0815.040.00 Effective Date of Vendor Coverage for MHC or IMR Level of Care

Eligibility for a vendor MHC or IMR level of care begins the latest of the following dates:

• The date the applicant or participant is eligible on all factors;
• The date the applicant or participant entered the MHC or IMR; or
• The first day of the third month prior to the month of application (prior quarter determination.) (See Section 0815.045.00.)

Note: The applicant may be eligible for MHABD spend down or non-spend down from the first day of the prior quarter (third month prior to the month of application) to the date s/he entered the nursing facility. See Section 0815.050.00.