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December 1, 2014
Purpose: To explain what an authorized representative (AREP) is, how to designate someone an AREP, and what information the agency may disclose to AREPs.
For information regarding AREP Screens for Long-Term Care cases.
- Depending on what an Apple Health recipient chooses, an AREP may:
- Receive letters/notices/forms/ProviderOne cards; or
- Have permission only to discuss the case; or
- For Classic Medicaid:
- The worker records on the AREP screen in ACES the representative's name and address and the REP Type code, which determines what forms, letters, etc. they receive.
- At each review, check that the AREP information coded in ACES is consistent with what the individual indicated on the review form. AREP designation is not valid after the certification period and should not be extended without confirming with the individual that the AREP information is still valid. Document extensions or changes to the designated AREP in remarks behind the AREP screen in ACES.
- If the individual is completing their review over the phone and they are designating a new AREP, the individual should complete a DSHS 14-532 AREP form. The worker should not add the new AREP until they receive the completed DSHS 14-532 AREP form or written confirmation from the individual. Completing the DSHS 14-532 AREP form is not required if the individual is confirming or making changes to their current AREP.
- For MAGI-based Medicaid, the applicant or worker clicks the box in Washington Healthplanfinder to choose whether the AREP will receive letters/notices/form/ProviderOne cards. This information is then transferred to ACES.
- Initial designation of an AREP by an individual should be made on the application, review or DSHS 14-532 AREP form. Changes to an AREP can be made verbally but must be well documented in the remarks behind the AREP screen in ACES.