DRAFT

Attachment 1

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Individuals Excluded from Managed Long Term Care
Residents of psychiatric facilities
Individuals expected to be Medicaid eligible for less than six months
Individuals eligible for Medicaid benefits only with respect to tuberculosis–related services
Individuals receiving hospice services (at time of enrollment)
Individuals with a "county of fiscal responsibility" code of 97 (Individuals residing in a State Office of Mental Health facility)
Individuals with a "county of fiscal responsibility" code of 98 (Individuals residing in an OPWDD facility or treatment center)
Individuals eligible for the family planning expansion program
Individuals under 65 years of age (screened and require treatment) in the Centers for Disease Control and Prevention's breast, cervical, colorectal, and/or prostate early detection program and need treatment for breast, cervical, colorectal, or prostate cancer, and are not otherwise covered under creditable health coverage
Residents of intermediate care facilities for the mentally retarded (ICF/MR)
Individuals who could otherwise reside in an ICF/MR, but choose not to
Residents of alcohol/substance abuse long–term residential treatment programs
Individuals eligible for Emergency Medicaid
Individuals in the Office for People with Developmental Disabilities Home and Community Based Services (OPWDD HCBS) 1915(c) waiver program
Individuals in the following 1915(c) waiver programs: Traumatic Brain Injury (TBI), Nursing Home Transition & Diversion (NHTD) (until transition is approved)
Residents of Assisted Living Programs (until transition is approved)
Individuals in receipt of Limited Licensed Home Care Services (until transition is approved)
Individuals in the Foster Family Care Demonstration (until transition is approved)