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CCT & MDS 3.0 Section Q Return to the Community Overview

CCT & MDS 3.0 Section Q Return to the Community Overview. INTRODUCTION TO CCT. Colorado’s Money Follows the Person (MFP) initiative, CCT, facilitates transition of people from Long-Term Care (LTC) facilities to community living

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CCT & MDS 3.0 Section Q Return to the Community Overview

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  1. CCT & MDS 3.0 Section Q Return to the Community Overview

  2. INTRODUCTION TO CCT

  3. Colorado’s Money Follows the Person (MFP) initiative, CCT, facilitates transition of people from Long-Term Care (LTC) facilities to community living $22M grant for 5 years from Centers for Medicare and Medicaid Services (CMS) Overview

  4. A LITTLE MFP HISTORY

  5. CMS GOALS FOR CCT • Decrease use of institutionally-based services • Eliminate barriers to client’s choices for community living • Increase use of HCBS services • Ensure continuous quality assurance

  6. COLORADO’S GOALS FOR CCT • Increase investments in HCBS • Streamline accessto LTSS • Transition 490 people by 2016 • Increase housing options • Expand consumer direction • Expand array of LTSS

  7. For every $1 spent on CCT Waivers • FUNDING & REFORM Colorado receives an increased federal match of $0.75 $0.25 of that federal match is set aside for a rebalancing fund and will be used to reform LTSS in Colorado

  8. CCT ELIGIBILITY REQUIREMENTS • Must meet long-term care Medicaid eligibility requirements • Currently residing in long-term care facility(for a minimum 90 consecutive days) • Must move into qualified housing

  9. QUALIFIED HOUSING • Home owned or leased by individual or individual's family member • Residence in community-based setting with no more than four unrelated individuals • Apartment with individual lease • Living, sleeping, bathing & cooking areas • Lockable access and egress • Services not condition of tenancy

  10. CCT DEMONSTRATION SERVICES

  11. QUALIFIED HCBS WAIVERS

  12. CCT ELIGIBILITY SPAN Client in facility; Medicaid begins Transition to community 365 days post transition 365 days of CCT Services HCBS Waiver Services State Plan Benefits

  13. 6 STEP TRANSITION PROCESS • I. Referral & Options Counseling • II. 1st TC Meeting with Client – Collaboration with Nursing Facility • III. Development of Transition Assessment, Risk Mitigation & Emergency Back-Up • IV. Transition Planning & Service Brokering • V. Discharge Planning and Moving Day • VI. Post Discharge

  14. Referrals for transition services can come from any source: • REFERRALS • The resident • Nursing Facility social worker • Family and/or friends • Minimum Data Set, Section Q (MDS Q) • Ombudsmen Not all referrals will result in a transition Same procedure is followed for all types of referrals

  15. Contact Information Kathy Cebuhar, MA, LPC Colorado Choice Transitions Community Liaison Kathy.Cebuhar@state.co.us 303-866-4065 (FAX) 303-866-2786

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