1.Program Definition and Services
Nursing Facility Transition (NFT) services in Indiana help individuals move from long-term care facilities back to community-based settings. These services include:
- Assistance in locating affordable housing
- Assessment of residence for necessary accommodations
- Coordination of long-term care services required for independent living
- Help in identifying programs and services needed for community living
2. Regulations
The program is governed by:
- Indiana's Statewide Transition Plan for compliance with CMS Home and Community-Based Services Final Rules.
- Indiana Code related to Medicaid HCBS programs
3. Licensing or Certification
No specific license is mentioned for NFT providers. However, providers may need to:
- Be certified as Medicaid HCBS providers
- Meet requirements set by the Division of Aging or relevant FSSA division
4. Responsible State Agency
The Indiana Family and Social Services Administration (FSSA), specifically the Division of Aging, oversees nursing facility transition services.
5. Application Process
While not explicitly detailed, providers likely need to:
- Enroll with Indiana Health Coverage Programs (IHCP)
- Apply for certification through the Division of Aging for specific waiver programs
6. Required Documentation
Providers may need to submit:
- Proof of Medicaid provider enrollment
- Policies and procedures for transition services
- Staff qualifications and training records
- Compliance documentation with HCBS settings requirements
7. Timeline for Approval
The exact timeline for approval is not specified. However, providers should note that:
- Final remediation of settings is required by June 30, 2024
- Heightened scrutiny settings must be compliant within 12 months of CMS findings
8. Pre-Application Process
Before applying, providers should:
- Ensure compliance with HCBS settings requirements
- Develop transition protocols and person-centered planning processes
- Establish relationships with community resources and housing providers
9. Pre-Application Training
No specific pre-application training is mentioned. However, providers should be knowledgeable about:
- Person-centered planning
- HCBS settings requirements
- Community resources and supports
10. Additional Notes
- As of March 2024, eligible individuals will be transitioning to Indiana PathWays for Aging, managed by three MCEs: Anthem, Humana, and UnitedHealthcare
- Providers must develop individualized transition plans for each participant
- The Money Follows the Person (MFP) program can provide additional support for transitions
- Providers should be prepared to assist with both pre-transition planning and post-transition support
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