La. Admin. Code tit. 50 § XXI-16319

Current through Register Vol. 50, No. 11, November 20, 2024

Section XXI-16319 - One Time Transitional Services

A. One-time transitional services are non-reoccurring set-up expenses to assist a beneficiary who is moving from an institutional setting to his or her own home. The beneficiary's support coordinator assists in accessing funds and making arrangements in preparation for moving into the residence.

B. One-time transitional services may be accessed for the following:

1. non-refundable security deposit;

2. utility deposits (set-up/deposit fee for telephone service);

3. essential furnishings to establish basic living arrangements, including:

a. bedroom furniture;

b. living room furniture;

c. tables and chairs;

d. window blinds; and

e. kitchen items (i.e., food preparation items, eating utensils, etc.);

4. moving expenses; and

5. health and safety assurances (i.e., pest eradication, one-time cleaning prior to occupancy, etc.).

C. Service Limits

1. There is a one-time, lifetime maximum services cap of $3,000 per beneficiary.

2. Service expenditures will be prior authorized and tracked by the prior authorization contractor.

D. Service Exclusions

1. One-time transitional services may not be used to pay for the following:

a. housing, rent, or refundable security deposits; or NOTE: Non-refundable security deposits are not to include rental payments.

b. furnishings or setting up living arrangements that are owned or leased by a waiver provider

2. One-time transitional services are not available to beneficiaries who are receiving host home services.

3. One-time transitional services are not available to beneficiaries who are moving into a family member's home.

E. The Office for Citizens with Developmental Disabilities shall be the entity responsible for coordinating the delivery of one time transitional services. Providers must have a BHSF (Medicaid) provider enrollment agreement as a transition support provider as verified by Department of Health (LDH) Health Standards Section.

La. Admin. Code tit. 50, § XXI-16319

Promulgated by the Department of Health and Hospitals, Office for Citizens with Developmental Disabilities, LR 33:2449 (November 2007), Amended by the Department of Health and Hospitals, Bureau of Health Services Financing and the Office for Citizens with Developmental Disabilities, LR 422162 (10/1/2015, Amended by the Department of Health, Bureau of Health Services Financing and the Office for Citizens with Developmental Disabilities, LR 451766 (12/1/2019), Amended LR 471516 (10/1/2021), Amended LR 481565 (6/1/2022).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.