514 Institution for Mental Disease (IMD)

 

 

Revised 11/24/2020

Policy

 

To qualify for KidsCare, a person cannot be living in an IMD.

Exception:

Customers who are on KidsCare when they are admitted to an IMD can stay on KidsCare until their annual renewal.  If they are still in the IMD when their renewal is due, they do not qualify for KidsCare.

 

Definitions

 

Term

Definition

Institution for Mental Disease (IMD)

Medical facility primarily engaged in providing diagnosis, treatment or care of persons with mental diseases, including medical attention, nursing care and related services.

 

Proof

 

Proof that the customer is living in an IMD is obtained through a collateral contact with the facility.  The collateral contact should determine:

·        Whether the facility is an IMD; and

·        Whether the customer is living in the facility.

 

Legal Authority

 

Program

Legal Authorities

KidsCare

42 CFR 457.310(c)(2)(ii)

ARS 36-2983(G)(4)

AAC R9-31-303(5)