1. Program Definition and Services
Nursing Facility Transition in Arkansas, known as the "Passages" program, assists Medicaid-eligible nursing home residents to transition back to community living. Services include:
- Transition coordination
- Assistance with housing arrangements
- Funding for up-front transition costs
- Connection to home and community-based services
2. Regulations
The program is governed by Arkansas Administrative Code 016.06.48 and follows federal regulations under §1915(c) of the Social Security Act.
3. Licensing or Certification
Providers must be contracted with the Division of Aging and Adult Services (DAAS) to provide transition services.
4. Responsible State Agency
The Arkansas Department of Human Services (DHS), specifically the Division of Aging and Adult Services (DAAS), oversees the program.
5. Application Process
Providers must complete a contracting process with DAAS. Specific details on the online or mail-in process are not available.
6. Required Documentation
Required documentation includes:
- Completed transition plans
- Physician approval for community-based care
- Cost-effectiveness analysis
- Proof of adequate community support system
7. Timeline for Approval
DAAS reviews complete transition plans, but the exact timeline is not specified in the provided information.
8. Pre-Application Process
A free initial assessment is provided to determine eligibility and interest in transition.
9. Pre-Application Training
DAAS trained all support coordinators before the program began serving consumers.
10. Additional Notes
- Passages was available statewide through Area Agencies on Aging (AAAs) and Centers for Independent Living (CILs).
- The program set a goal to transition 80 nursing home residents to integrated community settings.
- As of August 2003, 88 people had successfully transitioned out of nursing homes.
- The average transition time was 87 days from initial referral to discharge.
Arkansas is currently updating its Statewide Transition Plan to incorporate Home and Community-Based Services (HCBS) Settings regulations, with completion expected by December 31, 2023
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