Transition Allowance. A per member allotment not to exceed two thousand dollars ($2,000) per lifetime which may, at the sole discretion of the CONTRACTOR, be provided as a cost-effective alternative to continued institutional care for a CHOICES Group 1 member in order to facilitate transition from a nursing facility to the community when such member will, upon transition to CHOICES Group 2 or Group 3, receive more cost-effective non-residential home and community based services or companion care. Items that may be purchased or reimbursed are only those items that the member has no other means to obtain and that are essential in order to establish a community residence when such residence is not already established and to facilitate the member’s safe and timely transition, including rent and/or utility deposits, essential kitchen appliances, basic furniture, and essential basic household items, such as towels, linens, and dishes.
Transition Allowance. A per member allotment not to exceed two thousand dollars ($2,000) per lifetime which may, at the sole discretion of the CONTRACTOR, be provided as a cost-effective alternative to continued institutional care for a CHOICES member in order to facilitate transition from a nursing facility to the community when such member will, upon transition, receive more cost-effective non-residential home and community based services or companion care. Items that may be purchased or reimbursed are only those items that the member has no other means to obtain and that are essential in order to establish a community residence when such residence is not already established and to facilitate the member’s safe and timely transition, including rent and/or utility deposits, essential kitchen appliances, basic furniture, and essential basic household items, such as towels, linens, and dishes. Unsecured PHI – PHI information that is not rendered unusable, unreadable, or indecipherable to unauthorized individuals through the use of a technology or methodology specified by the Secretary of DHHS. USC – United States Code. Vital MCO Documents – Consent forms and notices pertaining to the reduction, denial, delay, suspension or termination of services. All vital documents shall be available in Spanish. Warm Transfer – A telecommunications mechanism in which the person answering the call facilitates transfer to a third party, announces the caller and issue, and remains engaged as necessary to provide assistance. Worker – See Consumer-Directed Worker.
Transition Allowance. A per member allotment not to exceed two thousand dollars ($2,000) per lifetime which may, at the sole discretion of the CONTRACTOR, be provided as a cost-effective alternative to continued institutional care for a CHOICES Group 1 member in order to facilitate transition from a nursing facility to the community when such member will, upon transition to CHOICES Group 2, receive more cost-effective non-residential home and community based services or companion care. Items that may be purchased or reimbursed are only those items that the member has no other means to obtain and that are essential in order to establish a community residence when such residence is not already established and to facilitate the member’s safe and timely transition, including rent and/or utility deposits, essential kitchen appliances, basic furniture, and essential basic household items, such as towels, linens, and dishes. A Transition Allowance shall not be provided to members that no longer meet nursing facility level of care and are transitioning to CHOICES Group 3.
Examples of Transition Allowance in a sentence
Transition Allowance cannot be provided to CHOICES Members transitioning to a CBRA facility.
For CHOICES Members moving from CHOICES 1 to CHOICES 2 or CHOICES 3, the MCO may, at its sole discretion, provide a Transition Allowance not to exceed two thousand dollars ($2,000) per lifetime as a CEA to facilitate transition of the Member from the NF to the community.
An MCO shall not be required to provide a Transition Allowance, and Members transitioning out of a NF are not entitled to receive a Transition Allowance, which is not a covered benefit.
Under the CHOICES and ECF CHOICES programs, cost-effective alternatives may include a Transition Allowance, as defined in Attachment D.
For CHOICES Members moving from CHOICES 1 to CHOICES 2, the MCO may, at its sole discretion, provide a Transition Allowance not to exceed two thousand dollars ($2,000) per lifetime as a CEA to facilitate transition of the Member from the NF to the community.
More Definitions of Transition Allowance
Transition Allowance. A per member allotment not to exceed two thousand dollars ($2,000) per lifetime which may, at the sole discretion of the CONTRACTOR, be provided to a CHOICES or I/DD MLTSS Programs member as a cost-effective alternative to continued institutional care for which the CONTRACTOR is responsible for payment (e.g., a nursing facility or inpatient psychiatric care at a Regional Mental Health Institute) in order to facilitate transition to the community. The allotment is only appropriate when such a member will, upon transition, will receive more cost-effective home and community based services either non-residential services or consumer directed companion care in their own home, residential services in a non-provider owned residential setting, or for limited items, as specified below in this section, in provider-owned residential settings. Provider-owned settings include settings which the provider owns, co-owns, has any ownership interest in, or has any affiliation with the entity that owns the home in which the member will reside. A Transition Allowance may also be provided as a cost- effective alternative when a member must transition out of the current living arrangement and would, but for the availability of the Transition Allowance, require placement in a medical institution for which the CONTRACTOR is responsible for payment, as stated above. The CONTRACTOR shall only be responsible for payment of nursing facility services when the person meets the applicable institutional level of care. Items that may be purchased or reimbursed are only those items that the member has no other means to obtain (including community resources that the CONTRACTOR is expected to assist the member in accessing first) and that are essential in order to establish a community residence when such residence is not already established and to facilitate the member’s safe and timely transition, including rent and/or utility deposits (rental security deposits required to obtain a lease—e.g., first and last month’s rent—may be covered even if not refundable; ongoing rent may not), essential kitchen appliances, basic furniture, and essential basic household items, such as towels, linens, and dishes. In provider-owned settings, the transition allowance shall only be used for household items and furnishings that are for the member’s personal use, such as bedroom furniture, towels, linens, sheets, and other similar items as approved by TENNCARE. In provider-owned settings (as defined herein)...
Transition Allowance is a lump sum allowance to be paid to the Vendor to partially compensate the Vendor for the services which the Vendor provides and the Vendor’s expenses which accrue during the Transition Period prior to the Operational Start Date.
Transition Allowance means the transition allowance provided for in Part 5 of the Members' Retirement Benefits Regulation. (« allocation de transition »)
Transition Allowance. A per member allotment not to exceed two thousand dollars ($2,000) per lifetime which may, at the sole discretion of the CONTRACTOR, be provided as a cost-effective alternative to continued institutional care for a CHOICES member in order to facilitate transition from a nursing facility to the community when such member will, upon transition, receive more cost-effective non-residential home and community based services or companion care. Items that may be purchased or reimbursed are only those items that the member has no other means to obtain and that are essential in order to establish a community residence when such residence is not already established and to facilitate the member’s safe and timely transition, including rent and/or utility deposits, essential kitchen appliances, basic furniture, and essential basic household items, such as towels, linens, and dishes. Unsecured PHI – PHI information that is not rendered unusable, unreadable, or indecipherable to unauthorized individuals through the use of a technology or methodology specified by t he Secretary of DHHS. USC – United States Code.
Transition Allowance means an allowance paid under this Policy by a settlement to a former settlement councillor but does not include any allowance paid to a former settlement councillor pursuant to the former Transition Allowance Policy GCP0703;
Transition Allowance. The Company also agrees to provide Executive -------------------- with a transition allowance in the amount of Ten Thousand dollars ($10,000), less statutory deductions and withholdings, upon Executive's execution of this Agreement.
Transition Allowance as provided in Section 1.17 hereof, and $200,000 shall be paid during January, 1999.