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If a participant is enrolled in the Elderly or Disabled with Consumer-Direction (EDCD) waiver may a Community Services Board case manager serve as the Transition Coordinator?

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If a participant is enrolled in the Elderly or Disabled with Consumer-Direction (EDCD) waiver may a Community Services Board case manager serve as the Transition Coordinator?

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Yes as long as the CSB has enrolled with Medicaid as Transition Coordinator and meets all applicable requirements. CSBs do not have to enroll as a Transition Coordinator to provide support to participants on their case load who are enrolled in the EDCD Waiver. They can bill for case management through Targeted State Plan Case Management services. CSBs may not bill for Transition Coordination and Targeted State Plan Case Management services for the same time frame and for the same participant as this is a duplication of services. If an agency is already a Case Management Medicaid provider do they have to apply to be a Transition Coordination Agency? Answer: Yes. If the Case Management agency would like to provide services to new participants in the EDCD Waiver, then they need to enroll as a Medicaid provider of Transition Coordinator.

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