If a person has both been on Medicaid and in a skilled nursing facility/nursing home for a minimum of 60 consecutive days, and that same person has the desire and ability to transition back into the community; then the state, through the CARES program, and the skilled nursing facility administration are required to coordinate and implement a plan to achieve the goal of leaving the nursing home and entering an ALF or return to home without discontinuing Medicaid long-term care benefits.
