U. Transferring Regions
The participant may choose or need to relocate to a different region of NYS. To preserve continuity of services, meaningful exchange of information between the RRDS and waiver service providers is imperative. The following must occur to support the participant's relocation:
- The participant must inform the SC of his/her desire/need to relocate;
- The SC will meet with the participant to obtain information regarding the new residence, needed services in the new location, and anticipated date of transfer;
- The SC must notify the current RRDS and provides details of the participant's request to relocate;
- The current SC must assure a Release of Information is in place to assist in the transfer of information process;
- The current RRDS must contact the RRDS in the new region to initiate transfer of services and provide a copy of the Initial Service Plan, and the current Service Plan and PPO;
- The new RRDS must make a face-to-face visit with the participant to discuss service options and providers in the new area and make a preliminary determination as to whether the participant can be appropriately served in the new region;
- Upon preliminary approval by the new RRDS, the participant will select a new SC from the list of approved and available SCs provided by the new RRDS;
- The participant maintains his/her right to interview SCs or designate someone on their behalf to do so, whenever possible.
Note: It is always suggested that a face-to-face visit between the SC and participant is made whenever possible. In the event this can not be accomplished, it is imperative that the new SC work closely with the participant and current SC);
- The participant works with the new RRDS to complete the Service Coordination Selection form indicating his/her selection;
- The new SC acquires needed additional documentation (e.g. PRI/SCREEN, original Application Packet, PPO, etc). for the development of the RSP;
- The new SC assists the participant through the Provider Selection process;
- The participant maintains his/her right to interview waiver service providers or designate someone on their behalf to do so whenever possible;
- The new SC develops the RSP with the participant and submits it to the new RRDS for review and approval;
- Upon approval of the RSP by the new RRDS, the current SC must inform the participant of his/her responsibility to contact the current LDSS and inform them of his/her intent to transfer to a new county as a continued participant of the NHTD waiver and with the anticipated date of transfer. If requested by the participant, the SC can assist in the contact to LDSS; and
- The new SC must contact the LDSS in the new county to assure information regarding transferring the participant's Medicaid eligibility status to the new region has occurred.
Note: If there is indication that the participant can not be appropriately served in the new RRDS region, this is communicated to the current RRDS for discussion with the participant. If the participant still desires to relocate to the new region but can not be served by the waiver in that region, the current RRDS sends a completed NOD - Discontinuation of Waiver Program. The current SC discusses the NOD and Fair Hearing rights with the Participant. The current SC works with the participant to develop a discharge plan.