Nursing Home Transition Program Updates
Long-standing nursing home transition program assisting thousands of residents in overcoming barriers to transition. Recent program changes have increased provider availability and aligned rates to serve more individuals in the community effectively. Managed care organizations play a key role in coordinating transition services and ensuring continuity of care for individuals transitioning from nursing homes to community-based services.
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Presentation Transcript
Nursing Home Nursing Home Transition Transition 1
Summary Summary Nursing Home Transition Long-standing program, assisted in the transition of thousands NHT providers assist NF residents to address any barriers to transition (housing applications, important records and identification, how participant s needs will be addressed with community programs and supports) Since 12/16, changes to program increased number of available providers, aligned rates to SC rates to increase numbers served DHS goal to serve more people in the community 2
CHC Update CHC Update NHT in CHC Counties MCOs are responsible to provide nursing home transition services MCOs identify individuals who want to transition and refer them for transition assistance if needed Individuals who already had approved transition plans prior to CHC implementation may continue with current transition coordinator through 180 day continuity of care period OLTL encourages NHT providers to work closely with MCOs 3
CHC Update CHC Update SE Implementation NHT providers must contact MCOs to contract as providers in order to be able to bill for individuals under continuity of care Once an individual is enrolled in CHC, NHT activities can no longer be billed through OLTL NHT program 4
CHC Update CHC Update NH-HCBS Transition Workgroup Recommended approach to improve NH to HCBS transitions (CHC/FFS) Address gap in services from current process Ensure individuals know whether or not they are eligible for waiver services before making decision to transition from NF Provide HCBS eligibility and services on day of discharge 5
