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Illinois Nursing Facility Transition Provider Policy Manual

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The Illinois Nursing Facility Transition Provider Policy Manual establishes a comprehensive framework for agencies assisting individuals in transitioning from nursing facilities to community-based living arrangements. This manual aligns with the Illinois Administrative Code (Title 89, Part 140), the Medicaid Home and Community-Based Services (HCBS) Waiver regulations (42 CFR 441.301), and the Money Follows the Person (MFP) Rebalancing Demonstration Program guidelines, ensuring compliance with state and federal standards.
The manual provides detailed guidance for implementing nursing facility transition services under programs administered by the Illinois Department of Healthcare and Family Services (IDHFS) and the Illinois Department on Aging (IDoA). These services are designed to support individuals in achieving independence, integration into their communities, and improved quality of life. 
Key areas covered include:
  • Eligibility and Service Access: Policies outline eligibility criteria for individuals residing in nursing facilities who are Medicaid-eligible and demonstrate readiness to transition into community-based living. 
  • Service Delivery Standards: Transition services include assistance with securing housing, purchasing essential household items, arranging utility connections, coordinating transportation, and providing other supports necessary for a successful transition.
  • Individualized Transition Plans: Develop person-centered transition plans tailored to each individual’s needs, preferences, and goals for community living. 
  • Funding and Allowable Expenses: The manual specifies allowable expenses under Medicaid HCBS Waivers, such as security deposits, furniture, household supplies, moving costs, utility setup fees, and initial food purchases. 
  • Staff Qualifications and Training: Completion of training for Staff involved in transition services in housing navigation, community resources, client rights, and person-centered planning.
  • Client Rights: Policies ensure that individuals transitioning from nursing facilities are treated with dignity and respect while maintaining autonomy over their decisions regarding their new living environment.
  • Health and Safety: Guidelines emphasize ensuring the safety of individuals during the transition process by addressing potential risks in their new living arrangements and providing access to emergency resources.
  • Quality Assurance: Implementation of quality improvement measurements in monitoring the success of transitions, client satisfaction, and adherence to regulatory standards.
  • Coordination with Other Services: Policies encourage collaboration between nursing facility transition providers and other service providers such as home health agencies, personal assistance services agencies, housing authorities, or adaptive equipment suppliers.
This manual serves as an essential resource for providers facilitating nursing facility transitions in Illinois.
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