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ELIGIBILITY AND ENROLLMENT UNIT PROCEDURES


DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH


LONG TERM CARE SYSTEM


  1. CLINICAL ELIGIBILITY DETERMINATION
  2. DETERMINATION DENIALS AND APPEALS
  3. ENROLLMENT
  4. UTILIZATION REVIEW
  5. TRANSFERS BETWEEN PROVIDERS
  6. ANNUAL RE-DETERMINATION
  7. REQUESTS FOR RE-DETERMINATION
  8. RE-DETERMINATION DENIALS AND APPEALS
  9. DISENROLLMENT
Last Updated: Friday January 16 2009
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