New Hampshire Nursing Facility Transition (NFT) Agency Policy Manual

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The New Hampshire Nursing Facility Transition (NFT) Agency Policy Manual provides a comprehensive operational framework for agencies supporting individuals who wish to transition from nursing facilities to community-based living in New Hampshire. This manual aligns with the regulations established by the New Hampshire Department of Health and Human Services (DHHS), particularly through the Bureau of Elderly and Adult Services (BEAS) and the Bureau of Developmental Services (BDS), and complies with Medicaid Home and Community-Based Services (HCBS) waiver programs such as the Choices for Independence (CFI) Waiver and the Developmental Disabilities (DD) Waiver. The manual includes policies and procedures governing agency enrollment and oversight, participant eligibility and referral processes, functional needs assessments, person-centered transition planning, housing navigation and accessibility modifications, coordination of community-based services and supports, financial and benefits counseling, staff qualifications and training, participant rights and protections, health and safety protocols, incident management, documentation and billing, and quality assurance. It emphasizes supporting individuals to achieve safe, sustainable, and self-directed living in the least restrictive environment. This manual serves as a foundational resource for NFT agencies in New Hampshire, ensuring the delivery of high-quality, compliant, and person-centered services that help individuals regain independence, improve quality of life, and reduce reliance on institutional care.