D.C. Mun. Regs. tit. 29, r. 4251

Current through Register Vol. 71, No. 43, October 25, 2024

Rule 4251 - SPECIFIC PROVIDER REQUIREMENTS: COMMUNITY TRANSITION SERVICES

4251.1

Each case manager providing Community Transition services shall:

(a) Work with the beneficiary to identify household items needed to facilitate transition to the community;

(b) Work with the vendor to ensure that the beneficiary has access to the identified household items to facilitate a successful transition to the community;

(c) Complete and forward the beneficiary's demographic information on documents provided by DHCF, or its designee;

(d) Submit a purchase order /transition fund request to DHCF or its designee for processing;

(e) Act as primary point of contact with DHCF and the vendor for coordination of transition payments;

(f) Schedule pick- up of checks from the vendor's site;

(g) Keep records to ensure that beneficiary's purchase order requests do not exceed the maximum amount of five thousand ($5,000) allowed per beneficiary; and

(h) Provide documentation of all services provided, and beneficiary records to be made available to DHCF or its designee for monitoring and oversight and/or audit reviews.

4251.2

Community Transition services shall not be provided to waiver beneficiaries who:

(a) Are not transitioning to the community from a long term care facility; or

(b) Have duplicative household set- up items in their possession.

D.C. Mun. Regs. tit. 29, r. 4251

Final Rulemaking published at 64 DCR 6787 (7/21/2017)