32 Miss. Code. R. § 1-18.7 - FAILURE TO TRANSITION FROM THE NURSING FACILITY

While the Counselor makes every effort to confirm that the client has definite plans to leave the nursing facility, there may be situations in which the client changes his mind or has a change in his health making it impossible for him to relocate to the community as planned. In this situation, the Counselor must contact any vendor that has provided a service and stop the delivery of the services. No additional service should be provided/purchased.

MDRS via the Counselor must attempt to return any item(s) purchased on behalf of the individual and collect a refund for the amount of the purchase. MDRS must also attempt to recoup security, utility and other deposits paid on behalf of the individual.

* If the Counselor is unsuccessful in returning the item(s) for the amount or the deposits paid on behalf of the individual cannot be recouped, MDRS is responsible for paying for the item(s) or deposits paid. The Counselor must attach to the authorization when submitting to Madison case note documentation stating that the item(s) could not be returned, or the deposits could not be recouped. Any items obtained from the client may be used to serve individuals whose needs are similar to those of the individual for whom the items were purchased or must be dedicated to assisting other individuals to establish a home.

* If the Counselor is able to return the item(s) or receives the deposits back, the refund for money must be made payable to: Mississippi Department of Rehabilitation Services. A claim will not be billed to Division of Medicaid.

* If the individual is only in the home for a few days and returns to the nursing facility, the individual can keep the item(s) purchased or donate them to other individuals to help establish a home. The Counselor must work with the client to determine what item(s) they should keep and what items should be used for other clients.

The Counselor must explain the purpose and limitations of transition assistance services to the individual when determining their need for the service(s).

The applicant may appeal a decision regarding a needed item or service, but transition services should not be delayed due to the appeal.

Notes

32 Miss. Code. R. § 1-18.7