D.C. Mun. Regs. tit. 29, r. 4252

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 4252 - PROGRAM SERVICES: COMMUNITY TRANSITION SERVICES

4252.1

Community Transition Services are non-recurring set- up expenses for beneficiaries who are transitioning from an institution or other long term care facility to a more integrated and less restrictive community setting. Allowable expenses are those necessary to enable an individual to establish a basic household that does not constitute room and board.

4252.2

Household set-up expenses provided under community transition services may include the following:

(a) Rental application fees and security deposits in the amount of the first month's rent or greater that are required to obtain a lease on an apartment or home;

(b) Essential household furnishings and moving expenses required to occupy and use a community domicile, including furniture, window coverings, food preparation items, and bed/bath linens;

(c) Set-up fees or deposits for utility or service access, including telephone, electricity, heating and water;

(d) Services necessary for the individual's health and safety such as pest eradication and one-time cleaning prior to occupancy;

(e) Moving expenses;

(f) Necessary home accessibility adaptations; and,

(g) Activities to assess need, arrange for, and procure needed resources.

4252.3

Community Transition Services are furnished only to the extent that they are reasonable and necessary as determined through the transition planning process, and clearly identified in the beneficiary's transition plan or PCSP once they are enrolled in the EPD Waiver.

4252.4

The household set-up items shall be approved by the Case Manager as part of the beneficiary's PCSP.

4252.5

Community Transition Services for the household set up items specified under § 4252.2 shall be provided up to an amount of five thousand dollars ($5,000) and may be used as determined in the transition plan development, from the time a tentative discharge date from the long term care facility has been established and EPD Waiver eligibility has been established.

4252.6

Community Transition funds shall be utilized for a period not to exceed one hundred and twenty days (120) before discharge and up to six (6) months after discharge from an institution or long term care facility.

D.C. Mun. Regs. tit. 29, r. 4252

Final Rulemaking published at 64 DCR 6787 (7/21/2017)