Facility-based LTSS. Every six (6) months, the Contractor shall identify Enrollees who are nursing facility residents who may have the desire and/or opportunity to return to the community, based on methods including but not limited to self- or provider referral, MDS results, and predictive modeling. The Contractor shall ensure the development of a Discharge Opportunity Assessment for those individuals. The Discharge Opportunity Assessment shall be conducted within thirty (30) Days of Enrollee identification or referral.
Appears in 5 contracts
Samples: eohhs.ri.gov, www.cms.gov, clpc.ucsf.edu
