6200, Transition Planning

Revision 23-1; Effective Dec. 20, 2023

An ECC coordinator is responsible for:

  • convening and facilitating SPT meetings, as necessary, to conduct transition planning and to develop and implement the person’s Form 1053, Transition Plan, regardless of the program chosen by the person;
  • ensuring that the members of the SPT (specifically providers of specialized services, the nursing facility and the MCO) receive sufficient notice to participate in the SPT meeting (at least 10 business days before the scheduled SPT meeting); 
  • ensuring the SPT uses the relocation assessment and evaluation, other assessments (e.g., medical and behavioral), and the latest Form 1054, Community Living Options, to guide the development of Form 1053;
  • documenting the SPT discussions and decisions in a progress note;
  • developing and revising the Transition Plan per Section 6300, Developing and Revising the Transition Plan; and
  • coordinating with the MCO SC and RS, as needed, in accessing community resources the person may need or be eligible for, including transportation, housing, medical, dental and other services.

For an SPT meeting convened by the ECC coordinator, the ECC coordinator must ensure a sign-in sheet is provided to document the attendance of each participant, as well as the meeting date. If an SPT member participated by phone, the ECC coordinator must ensure that member’s name is included on the sign-in sheet. The ECC coordinator must maintain all sign-in sheets.
 

6210 SPT Meeting Participation

Revision 23-1; Effective Dec. 20, 2023

6210.1 ECC Coordinator Participation

Revision 23-1; Effective Dec. 20, 2023

The ECC coordinator must participate in person or by phone at all SPT meetings convened by the habilitation coordinator.

6210.2 Habilitation Coordinator Participation

Revision 23-1; Effective Dec. 20, 2023

The habilitation coordinator must participate in person or by phone at all SPT meetings convened by the ECC coordinator.

6210.3 Program Provider and Relocation Specialist Participation

Revision 23-1; Effective Dec. 20, 2023

The ECC coordinator and habilitation coordinator must ensure the community program provider and RS are invited to all SPT meetings, including those convened by the habilitation coordinator. However, the program provider and RS are only required to attend SPT meetings convened by the ECC coordinator related to transition planning.