|
Description |
Program |
Manual |
CIS-Client Notice Consolidation (CNC) |
*CIS-Client Notice Redesign (CNR) |
|
Notice to Applicant - Eligible or Not Eligible |
MA |
NMP-PA 162 MN MNO-PA 162 MM |
NMP-PA MA-NMP-X 162 MNO-PA MA-MNO-X 162 |
PA 162 |
|
Notice to Applicant - Eligible or Not Eligible |
LTC |
NMP-PA 162 LN MNO-PA 162 LM |
NMP-PA LTC-NMP-X 162 MNO-PA LTC-MNO-X 162 |
PA 162 |
|
Advance Notice-Change/Discontinue/Reduce |
MA |
NMP-PA 162 MN MNO-PA 162 MM |
NMP-PA MA-NMP-X 162 MNO-PA MA-MNO-X 162 |
PA 162 |
|
Advance Notice-Change |
LTC |
NMP- PA 162 LN MNO-PA 162 LM |
NMP-PA LTC-NMP-X 162 MNO-PA LTC-MNO-X 162 |
PA 162 |
|
Advance Notice - Discontinue |
LTC |
NMP-PA 162 MN MNO-PA 162 MM |
NMP-PA MA-NMP-X 162 MNO-PA MA-MNO-X 162 |
PA 162 |
|
Confirming Notice - Change/Stop |
MA |
NMP-PA 162 MN MNO-PA 162 MM |
NMP-PA MA-NMP-X 162 MNO-PA MA-MNO-X 162 |
PA 162 |
|
Confirming Notice - Change |
LTC |
NMP- PA 162 LN MNO-PA 162 LM |
NMP-PA LTC-NMP-X 162 MNO-PA LTC-MNO-X 162 |
PA 162 |
|
Confirming Notice - Stop |
LTC |
NMP-PA 162 MN MNO-PA 162 MM |
NMP-PA MA-NMP-X 162 MNO-PA MA-MNO-X 162 |
PA 162 |
|
Confirming Notice - Mass Change/COLA Only |
LTC |
PA 162 LC |
PA LTC-COLA-X 162 |
PA 162 |
|
Right to Appeal and Fair Hearing |
MA/LTC |
**PA/FS 162 FH-X |
PA.FS 162 FH-X |
PA/FS 162 F |
|
Right to Appeal and Fair Hearing Expedited |
LTC Community Choice counties |
PA 1860 |
Send manual PA 1860 in addition to appropriate system generated notice for Home and Community Based Services in Community Choice counties |
Send manual PA 1860 in addition to appropriate system generated notice for Home and Community Based Services in Community Choice counties |
|
Contact Letter |
MA/LTC |
Local CAO Letterhead |
PA 162 L |
PA 162 L |
|
* CNR counties will use CNC manual notices found on DocuShare. |
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|
**If a CNR county only needs to reprint a 'Hearings and Appeals' form, the PA/FS 162 F should be used. |
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Updated February 14, 2012, Replacing October 11, 2008