On March 18, 2020, the Home and Community Service (HCS) division of Aging and Long Term Supports Administration (ALTSA) implemented The Community Home Project, a program to move difficult-to-place residents out of hospitals and into nursing homes in an effort to free up hospital beds to increase COVID-19 surge capacity. The program provided those skilled nursing facilities accepting these difficult-to-place residents with a $100/day rate add-on. On June 15, 2020, HCS announced that the project will be winding down. As part of the winding down, HCS announced the following:
- HCS will continue to approve exceptional rates for those individuals who are Medicare and Medicaid eligible and who are currently hospitalized and transition to a nursing facility on or before June 18, 2020. Individuals who are not approved on or before June 18, 2020, will not receive the $100/day rate add-on.
- The Community Home Project approval letters are client-specific; the exceptional rate must be approved prior to the dually eligible individual’s admission to the nursing facility and the approval for the exceptional rate is limited to 180 days after admission.
- For those residents who have already admitted with a Community Home Project approval, they are assigned to Home and Community Services Nursing Facility Case Managers. These specialized case managers are actively working with the resident and nursing facility staff to coordinate transition planning out of skilled nursing facilities and into less restrictive community settings.
Nursing facilities will also receive notification of the end to the approval of $100/day rate add-on for new clients as of June 19, 2020, in a Dear Provider letter.