8612 TRANSITION PLANNING SERVICES

8612.1 Transition planning services for beneficiaries stepping down from certain institutional treatment settings identify needed treatment and support services that support recovery and reduce the chances of avoidable hospital or residential treatment readmissions. Transition planning services also connect beneficiaries to these identified treatment and support services.

8612.2 Effective September 1, 2020, Medicaid reimbursable transition planning services shall include the following activities:

(a) Assessment of beneficiary's post-discharge needs;

(b) Development of a discharge plan; and

(c) Care coordination and case management related to implementation of the discharge plan.

8612.3 Medicaid beneficiaries who meet the requirements set forth in Chapter 65 of Title 22-A of the DCMR shall be eligible to receive transition planning services.

8612.4 Transition planning services shall be delivered in accordance with the requirements set forth in Chapter 65 of Title 22-A of the DCMR.

8612.5 Transition planning service providers shall be certified in accordance with the requirements set forth in Chapters 65 of Title 22-A of the DCMR.

SOURCE: Final Rulemaking published at 68 DCR 5406 (May 21, 2021).