1.Program Definition and Services
Nursing Facility Transition in Kentucky, also known as Kentucky Transitions, is a program that assists Medicaid members currently residing in nursing homes to transition back to community living. Services include:
- Transition coordination
- Housing assistance
- Household setup
- Community integration support
2. Regulations
The program is governed by the Centers for Medicare & Medicaid Services (CMS) Money Follows the Person Demonstration grant and Kentucky Revised Statutes, specifically KRS 205.528.
3. Licensing or Certification
No specific licensing or certification is required for transition coordinators, but they must be registered nurses or social workers.
4. Responsible State Agency
The Kentucky Cabinet for Health and Family Services, Department for Medicaid Services (DMS) oversees the Kentucky Transitions program.
5. Application Process
Individuals interested in transitioning can contact Kentucky Transitions directly. Referrals can be made by calling (502) 564-0330 or toll-free (877) 564-0330
6. Required Documentation
While not explicitly stated, likely required documentation includes :
- Proof of 60-day minimum institutional stay
- Medicaid eligibility verification
- Assessment of clinical and social needs
- Transition plan
7. Timeline for Approval
The exact timeline for approval is not specified in the available results.
8. Pre-Application Process
Eligibility is determined based on:
- Minimum 60-day institutional stay (with some exclusions)
- Meeting existing Medicaid eligibility requirements
- Receiving Medicaid-funded services for at least one day prior to referral
9. Pre-Application Training
No specific pre-application training is mentioned for individuals transitioning. However, transition coordinators must be qualified as registered nurses or social workers.
10. Additional Notes
- The program covers up to $2,500 in supplemental services, including housing deposits, utility start-ups, and household setup
- After transition, individuals receive services aligned with existing waiver programs such as Home and Community Based (HCB) or Acquired Brain Injury (ABI/LTC) waivers
- The program aims to help elderly and disabled patients move from costly long-term care institutional settings to less expensive home and community-based care
- As of March 2025, Kentucky Transitions has helped more than 750 people leave institutional care since its inception in 2008
To get started, click the link to request portal access