Assistive Care Services and Assisted Living for the Elderly Waiver

Assistive Care Services and Assisted Living for the Elderly Wavier Services
Coverage and Limitations Handbook
Placement and Discharge, continued
Move To Another
ALF
If a recipient requests to move or is moved:
• From one ALE-enrolled facility to another ALE-enrolled facility, the case
manager will assist in coordinating the placement and the recipient will
remain eligible to receive ALE services in the new ALF; or
• From one ALE-enrolled ALF to an ALF that is not an ALE-enrolled
waiver provider, the case manager will terminate the recipient from the
ALE waiver and services will be discontinued.
Any time a change in facilities is necessary for a recipient who receives
Optional State Supplementation (OSS) payments, the change must be
coordinated with DCF.
ALF Discharge
Requirements
If an ALF administrator initiates discharge of an ALE recipient from the ALF,
the discharge must be done in accordance with the facility’s written policies
and the recipient or recipient’s designated representative or guardian must be
given appropriate notice in accordance with Chapter 58A-5, F.A.C.
Termination of Services
Introduction
Recipients may be terminated from the ALE waiver. Case managers
determine when to terminate a recipient from ALE services. Upon
termination, the case manager must immediately cancel all waiver services
being provided to the recipient. The case manager must also notify the
recipient or the recipient’s designated representative or guardian, the ALF,
the local DCF office, and the ALE waiver specialist of the recipient’s waiver
termination. ALE recipients must be given a written 10-day advance notice of
termination including their right to request a fair hearing.
July 2001 5-18