Maricopa Community Colleges  HSA206   20022-20066 
Official Course Description: MCCCD Approval: 11/27/01
HSA206 20022-20066 LEC 2 Credit(s) 2 Period(s)
Arizona Long Term Care System (ALTCS): Advanced Eligibility Topics
Covers an overview of Arizona Long Term Care System (ALTCS) case management, acute care requirements, non-covered medical expenses, and prior quarter determinations. Prerequisites: None.
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MCCCD Official Course Competencies:
 
HSA206   20022-20066 Arizona Long Term Care System (ALTCS): Advanced Eligibility Topics
1. Describe Arizona Long Term Care System (ALTCS) case management. (I)
2. Describe the function of the Office of Medical Management (OMM). (I)
3. Identify Acute Care Living Arrangements. (II)
4. Apply ALTCS policy to Acute Care Living Arrangements situations. (II)
5. Identify and verify non-covered medical expenses. (III)
6. Calculate non-covered medical expenses. (III)
7. Explain Disability Determination Services Administration (DDSA) referral procedures. (IV)
8. Use action referral forms to make on-line changes. (V)
9. Identify situations requiring Technical Service Center assistance. (V)
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MCCCD Official Course Outline:
 
HSA206   20022-20066 Arizona Long Term Care System (ALTCS): Advanced Eligibility Topics
    I. Case Management
        A. Program Contractor
          1. Definition
          2. Function
          3. Determination
        B. Tribal Contractors
        C. Division of Developmental Disabilities (DDD)
        D. Care Plan
          1. Needs Vs. Wants
          2. Maximize Strengths
          3. Member-Specific
          4. Flexibility
          5. No Preset Package
          6. Realistic and Measurable
        E. Time Frame
          1. Initial Contact/Visit
          2. Service Start-Up
          3. Reassessment Visits
        F. Office of Medical Management (OMM)
      II. Acute Care Living Arrangements
          A. Services
          B. Definition
          C. Criteria
          D. Policy
          E. Acute Care Only
        III. Non-Covered Medical Expenses
            A. Definition
            B. Importance of
            C. Reporting
            D. Allowable Expenses
            E. Calculations
            F. Share of Cost Deductions
          IV. Referral Procedures
              A. Definition
              B. Coverage
              C. Exceptions
              D. Eligibility Determination
              E. Case Establishment
              F. Verification/Documentation
              G. Referral Cancellation
            V. On-Line Changes
                A. Use
                B. Requirements
                C. Forms
                D. Restrictions
                E. Technical Service Center
                F. Procedures
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