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TEAMKY Demonstration

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

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1. Existing recuperative care programs that meet HRSN provider criteria outlined in Attachment K and who are listed in the National Institute for Medical Respite Care (NIMRC) Directory as Recuperative Care (Medical Respite) providers in KY. These providers will specifically provide the HRSN services “short-term pre-procedure housing” and “short-term post-transition housing” as authorized by CMS. This can include but is not limited to entities like housing providers, social service agencies, traditional health care providers, and community-based organizations. ii. Additional eligible entities include: 1. Entities that have the capacity to support the delivery of HRSN services, including state, city, county, and local governments; community-based organizations; or other entities who support HRSN contracting, implementation, invoicing and service delivery; and, 2. State agencies, local government, or contracted partners to facilitate setup, operation, and ongoing oversight of HRSN programs. b. In addition, the entities must meet the following minimum eligibility criteria in order to be considered eligible for the HRSN infrastructure funding. Minimum eligibility criteria may include: i. The entity is capable of providing or supporting the provision of one or more HRSN services to Medicaid beneficiaries within the state of KY. ii. The entity has attested to being financially stable, as defined by the state of KY.

III. Intended Purpose and Proposed Uses of HRSN Infrastructure Funding. a. Technology b. Development of business or operational practices c. Workforce Development d. Outreach, education and stakeholder convening The State intends to provide infrastructure funding to eligible entities for the following activities: a. Technology. Qualifying entities can leverage HRSN infrastructure funding to support a range of technology needs, including those that support closed-loop referral platforms and other community information exchange priorities. KY is requesting the following activities to be covered by HRSN Infrastructure funds as needed. If additional activities arise and need to be included, KY will formally