4251.1 Each case manager providing Community Transition services shall:

1. (a) Work with the beneficiary to identify household items needed to facilitate transition to the community;
2. (b) Work with the vendor to ensure that the beneficiary has access to the identified household items to facilitate a successful transition to the community;
3. (c) Complete and forward the beneficiary's demographic information on documents provided by DHCF, or its designee;
4. (d) Submit a purchase order /transition fund request to DHCF or its designee for processing;
5. (e) Act as primary point of contact with DHCF and the vendor for coordination of transition payments;
6. (f) Schedule pick-up of checks from the vendor's site;
7. (g) Keep records to ensure that beneficiary's purchase order requests do not exceed the maximum amount of five thousand ($5,000) allowed per beneficiary; and
8. (h) Provide documentation of all services provided, and beneficiary records to be made available to DHCF or its designee for monitoring and oversight and/or audit reviews.

4251.2 Community Transition services shall not be provided to waiver beneficiaries who:

1. (a) Are not transitioning to the community from a long term care facility; or
2. (b) Have duplicative household set-up items in their possession.

SOURCE: Final Rulemaking published at 64 DCR 6784 (July 21, 2017).