Functional Eligibility 2.0
Financial Eligibility 2.0
Assessments
InterRAI and Eligibility Basics
Abbreviations
100

Tube feeding, suctioning, tracheostomy, and seizure management are examples of these.

What are skilled needs?

100

Financial eligibility for this funding source falls into two separate categories based on WHEN the individual became eligible.

What is CHOICE?

100

This assessment must be completed every 90 days for Waiver and CHOICE clients.

What is the PCMT (Person-Centered Monitoring Tool)?

100

This version of the interRAI is used once a year for annual visits and eligibility.

What is the long form?

100

ATTC

What is Attendant Care?

200

Medication management, bathing, dressing, and transferring are examples of these.

What are ADLs?

200

The money in this account may be spent on medical expenses, Waiver services, or spousal allowance.

What is a Miller Trust (or Qualified Income Trust)?

200

This assessment has a long form and a short form.

What is the InterRAI?

200

The InterRAI is the primary assessment tool used to determine this for waiver and non-waiver funding sources.

What is eligibility (or functional eligibility)?

200

NOA

What is Notice of Action?
300

Meal prep, housework, managing finances, and shopping are examples of these.

What are IADLs?

300

This is the Special Income Limit for 2025.

What is $2,901?

300

This assessment gathers information about mental health and Intellectual Disabilities or Developmental Disabilities.

What is Form 11?

300

Eligibility must be requested this many times each year for waiver clients.

What is one/once?

300

MAPA

What is Medicaid Prior Authorization?

400

This funding sources takes Critical Needs into consideration when determining eligibility.

What is CHOICE?

400

This is the asset limit for a single individual for Medicaid and Medicaid Waiver.

What is $2,000?

400

This assessment is completed every 90 days but only for CHOICE clients

What is the Quality of Life?

400

This appears in the Assessments Results list and is generated by the creation of an InterRAI assessment.

What is the E-Screen?

400

SIL

What is Special Income Limit?

500

These are the two types of Medical Model Waivers.

What are Health and Wellness and Traumatic Brain Injury?

500

Financial eligibility for this program includes 60+ years old, the spouse of someone already receiving meals, and no income restrictions.

What is Title III?

500

These four services require a Level of Service assessment.

What is Adult Day Service (ADS), Adult Family Care (AFC), Assisted Living (AL), and Structured Family Care (SFC)?

500

These three things are pulled from the interRAI to show on the e-screen.

What are ADLs, IADLs, and skilled needs?

500

LOS

What is Level of Service?
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