10 Colo. Code Regs. § 2505-10-8.763

Current through Register Vol. 46, No.1, January 10, 2023
Section 10 CCR 2505-10-8.763 - TARGETED CASE MANAGEMENT - TRANSITION COORDINATION

Transition coordination means support provided to a client who is transitioning from a skilled nursing facility, intermediate care facility for individuals with intellectual disabilities, or regional center and includes the following activities: comprehensive assessment for transition, community risk assessment, development of a transition plan, referral and related activities, and monitoring and follow up activities as they relate to the transition.

8.763.AEligibility

To be eligible for Transition Coordination, clients must be Medicaid recipients who are eligible for Home and Community Based Services, reside in a nursing home or, Intermediate Care Facility for Individuals with Intellectual and Developmental Disabilities (ICF-IDD), or Regional Center, and are willing to participate and have expressed interest in moving to a home and community-based setting. Clients may also be Medicaid recipients receiving Home and Community Based Services provided by the State operated Regional Centers who want to transition to a private Home and Community Based Services Provider. Services are expected to begin while an individual is living in a facility and continue through transition and integration into community living, based on the community risk assessment. Excluded are children under the age of 18.

8.763.BServices

Transition Coordination is provided pursuant to 10 CCR 2505-10, section 8.519.27.

8.763.CLimitations on Service

Transition coordination is limited to 240 units per client per transition. A unit of service is defined as each completed 15-minute increment that meets the description of a Transition Coordination activity. When an individual has a documented need for additional units, the 240 unit cap may be exceeded to ensure the health and welfare of the client. The Transition Coordinator shall submit documentation to the Department including:

1. A copy of the community risk assessment describing the client's current needs.
2. The number of additional units requested.
3. A history of transition coordination units provided to date and outcomes of those services
4. An explanation of the additional transition coordination supports to be provided by the transition coordinator using any additional approved units.

10 CCR 2505-10-8.763

42 CR 07, April 10, 2019, effective 4/30/2019