What happens following a determination by IME-Medical Services that a child does not meet level of care during a continuing stay review process?
The following: IME-Medical notifies both the case manager (CM) and income maintenance (IM) workers via ISIS milestone that the child does not meet level of care The IM and CM workers send a timely notice of decision to the child and family with information regarding their right to appeal The IM worker closes the case The CM worker notifies the providers The IM worker/case manager may be asked to assist the child and family in identifying/obtaining other resources and/or to file an appeal If the family wants to appeal they must do so in writing and send or take it to their DHS office or Appeals office within required time frames. They must also inform their case manager and income maintenance worker as soon as possible following their decision to appeal The IM worker will reopen the case during the appeal time frame Q: Can the child continue to receive waiver services during the time frame of the appeal? A: Yes, The child and family may choose to continue to receive waiver services duri
