Tennessee Code 71-5-1408 – Strategies to encourage utilization of cost – effective home and community-based services – Requirements related to nursing facility diversion
(a) The commissioner shall develop and implement strategies to encourage the utilization of cost-effective home and community-based services in lieu of institutional placement.
Terms Used In Tennessee Code 71-5-1408
Commissioner: means the commissioner of finance and administration or the commissioner's designee. See Tennessee Code 71-5-1403
Cost-effective: means that the total cost of services provided to an eligible elderly or physically disabled adult in the home or other community-based setting does not exceed the cost of reimbursement for institutional care in a nursing facility. See Tennessee Code 71-5-1403
(b) The commissioner shall specify in contractor risk agreements with integrated long-term care contractors requirements related to nursing facility diversion. The requirements may include, but are not limited to, the following:
(1) Documentation prior to approval of nursing facility admission that an individual and the individual’s family or other caregivers have been advised of home and community-based alternatives and that the alternatives are not appropriate, cost-effective or desired; and(2) A requirement for care coordinators to work with hospital discharge planners and to provide face-to-face visits in nursing facilities within a minimum number of days following admission to develop a plan, as appropriate, for transition back to a home or community-based setting.
