MR-5a

Whenever an Assessment is completed for a person for the first time, a Notice of Action (MR-5) will be generated by HCP, explaining that the person is eligible for ICF/MR services or HCBS funding. The original of this form is sent to the person and copies are sent to the guardian, if there is one, and to the case manager. The case manager must provide a copy of the form to local SRS Economic Assistance staff to authorize Medicaid payment of services.