VI. Annual Eligibility Re-determination

The EEU will establish a system for monitoring the anniversary dates for enrollees and will conduct redetermination reviews of all DSHP LTC enrollees on an annual basis.

As part of the re-determination process, the Primary Service Provider will be required to submit an abbreviated, updated Enrollment Application Form ("short form") for review by the EEU. As a result of the re-determination review, the EEU will either confirm the enrollee's continued eligibility or disenroll the individual from the DSAMH LTC system. If the consumer is determined to continue to be eligible for the DSAMH LTC system, the EEU will confirm this with the Primary Service Provider. If the consumer is to be disenrolled, the process in Section VIII. is followed.