1
Referral
A referral is submitted by a qualified healthcare provider or case manager.
2
Initial Eligibility
The appropriate Medicaid agency reviews the referral to determine initial eligibility.
3
Documentation
Medical records and documentation are collected from the individual’s healthcare team to verify needs.
4
Medicaid Eligibility
A Medicaid application or eligibility determination is completed when required.
5
In-Home Assessment
A case manager evaluates needs in the home and develops a personalized plan of care.
6
Plan Approval & Coordination
Once approved, services are coordinated with approved community-based providers.
7
Ongoing Case Management
The case manager monitors services and updates the plan of care as needed.