Pennsylvania Nursing Facility Transition (NFT) Agency Policy Manual

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The Pennsylvania Nursing Facility Transition (NFT) Agency Policy Manual provides a comprehensive operational framework for agencies assisting individuals in transitioning from nursing facilities to independent, community-based living settings in Pennsylvania. This manual aligns with the regulations established by the Pennsylvania Department of Human Services (DHS), including the Office of Long-Term Living (OLTL) and applicable sections of the Pennsylvania Medicaid Provider Manual. It also ensures compliance with the Community HealthChoices (CHC) program, Money Follows the Person (MFP) initiatives, and other state and federally funded transition support programs. The manual includes policies and procedures governing agency certification, participant eligibility and assessment, individualized transition planning, housing navigation and coordination, in-home and community-based services linkage, budgeting and funding management, collaboration with Managed Care Organizations (MCOs), staff qualifications and training, participant rights and protections, emergency preparedness, incident management, documentation and billing, and quality assurance. It promotes person-centered transition support to ensure individuals achieve successful, sustainable community living with appropriate services and supports. This manual serves as a foundational resource for nursing facility transition agencies in Pennsylvania, ensuring the delivery of high-quality, compliant services that empower individuals to leave institutional care and live safely, independently, and with dignity in the community.