Medicaid Spend Down, Not Medical Services Medicaid Related) Coordination (Not MA) Eligibility Facilitating Applications Initial Screening Functional (Medicaid related, Not Screen Admin Medicaid related) Functional Eligibility/Re-Eligibility Level I Screen Assessment Screen (Other) Determination (Medicaid Tool Program Eligibility, Food Stamp Program, State Programs, Older Americans Act (OAA), Other Programs, Medicare Modernization Act, Part D) Training Training and Program NWD Training MA Activity (Related to Training Administration Medicaid or a Medicaid Program Funded Service, Related to a Planning, Program or Service that is Not Interagency Funded by Medicaid, and Not Coordination Tied to a Specific Program) and Continuous Quality Improvement Additional Options NWD Person-Centered Case identifier Counseling(Medicaid or Options Counseling Common to All potentially Medicaid, General Administration Medicaid Ruled Out as an Option, Follow-up with Medicaid Ruled Out as an Option) Activities Reimbursed by Another Source General Administration Decision Tree for Choosing Codes To help staff determine which code to pick, a decision tree may provide a useful visual. Exhibit provides an example of a decision tree for Maryland’s time study codes. Staff follow the top 3 row of code categories until they reach the appropriate code. Code categories should follow an
Medicaid Spend Down, Not Medicaid Related) Medical Services Coordination (Not MA) Eligibility Facilitating Applications (Medicaid related, Not Medicaid related) Level I Screen Assessment Tool Initial Screening Eligibility/Re-Eligibility Determination (Medicaid Program Eligibility, Food Stamp Program, State Programs, Older Americans Act (OAA), Other Programs, Medicare Modernization Act, Part D) Functional Screen Admin Functional Screen (Other) Training Training and Program Administration (Related to Medicaid or a Medicaid Funded Service, Related to a Program or Service that is Not Funded by Medicaid, and Not Tied to a Specific Program) NWD Training MA Activity Training Program Planning, Interagency Coordination and Continuous Quality Improvement Additional Options Counseling(Medicaid or potentially Medicaid, Medicaid Ruled Out as an Option, Follow-up with Medicaid Ruled Out as an Option) Activities Reimbursed by Another Source General Administration NWD Person-Centered Options Counseling General Administration Case identifier Common to All Decision Tree for Choosing Codes To help staff determine which code to pick, a decision tree may provide a useful visual. Exhibit 3 provides an example of a decision tree for Maryland’s time study codes. Staff follow the top row of code categories until they reach the appropriate code. Code categories should follow an
Workbook%20Tool%20Five%20-%20Time%20Study%20Code%20Development%20Guidance%207-21-17.docx