Code of Federal Regulations Title 42. Public Health § 42.483.118 Residents and applicants determined not to require NF level of services

(i) Offer the resident the choice of remaining in the facility or of receiving services in an alternative appropriate setting;

(ii) Inform the resident of the institutional and noninstitutional alternatives covered under the State Medicaid plan for the resident;

(iii) Clarify the effect on eligibility for Medicaid services under the State plan if the resident chooses to leave the facility, including its effect on readmission to the facility;  and

(iv) Regardless of the resident's choice, provide for, or arrange for the provision of specialized services for the mental illness or intellectual disability.

(i) Arrange for the safe and orderly discharge of the resident from the facility in accordance with § 483.15(b);

(ii) Prepare and orient the resident for discharge;  and

(iii) Provide for, or arrange for the provision of, specialized services for the mental illness or intellectual disability.

(i) Is calculated back from the date of the first annual resident review determination which finds that the individual is not in need of NF level of services;

(ii) May include temporary absences for hospitalization or therapeutic leave;  and

(iii) May consist of consecutive residences in more than one NF.