SECTION 317:35-17-18. ADvantage services during hospitalization or NF placement

  When the member's DHS social worker, ADvantage case manager, or the AA is informed by the member, family, or service provider of a member's hospitalization or placement in a nursing facility (NF), that party determines the date of the member's institutionalization and communicates the date, name of the institution, reason for placement, and expected duration for placement to the other ADvantage Program Administrative partners. When a member requires hospital or NF services, the case manager assists the member access institutional care, periodically monitors the member's progress during the institutional stay and, as appropriate, updates the person-centered service plan and prepares services to start on the date the member is discharged from the institution and returns home. All case management units for institution transition services to plan for and coordinate service delivery and to assist the member to safely return home, even when provided while the person is in an institution, are considered delivered on and billed for the date the member returns home from institutional care.

(1)   Hospital discharge. When the member returns home from a hospital or when notified of the member's anticipated discharge date, the case manager notifies relevant providers and the ADvantage Administration (AA), and coordinates the resumption of services.

(2)   Nursing Facility placement of less than 30-calendar days. When the member returns home from a NF stay of 30-calendar or less or when notified of the member's anticipated discharge date, the case manager notifies relevant providers, the member's DHS worker and the AA of the discharge and coordinates the resumption of ADvantage services in the home.

(3)   Nursing Facility placement longer than 30-calendar days. When the member is scheduled to be discharged and return home from a NF stay that is longer than 30-calendar the member's DHS worker, ADvantage case manager, or the AA, whoever first receives notification of the discharge, notifies other ADvantage Program Administrative partners to expedite the restart of ADvantage services for the member. The member's case manager provides institution transition case management services to assist the member to re-establish him or herself safely in the home.

[Source: Added at 12 Ok Reg 753, eff 1-6-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3133, eff 7-27-95; Amended at 14 Ok Reg 56, eff 4-30-96 (emergency); Amended at 14 Ok Reg 1802, eff 5-27-97; Amended at 15 Ok Reg 3715, eff 5-18-98 (emergency); Amended at 16 Ok Reg 1438, eff 5-27-99; Amended at 19 Ok Reg 338, eff 11-14-01; Amended at 19 Ok Reg 1071, eff 5-13-02; Amended at 20 Ok Reg 1958, eff 6-26-03; Amended at 26 Ok Reg 758, eff 4-1-09 (emergency); Amended at 27 Ok Reg 1507, eff 6-11-10; Amended at 29 Ok Reg 1172, eff 6-25-12; Amended at 34 Ok Reg 726, eff 9-1-17]