Section 29-9720. DISCHARGE AND REFERRAL

 

9720.1A participant shall be discharged from the ADHP program under one (1) of the following conditions:

 

(a)If the participant is found upon reassessment that his/her acuity is below the level of need described under Section 9709;

 

(b)If the participant requires long term placement in an institutional setting; or

 

(c)If the participant wishes to discontinue participation in the program.

 

9720.2Upon discharge, the ADHP shall develop and maintain a participant discharge plan that shall include the following:

 

(a) The reasons for discharge;

 

(b) The post-discharge goals for the participant; and

 

(c) The list of community resources including service agencies to promote continuity of care; and if follow-up services are desired.

 

9720.3The provider shall submit the discharge plan to DHCF within one (1) week of the person’s discharge from the ADHP program.

 

9720.4If the discharge is related to a failure to meet the level of need, a beneficiary denial or change of services letter will be issued, consistent with Federal and District of Columbia law.

 

 

authority

An Act to enable the District of Columbia to receive federal financial assistance under Title XIX of the Social Security Act for a medical assistance program, and for other purposes, approved December 27, 1967 (81 Stat. 744; D.C. Official Code § 1-307.02 (2014 Repl.)), and Section 6(6) of the Department of Health Care Finance Establishment Act of 2007, effective February 27, 2008 (D.C. Law 17-109; D.C. Official Code § 7-771.05(6) (2012 Repl.)).

source

Final Rulemaking published at 63 DCR 1031 (January 29, 2016).