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Effective: December 1, 2006 |
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28.10.10.15ar1 - Minnesota Senior Care (MSC) / Minnesota Senior Care Plus |
Archived: June 1, 2009 |
Minnesota Senior Care (MSC) and Minnesota Senior Care Plus are the managed care products for MA enrollees age 65 or older who live in managed care counties, are not part of an excluded group, and do not choose to enroll in Minnesota Senior Health Options (MSHO).
Minnesota Senior Care is part of a waiver from the . The purpose of the waiver is to phase in greater coordination of standard Medical Assistance (MA) benefits (sometimes referred to as ”r;state plan services”) with other MA benefits such as services and nursing facility care.
Managed care enrollees age 65 or older who do not choose to enroll in MSHO will be enrolled in MSC or MSC Plus, depending on their county of residence:
l Minnesota Senior Care is the managed care product for people who live in PMAP counties. Minnesota Senior Care enrollees will receive their MA state plan services through their
l Minnesota Senior Care Plus is the managed care product for people who live in CBP counties.
n For MSC Plus, in addition to MA state plan services, the MCO is also responsible for authorization and payment of EW services, and is liable for up to 180 days of nursing facility coverage.
n MSC Plus enrollees who are not eligible for EW services will be enrolled in a different MSC Plus product from those who are EW-eligible.
For more information on MSC and MSC Plus, see bulletin #07-24-01, "Minnesota Senior Care Plus Expansion Update.”