Do you work with people who have Medical Remedial Expenses (MRE)? If you do, there are some important distinctions across programs. Things considered allowable MREs differ between three programs – Family Care/Partnership/IRIS; Medicaid Purchase Plan (MAPP); and the “classic” Home and Community Based Waiver (HCBW) Long-term Care programs. You can view the three lists in the links below.
Check out some of the highlights…
- Financial Group C participants in the HCBW LTC cannot use costs for private insurance, Veteran’s Administration or Medicare Services as MREs
- MAPP participants CAN use private and other health insurance premiums and co-payments as MREs
- Family Care, Partnership and IRIS participants CANNOT use Medicare, private insurance or Veterans Administration premiums as MREs
- Participants in the Family Care, Partnership and IRIS programs must have the MRE identified as a necessary support in the Resource Allocation Decision (RAD), or it cannot be used as an MRE