{"data":{"id":"us-ky/krs-205.528","jurisdiction":"us-ky","citation":"KRS 205.528","heading":"Hospital-to-Home Transition Program.","body":"(1) The Department for Medicaid Services shall submit a waiver or waiver amendment\nfor approval to the Centers for Medicare and Medicaid Services in order to establish\nthe Hospital-to-Home Transition Program to provide coverage for services provided\nby an approved Medicaid waiver provider to elderly and physically disabled persons\nover the age of eighteen (18) years. The program shall provide coverage for up to\nsixty (60) days for services not otherwise provided as part of the Medicaid essential\nbenefits coverage in order to assist waiver applicants while transitioning from an\ninstitutional setting to their home or to a community setting.\n(2) The Hospital -to-Home Transition Program shall provide nonmedical support\nservices to applicants, including but not limited to:\n(a) Adult day-care services;\n(b) Attendant services;\n(c) Home-delivered meal services; and\n(d) Transportation services.\n(3) The daily cost of services covered by the Hospital -to-Home Transition Program\nshall be less than the average daily Medicaid payment for a stay at a nursing facility.\n(4) An applicant shall be eligible for the Hospital -to-Home Transition Program if the\napplicant:\n(a) Is determined to be functionally eligible for services in his or her home or\ncommunity setting; and\n(b) Has a pendi ng application for Medicaid waiver services, provided that he or\nshe complies with all other medical assistance application requirements.\n(5) The cabinet shall develop a screening tool to determine whether an applicant meets\nthe eligibility criteria under subsection (4) of this section for the Hospital -to-Home\nTransition Program. The screening tool shall include but not be limited to the\nfollowing:\n(a) Procedures for determining whether an applicant is functionally able to live at\nhome or in a community setting;\n(b) Procedures for determining financial eligibility;\n(c) Procedures to address patient treatment preferences; and\n(d) Procedures to address patient goals of care and family caregiver concerns.\n(6) An applicant for the program shall:\n(a) Sign a written agreement attesting to the accuracy of the financial and other\ninformation that the applicant provides; and\n(b) Complete a Medicaid application on the date the applicant is screened for\nfunctional eligibility or not later than ten (10) days from the screening.\n(7) The cabinet shall make the Medicaid level of care final determination of eligibility\nfor Medicaid and Medicaid waiver services by sixty (60) days following an eligible\napplicant's discharge from an institutional setting to a home or community setting.\n(8) The cabinet shall request funding to support the waiver program. Not later than July\n1, 2016, subject to appropriations provided by the General Assembly and approval\nof the waiver or waiver amendment from the Centers for Medicare an d Medicaid\nServices, the cabinet shall initiate the Hospital -to-Home Transition Program as\ndescribed in this section.\n(9) The Department for Medicaid Services shall promulgate administrative regulations\nto implement this section.","path":["KRS Chapter 205"],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=44570","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:52:03Z","sha256":"209a002e8d0580180c4ba2acf492df007f37747be8e9aee7769d77a893c57778","source_id":"us-ky","stale":false,"prev":"us-ky/krs-205.527","next":"us-ky/krs-205.529"},"notice":"GroundRules: Original legal text. Not legal advice."}