0628 Transition Coordination Non-Billable

Helping Families. Supporting Communities. Empowering Individuals.

These are Generic Exhibits.

Scope of Service

There is an array of non-billable services/activities and supports that are essential to timely and efficiently facilitating a client's move from the Nursing Facilities/Institutions for Mental Disease (NF/IMD) to the community. These transitional activities complement the treatment supports and mental health services that clients will have to move toward individual recovery and to live successfully in the community. The coordination of timely transfer of benefits/entitlements, accompanying clients to Social Security Administration (SSA) to change payee status and Local Offices to activate Medicaid is critical to support self-sufficiency; the ability to interface with landlords or property management entities, who may have potential rental properties available, then conduct preliminary visits across vast geographic areas as a means of scouting appropriate rental units is essential if timely execution of a move from the NFs/IMDs to the community is to occur. The availability to travel to a NF/IMD and to transport clients as they navigate housing searches; to accompany them as they make decisions to purchase household needs and the ability to assist in moving furniture and setting up the household are all necessary and functional resource requirements to make the transition from the NFs/IMDs possible. Transition Coordination is the means to assure that all efforts to make the transitions to the community occur and that they occur under a vision of coordinated attention.

Deliverables

Each provider will hire transition coordination staff who will facilitate full activities of transition coordination for the agency as a supplement to the job duties of direct care clinicians. Such activities include:

  1. Coordinate the transfer of benefits and entitlements through Social Security Administration.
  2. Coordinate transfer of medications and linkages with primary healthcare.
  3. Identify and navigate affordable housing stock through relationship building with landlords and property management companies.
  4. Maintain and update an active dossier of property listings.
  5. Accompany Class Members on housing search for a potential apartment.
  6. Assist with the purchase of household items to facilitate independent living in the community.
  7. Assist Class Members with the actual move from the NF/IMD to the community.
  8. Complete other related activities associated with securing independent housing.

Reporting Requirements:

  1. Financial Report in accordance with Exhibit C.
  2. Performance Report in accordance with Exhibit E.

Payment

Payment will be issued in response to Provider submitted quarterly invoices on the appropriate DMH invoice template at the established rate(s) (if applicable) stated in Exhibit B. Invoices shall be submitted to the DMH program contact no later than November 1, February 1, May 1, and August 1, and will be reconciled on the basis of reported allowable expenses per the Grant Funds Recovery Act [30 ILCS 705/7 and 8]. (The Grant Funds Recovery Act is not applicable to Fixed-Rate Grants.)

The Provider shall report quarterly allowable grant expenses on the appropriate DMH reporting template to the DMH program contact no later than November 1, February 1, May 1, and August 1, and reported expenses should be consistent with the submitted annual grant budget. If any budget variances are noted, the DMH program contact may request that the provider submit a revised grant budget before subsequent monthly payments will be made. DMH program contacts and reporting templates can be found in the Provider section of the DHS website.

Rates:

  1. Rate per client moved in 8 weeks: $1,663
  2. Rate per client moved in 9 weeks: $1,563
  3. Rate per client moved in 10 weeks: $1,463
  4. Rate per client moved in 11 weeks: $1,363
  5. Rate per client moved in 12 or more weeks: $1,163
  6. Rate per client not transitioned: $963

Performance Measures

The Provider shall report quarterly performance on the appropriate DMH reporting template to the DMH program contact no later than November 1, February 1, May 1, and August 1. DMH program contacts and reporting templates can be found in the Provider section of the DHS website.

The following are included in the reporting template:

  1. Number of unduplicated Class Members referrals received for transition coordination activities
  2. Number of Class Members first contact within seven business days after receipt of the referral.
  3. Number of Class Members who refuse transition coordination activities.
  4. Number of Class Members engaged in a housing search within:
    1. Two weeks or less after initial contact
    2. Two week and two months after initial contact
    3. Two months and four months after the contact
    4. Four months or greater after the initial contact
  5. Number of Class Members assisted with transferring benefits/entitlements
  6. Number of Class Members assisted with transfer of medications and linkages to primary health care
  7. Number of Class Members accompanied to purchase basic household items/supplies.
  8. Number of Class Members assisted with the actual move to the community

Performance Standards

  1. 100% of unduplicated Class Members' referrals will be received by Transition Coordination.
  2. 100% of Class Members received by Transition Coordination will be contacted within 7 days post assignment.
  3. 100% of Class Members who refuse transition coordination activities will be documented and identified to the DMH Contact.
  4. 100% of consenting Class Members will be engaged in a housing search
  5. 100% of consenting Class Members will have their benefits/entitlements transferred from the NF/IMD prior to transition.
  6. 100% of Class Members will have assistance in transferring medications and linkage to primary health care.
  7. 100% of Class Members will be accompanied to purchase basic household items.
  8. 100% of clients will have assistance in relocation from the NF/IMD to the community.