Discharge from an RHC
The LTCSPU will determine the impact on participation when there is a change in the individual's living situation. If the individual is discharging to another institution. the LTCSPU will determine how to split the participation appropriately between the two facilities by coding ACES correctly in the month of change. If the individual discharges home or to a residential setting, the LTCSPU will issue an amended award letter adjusting the participation to the highest PNA allowed in that month.
The LTC PNA chart includes instruction regarding how a PNA is chosen when the individual changes from one setting or service to another.