Nursing Facility Transition in Colorado helps Medicaid members move from long-term care facilities back to community-based settings. Services include: 

• Transition coordination 

• Options counseling 

• Community needs evaluation 

• Assistance with housing search and setup 

• Coordination of community-based services and supports 

2. Regulations 

Nursing Facility Transition is governed by regulations outlined in 10 CCR 2505-10 of the Colorado Code of Regulations. 

3. Licensing or Certification 

No specific licensing or certification is required for Transition Coordination Agencies, but they must be approved by the Department of Health Care Policy and Financing (HCPF). 

4. Responsible State Agency 

The Colorado Department of Health Care Policy and Financing (HCPF) oversees Nursing Facility Transition programs. 

5. Application Process 

The process begins with a referral to a Local Contact Agency for Options Counseling. Interested individuals can complete the Transition to Community Information Request Form on the HCPF website. 

6. Required Documentation 

Required documentation includes: 

• Proof of Medicaid eligibility 

• Colorado ID 

• Social Security Card 

• Award Letter 

• Other documents as required by the Transition Coordinator 

7. Timeline for Approval 

While a specific timeline is not mentioned, the transition process can take several months to complete. 

8. Pre-Application Process 

Options Counseling is provided as a pre-application step to help individuals explore their choices for community living. 

9. Pre-Application Training 

While not mandatory, Transition Coordinators receive training to facilitate person-centered planning and coordination of transition services. 

10. Additional Notes 

• Eligible individuals must be 18 or older and currently residing in a qualified long-term care facility. 

• Transition Services can be accessed for up to 365 days after moving to the community. 

• The Department of Housing reviews applications for past evictions and debt before approving housing vouchers. 

• Transition Services are based on the success of the Colorado Choice Transitions (CCT) demonstration program.