Long Term Care Overview
Long term care services are those services related to nursing facilities, chronic
hospitals, medical day care and other waiver programs targeted toward seniors and/or
the disabled. Generally, entry into a long term care service is contingent upon
establishing medical eligibility as well as financial eligibility.
See Long Term Care Overview for more details.
Chronic Hospital Level of Care
Form: 3871 for Chronic Medical/Rehab levels of
Form: 3871B, and the venitilator and comorbidity forms for initial Chronic Vent
levels of care
The criteria for ventilator care in a Chronic Hospital are described in Nursing
Home Transmittal #202. KePRO reassesses the need for chronic level
of care every 30 days. Please see Nursing Home Transmittal #223.
Chronic Ventilator Care:
Form: 3871B
Certification: Every 90 days after initial certification if patient
is in a nursing facility; every 30 days if patient is in a chronic facility.
- Verify eligibility to assure Medicaid eligibility for requested
services; if the patient has submitted a Medicaid application, include the date
the application was sent to Medicaid or the date planned to do so.
- Complete the 3871 or 3871 Questionnaire completely
- Use iEXCHANGE to submit clinical information. This helps get your
review determination quicker. This also eliminates the chance that the form(s) will
not be received by KePRO.
- Provide an explanation for all new LOCs that are requested prior
to the recertification or continued stay review date.
- Complete all questions on the appropriate form for which the provider
is seeking the LOC. Failure to complete all the questions may result in the form
being returned to the provider.
Chronic Care Forms & Documents