9500, Mutually Exclusive Services within the STAR+PLUS HCBS Program

Revision 18-0; Effective September 4, 2018

To close services that are mutually exclusive, the Community Care Services Eligibility (CCSE) case manager must close the community services authorization with an effective date one day prior to the date the member is eligible for the STAR+PLUS Home and Community Based Services (HCBS) program.

Example: If an individual receiving Family Care (FC), Emergency Response Services (ERS) and Home-Delivered Meals (HDM) becomes eligible for the STAR+PLUS HCBS program on December 1, 2019, the member will begin receiving his or her services through his managed care organization (MCO) on that date. Therefore, the losing CCSE case manager must close the FC, ERS and HDM services with an effective date of November 30, 2019.