71-5-1408 - Strategies to encourage utilization of cost-effective home and community-based services Requirements related to nursing facility diversion.

71-5-1408. Strategies to encourage utilization of cost-effective home and community-based services Requirements related to nursing facility diversion.

(a)  The commissioner shall develop and implement strategies to encourage the utilization of cost-effective home and community-based services in lieu of institutional placement.

(b)  The commissioner shall specify in contractor risk agreements with integrated long-term care contractors requirements related to nursing facility diversion. The requirements may include, but are not limited to, the following:

     (1)  Documentation prior to approval of nursing facility admission that an individual and the individual's family or other caregivers have been advised of home and community-based alternatives and that the alternatives are not appropriate, cost-effective or desired; and

     (2)  A requirement for care coordinators to work with hospital discharge planners and to provide face-to-face visits in nursing facilities within a minimum number of days following admission to develop a plan, as appropriate, for transition back to a home or community-based setting.

[Acts 2008, ch. 1190, § 9.]