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Continuous Period of Institutionalization
The Continuous Period of Institutionalization is only applicable to LTC individuals who have a Community Spouse. The Continuous Period begins the first day of the month in which an institutionalized person is expected to remain an inpatient for 30 consecutive days and ends the last day of the month of discharge.
Verifying the Continuous Period of Institutionalization
Individuals are determined “expected to remain” at the beginning of the period of institutionalization, whether or not they actually stay institutionalized for 30 or more days. EWs must obtain a physician’s statement indicating the client is expected to remain.
Exception: A Physician's statement is NOT required when, at the time of the eligibility determination, the individual has already been institutionalized for at least 30 consecutive days. The EW must verify the length of stay (call the facility to confirm), and document in the Journal entry section
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