May the CCC Plus waiver manual, Chapter 4, the bottom of page 7, the paragraph titled Nursing Facility or Inpatient Rehabilitation hospital admission be reviewed?  If Inpatient Rehabilitation hospital refers to Acute Inpatient Rehabilitation and not SNF, then this paragraph may need to be updated.  Inpatient Rehabilitation hospital is not a LOC in the DMAS portal and does not require a MLTSS screening and therefore the CCC Plus waiver is not ended upon admission to the Inpatient Rehabilitation hospital.  The member retains their CCC Plus waiver while in this facility so a DMAS 225 for discharge from the CCC Plus waiver is not sent to LDSS.  

Is it possible to specify that Inpatient Rehabilitation hospital  refers to Acute Inpatient Rehabilitation and not SNF?

Outside of the COVID flexibilities a DMAS 225 is sent to LDSS when an individual with the CCC Plus waiver has experienced more than 30 consecutive days without LTSS, which may occur if the member is admitted to a hospital and / or  Inpatient Rehabilitation hospital for more than 30 consecutive days.   If the individual retains Medicaid eligibility, they also retain the CCC Plus waiver.

The CCC Plus waiver is ended upon SNF admission as SNF is a LOC in the portal and requires a MLTSS screening (outside of the COVID flexibilities). A DMAS 225 is sent to LDSS for SNF admissions and discharges. 

Thank you for your consideration.