32 Miss. Code. R. 1-18.0

Current through December 10, 2024

Section 32-1-18.0 - TRANSITION ASSISTANCE SERVICES

Transition Assistance Services are services provided to a Mississippi Medicaid eligible nursing facility resident to assist in transitioning from the nursing facility into the Independent Living or the Traumatic Brain Injury/Spinal Cord Injury Waiver Program.

Transition Assistance is one-time initial expense required for setting up a household. The expenses must be included in approved Plan of Care.

**Transition Assistance Services are capped at $800.00 one-time initial expense per lifetime.

Transition Assistance Services include:

1. Security Deposits that are required to obtain a lease on an apartment or home.

2. Essential furnishings and moving expense required to occupy and use a community domicile.

3. Set up fees or deposits for utility or service access (e.g. telephone, electricity, heating).

4. Health and safety assurances, such as pest eradication, allergen control, or one-time cleaning prior to occupancy.

(Essential items for an individual to establish his/her basic living arrangement includes such items as a bed, table, chairs, window blinds, eating utensils, and food preparation items). Diversional or recreational items such as televisions, cable TV access or VCR's are not considered furnishings.

Need for this service: All items and services covered must be essential to:

1. Ensure that the individual is able to transition from the current nursing facility.

2. Remove an identified barrier or risk to the success of the transition to a more independent living situation.

To be eligible:

1. Individual must be a current nursing facility resident whose NF services are being paid by Medicaid and want to transition on the Independent Living or Traumatic Brain Injury/Spinal Cord Injury Waiver.

In order to provide sufficient time to coordinate and plan appropriate transition services, the transition service must occur within 90 days of discharge but must be completed by the day the individual relocates from the institution. Persons whose NF stay is temporary or rehabilitative, or whose services are covered by Medicare or other insurance, wholly or partially, are not eligible for this service. Transition services will be considered provided once the individual has transitioned from the nursing facility to the waiver.

Exclusions: Transition Assistance is not available to residents whose stay in a nursing facility is ninety (90) days or less.

32 Miss. Code. R. 1-18.0