42. Transitional Options Counseling

A state ADRC Program service that develops, implements, assesses, and follows up on plans for the evaluation, treatment and/or care of people who are experiencing a specific, time-limited problem such as a transition from hospitalization to independent living and who need assistance to obtain and coordinate the support services that will facilitate the change.

Additional considerations for time study:
This code should be used for all activities related to counseling, including:

• Paperwork
• Clerical activities, such as making copies
• Time spent reviewing voicemails or emails
• Time spent consulting with a supervisor or supervising 
• Travel including time spent arranging transportation
• Time spent entering information about the activity into a database or software program
• Calls, emails, or other communications to obtain clarification of an inquiry

Time Study Codes:

• 42a. Enrolled in Medicaid- Assisting an individual who is currently enrolled or applying for Medicaid.
• 42b. At risk of spenddown/institutionalization- Assisting an individual in accessing supports that may prevent or delay the individual from entering a nursing facility or other Medicaid-funded institution. It must be documented that the individual must meet the Spenddown Worksheet criteria.
• 42c. Non-Medicaid- Assisting an individual who is not currently enrolled in or applying to Medicaid AND is not at risk for spenddown and/or institutionalization.