10:71-9.4 Continuation of medical need
(a) Submittal of data to DMAHS/MRT: Thirty days prior to the end of each certification
period, the CBOSS will forward to DMAHS/MRT photocopies of all forms and reports
bearing on the individual's need for continued inpatient hospital services, skilled nursing
home services, or home health care services required by reason of an illness necessitating
confinement at home for a prolonged period.
(b) Response by DMAHS/MRT: The DMAHS/MRT will review the submitted material and
notify the CBOSS of its determination. The determination will specify whether continuation
does or does not exist.
(c) CBOSS Action: Upon receipt of the DMAHS/MRT determination the CBOSS will, as
appropriate, move to terminate or recertify the case for such periods as may be required to
make the review month become the final month of the new certification period.