COMMUNITY TRANSITION. Offered to allow for the provision of essential household items and/or services needed to establish or maintain community living arrangements that are necessary to maintain health and welfare.
COMMUNITY TRANSITION. Offered to allow for the provision of essential household items and/or services needed to establish or maintain community living arrangements that are necessary to maintain health and welfare. ADULT COMPANION: Non-medical care, supervision and socialization. Companions may assist or supervise the individual with tasks such as meal prep, laundry,and shopping but do not perform these activities as discrete services CHORE SERVICES: Assistance to persons having difficulty with one or more of the following instrumental activities of daily living. Examples: heavy housework, walls, moving furniture, yard work or sidewalk maintenance as defined in the service order.
COMMUNITY TRANSITION. Can a washer or dryer be purchased under Community Transition? Can a family be reimbursed for appliances under Community Transition? SUPPORTED living FAQ Appliances are not covered under Community Transition. The intent is to purchase items indicated in the service definition. Cardinal Innovations’ UM Department must review and approve items under Community Transition prior to the purchase. Cardinal Innovations recommends that the roommate agreement identify who purchases and owns specific appliances. In regards to the setup of the apartment, this unit has a washer/dryer hook-up and, therefore, those appliances were purchased. After-the-fact, we were made aware that washers and dryers are not reimbursable items, nor are computers that will be utilized to communicate with family members and for their entertainment. Why are those particular items not reimbursable? Can Cardinal Innovations can make an exception in this case because those items were purchased prior to a list being made available to us? Those items are not reimbursable under Supported Living or Community Transition as they are not part of the covered service definitions. Cardinal Innovations can not make exceptions to cover items that are not covered under the service definitions. Shouldn’t providers wait until they receive a specific authorization listing the items/amounts approved for the items for Community Transition or does the authorization process work differently for Community Transition? Identifying items needed should be part of the planning process. The team generates a list of items and cost of the items (using the Community Transition checklist). The team ensures the items are on the approved lists and not excluded. Estimates are submitted to Cardinal Innovations’ UM Department for approval. Providers are experiencing challenges billing for Community Transition. Do providers have to submit one invoice up to the $5,000 maximum? Cardinal Innovations is having internal discussions regarding this issue and is open to suggestions from providers to make this billing process easier. Home Modifications How long should the assessment for Home Modifications take? Each member’s situation is unique. Gather the information packets and submit to Cardinal Innovations’ UM Department. Allow 14 to 28 days for UM to review. Supported Living Please provide the link to the state’s Supported Living resources. DMA’s Supported Living resources may be found at xxxxx://xxx0.xxxxxx.xxx/ncinnovations. Provide...
COMMUNITY TRANSITION. Not subject to standard 11 All State Plan LTSS (except nursing facilities and 1915(i) services)* • ≥ 2 LTSS provider types (Home Care providers and Home Health providers, including home health services, private duty nursing services, personal care services, and hospice services), identified by distinct NPI, accepting new patients available to deliver each State Plan LTSS in every county 12 Employment and Housing Services • Individual Placement and Supports (IPS) – Supported Employment (Adult MH): Eligible individuals shall have the choice of at least two (2) provider agencies within each PIHP Region. Each county in PIHP Region must have access to ≥1 provider that is accepting new patients Section VI. First Revised and Restated Attachment E. Table 2: Definition of Service Category for Behavioral Health Time/Distance Standards Reference Number Service Type Definition
