078
Alternatives for Adults with Physical Disabilities
			 Waiver
Federal Regulations at
				42 CFR
				435.217 allow states to provide home and
				community based waiver services to physically disabled SSI recipients to avoid
				institutionalization. On July 1, 1997, Arkansas will implement the statewide
				Alternatives for Adults with Physical Disabilities (AAPD) Home and
				Community-Based Waiver Program for individuals age 21 through 64.
The Division of Aging and Adult Services (DAAS) will have
				administrative responsibility for the AAPD Waiver's operation. The AAPD Waiver
				has been approved for an initial three (3) year period. There will be a limited
				number of recipients who will be served by this Waiver; 200 in the first year,
				300 in the second and 400 in the third.
As current SSI recipients, AAPD Waiver recipients will be
				receiving the full range of Medicaid services plus will be eligible for the
				added Waiver services of environmental accessibility adaptations and attendant
				care.
2078.1
Eligibility Criteria
The following requirements must be met to be found
				eligible for the AAPD Waiver program:
1.
SSI
			 Recipients
- Receipt of SSI may be verified by SSI Award Letter,
			 SSA-1610, "SSI Recipients" printout, WTPY Response, bank statement showing
			 direct deposit or by viewing SSI check,
2.
Physically
			 Disabled
- The individual's disability will be verified by viewing
			 the Diagnosis Prognosis section on the AAS-703 or by contact with the Social
			 Security Administration. An Individual who is receiving SSI due to mental
			 disability will not be eligible for the AAPD waiver.
3.
Age twenty-one (21)
			 through sixtv-four (64)
.
4.
Intermediate Level of
			 Care
- This determination will be made by the Utilization Review
			 Committee of the Division of Aging and Adult Services.
5.
Income
-
			 Countable income not exceeding the current SSI Income limits (See NOTE
			 below).
6.
Resources
- Countable resources not exceeding
			 the current LTC resource limits (See NOTE below).
Although an uncompensated transfer will not effect SSI
				eligibility, it does affect Medicaid and a penalty will be imposed for
				resources transferred without compensation. If a penalty is imposed, the
				individual will not be eligible for AAPD waiver services. Counties will check
				the WRTR screen, "SSI Recipients with Reported Transfer of Resources,"prior to
				initial certification and thereafter at each annual case review.
NOTE: Medicaid will accept, by the individual's receipt
				of SSI that income and resources have been determined and verified to meet all
				applicable SSI income and resources limits by the Social Security
				Administration. The county office need not reverify income and resources,
				unless questionable.
The Waiver application will not be certified until any
				discrepancies in income and/or resources, including uncompensated transfers,
				have been resolved. Income or resources discovered by DCO that result in
				ineligibility will be reported to SSA. DAASwill be notified via the DHS-3330,
				Slot 1412.,
7.
Citizen of the United States or Qualified Alien
- (Re. MS 3310 #3).
8.
Resident of Arkansas
- (Re. MS
			 2200).
9.
Social Security Enumeration
- (Re. MS
			 1390).
10.
Mandatory Assignment of Rights to Medical Suoport/Third Partv
			 Liability
-(Re. MS 1350).
11.
Cost Effectiveness
			 Criteria
- The average cost of home and community based services
			 provided to any individual may not exceed the cost of services provided In a
			 nursing facility.
It may be assumed by DCO that an Individual applying for
				the AAPO Waiver program will meet the cost effectiveness criteria. If at any
				time DAAS determines that cost effectiveness is not met, DCO will be notified
				via the DHS-3330 and the AAPD Waiver case will be
				closed.