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TEAMKY Demonstration

Approval Period: January 1, 2025 through December 31, 2029

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Description/Definition Frequency Duration Detailed Setting/Provider Requirements Minimum Eligibility Criteria Episodic housing interventions with clinical services with room and board, limited to a clinically appropriate amount of time, including:

 Short-term post- transition housing (e.g., post- hospitalization), where integrated, clinically oriented rehabilitative services and supports are provided, but ongoing monitoring of the individual's condition by clinicians is not required.

Short term post transition housing services can be provided for more than one stay up to 6 months in a rolling year when determined medically necessary and patient meets eligibility criteria. Typically lasts between 1 and 45 days, based upon medical necessity

Short term post transition housing services can be provided for more than one stay, not to exceed 6 months in a rolling year, when determined medically necessary and individual’s meet eligibility criteria

There is a total combined cap of 6 months for both Short- term pre- procedure housing and Short-term post- transition Must be a recuperative care facility with:  24/7 staffing by clinical professionals, allied health professionals, and/or paraprofessional staff.  Daily wellness checks, vital sign monitoring, and pain management.  Medication monitoring and secure double- locked storage.  Capability to provide 3 meals per day.  Capability to arrange for transportation for follow-up appointments, and access to telehealth services.  Staff trained in behavioral health, trauma-informed care, and motivational interviewing to support holistic recovery, and  Must be Medicaid eligible.  At least 18 years of age.  Upon discharge from a procedure or hospital stay requiring recovery support.  Must have a primary medical diagnosis necessitating post-procedure care.  Must be independently mobile, with or without assistive devices.  Capable of performing basic ADLs.  Demonstrates risk of readmission or complications without housing and support during the recovery period as determined by