Service Coordination: Reimbursement

01. Duplication. Payments must not duplicate payment made under similar programs. (7-1-26) 02. Payment. Reimbursable services include plan development, face-to-face contact, two-way communication between a service coordinator and a participant, their other providers, family members, primary caregivers, legal guardian or other interested persons, and referrals or related activities to obtain needed services identified in the plan. (7-1-26) 03. Medical Institutionalization. Service coordination reimbursement for the day a participant is admitted to or discharged from a medical facility is allowed when the service occurs prior to admission or after discharge. (7-1-26) a. Services that help a participant reintegrate into the community are only reimbursable when provided during the last fourteen (14) days for inpatient stays under one hundred eighty (180) days or the last sixty (60) days for inpatient stays one hundred eighty (180) days or more. Claims cannot be filed for services provided until after participant discharge. (7-1-26) b. Services must not duplicate activities provided during a facility’s admission or discharge process. (7-1-26) 04. Delivered Prior to Assessment. On-going service coordination is not allowable prior to completion of a plan. (7-1-26) 638. – 639. (RESERVED) YOUTH EMPOWERMENT SERVICES (YES) HCBS STATE PLAN OPTION (Sections 640-649)