A full list of conditions that are considered when assessing a beneficiary for nursing facility level of care can be found in Clinical Coverage Policy 3K-1 here:
You can expect to receive a service request packet in the mail within 2 business days from the date of referral, from Acentra. They are the independent assessing contractor for Medicaid. Three forms are included with the service request packet that must be returned to Acentra for review of eligibility for CAP services. These three forms are:
Instructions are included in the packet on how to return the three required forms.
IMPORTANT: These forms are required to be returned within 7 days from date of receipt for the applicant to be considered for the program.