I would like to address an issue regarding a long term custodial resident Maryann Harmon who has been in Regal Heights Rehab nursing home since 10/13/2015. I reached out to HRA/NHED providers relations to check the status of the case. I was informed by HRA that the case was denied due to the nursing home submitting a 259d (discharge alert). Even if it’s the member’s intention to return home, the case should still be processed within the guidelines of determining eligibility.
We would do everything necessary to coordinate a safe discharge if that’s what the member wants to pursue. However at the moment the resident is receiving custodial care, not skilled services.
It was not communicated to us that the member was being discharged