The application process! However, this step may not happen for a while. Why you ask? Applications are only sent out when there is capacity in the program. Basically this means applications aren’t sent out until there is room in the waiver to provide services to new individuals. This is dependent on new funding to expand the program or if an individual leaves the program, meaning someone could be on the Interest List for a long time before receiving an application. Once an application is sent, the 3 step application process begins.
Step 1: The Application Packet includes a 3-page form that confirms the individual meets the basic program requirements, a medical evaluation form (MA-51), Service Preference Form, HIPAA Release Form, and the Medical Assistance Application and Release of Information forms. This packet must be completed and returned within 21 days, but an extension of an additional 30 days may be granted if needed.
Step 2: Within 10 business days a BAS-appointed assessor will complete the functional eligibility assessment. This assessment reviewed an individual’s ability to: manage self-care, understand and use receptive/expressive language, learn, be self-directed, live independently and be mobile.
Step 3: If eligibility has been met in the previous two steps, the final step is determining financial eligibility. BAS contacts the County Assistance Office to ensure the individual meets the requirements for Medical Assistance. Even if an individual receives MA, the County Assistance Office needs to confirm financial eligibility. To meet eligibility for the Adult Autism Waiver, financial eligibility is based on 300% of the Federal Benefit Rate which is the same as the SSI Standard Benefit Amount (for 2016 the FBR is $733/month for an individual).
Once these steps are completed, the person is notified if they have met eligibility or not. If you don’t meet eligibility, you may receive a letter from BAS or the County Assistance Office. If you do not meet eligibility based on Step 1 or 2 in the process (outlined above), the letter will come from BAS. If you do not meet eligibility for Step 3 (financial reasons) the notice will come from the County Assistance Office. If you meet all eligibility criteria, the enrollment process begins.