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To qualify, individuals must be at least 18 years of age, Medicaid eligible, have a primary medical diagnosis, be independently mobile (with or without the use of assistive devices), and capable of performing basic Activities of Daily Living (ADLs). These criteria ensure that participants are able to engage with the care provided while maintaining a level of personal independence crucial for successful recuperative outcomes. This targeted support aims to address the medical and social vulnerabilities of these individuals, fostering recovery and facilitating a pathway to long- term stability. Table 1. Eligibility Criteria Eligibility Criteria Category Age Clinical and Social Risk Criteria Definition Medicaid Eligible 18+ All Kentucky beneficiaries eligible through mandatory, optional, or expansion eligibility groups, receiving full Medicaid coverage, ages 18 or older, with income up to 213 percent of the FPL, will be eligible for the HRSN service. Primary Medical Diagnosis 18+ Individuals must have a documented primary medical diagnosis requiring post-acute care, preparation for planned medical procedures, or episodic treatment. This diagnosis serves as the foundation for determining the medical necessity of Recuperative Care Pilot services. Homelessness or Risk of Homelessness 18+ Individuals experiencing homelessness or at risk of homelessness as defined by 24 CFR 91.5 except for the annual income requirement in 24 CFR 91.5 (1)(i). Hospitalization Risk 18+ At risk of hospitalization or readmission with aftercare needs, including:  Post-discharge from acute care or emergency department.  Planned medical procedures requiring preparation care.  Planned treatments (e.g., chemotherapy) requiring pre-/post-treatment care. Physical Mobility 18+ Must be independently mobile, with or without an assistive device. Activities of Daily Living 18+ Able to perform ADLs.

The table above outlines the eligibility criteria for populations who will receive services under the Kentucky Department for Medicaid Services (DMS) Recuperative Care Pilot. This program focuses on individuals aged 18 and older who are experiencing homelessness or are at risk of