Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 20 - Division of County Operations › Rule 016.20.97-027 - Emergency Promulgation - MS 97-11, Alternatives for Adults with Physical Disabilities Waiver

Current through Register Vol. 49, No. 6, June, 2024
The Medical Services policy for the Alternatives for Adults
				with Physical Disabilities (AAPD) waiver has been amended to reflect a new
				group of individuals who may be determined eligible (MS 2078.1 #1). The income
				eligibility limit for this waiver has also increased to 300% of the SSI income
				level (MS 2078.1 #5). It will be the responsibility of the county office to
				verify income and resources of non-SSI applicants and recipients.
These policy revisions are effective 10/1/97 and should be used
				when determining eligibility on or after that date.
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 individuals to avoid
				institutionalization. On July 1, 1997, Arkansas implemented 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) 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.
AAPD Waiver recipients will receive 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 an
			 SSI Award Letter, SSA-1610, "SSI Recipients" printout, WTPY Response, bank
			 statement showing direct deposit or by viewing SSI check.
or
Categorically Related Blind, or
				Disabled
individuals who would be Medicaid eligible if in an
				institution {Re. MS#3322).
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 diagnosed with a mental
			 disability will not be eligible for the AAPD waiver.
3.
Age twentv-one (21) through
			 sixty-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
			 LTC income limits (See NOTE below). For those individuals not in receipt of
			 SSI, income will be determined and verified according to LTC guidelines (Re. MS
			 3340-3348). SSI exclusions (Re. MS 3348) are not allowed from gross income In
			 determining eligibility.
6.
Resources
- Countable resources not exceeding the
			 current LTC resource limits. Resource will be determined and verified according
			 to LTC guidelines (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
				(except for transferred resources) of SSI recipients, 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. DAAS will 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 Securitv
			 Enumeration
- (Re. MS 1390).
10.
Mandatory Assignment of
			 Rights to Medical Support/Third Party 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
				AAPD 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.