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DHS clarifies Medicaid offsets for nursing-home applicants under Act 892
Summary
Mary Franklin of DHS told the Senate committee that the agency amended rules to align with a SPA and Act 892: noncovered medical expenses may offset income for Medicaid nursing-home applicants only if incurred within three months before application and meet prior-authorization and medical-necessity rules.
Mary Franklin, director of the Division of County Operations at the Department of Human Services, briefed the Senate Public Health committee on rule changes prompted by Act 892 and a Medicaid state-plan amendment.
Franklin said the amendments clarify when noncovered medical expenses may be allowed as offsets to…
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