FY 2006 Performance Contract Attachment R Medicaid Estate Recovery

							                                 ATTACHMENT R

                 MEDICAID ESTATE RECOVERY PROGRAM

In accordance with Texas Administrative Code, Title 1, Part 15, Chapter 373 Medicaid
Estate Recovery Program (MERP), the MRA must require its enrollment staff to:

     A.   Provide the MERP overview to all individuals, and their authorized
          representatives or legal guardians, who seek enrollment in a State MR
          Facility, a community ICF/MR, the Home and Community based Services
          (HCS) Program, or the Texas Home Living (TxHmL) Program. The MERP
          overview is part of the Medicaid Estate Recovery Program Receipt
          Acknowledgement (Form 8001).

     B.   Facilitate completion of the Medicaid Estate Recovery Program Receipt
          Acknowledgement (Form 8001) with the individual and authorized
          representative or legal guardian and provide a copy of the completed form to:
          (1) The individual and authorized representative or legal guardian; and
          (2) The Medicaid provider who will provide services to the individual upon
                enrollment.

     C.   File and maintain the completed Medicaid Estate Recovery Program Receipt
          Acknowledgement (Form 8001) in the MRA's medical record for the
          individual.

The Medicaid Estate Recovery Program Receipt Acknowledgement (Form 8001) as well
as other information on the Medicaid Estate Recovery Program can be found at:
http://www.dads.state.tx.us/services/estate_recovery




DADS FY 2006 Contract                    Attachment R                          Page R - 1