Eligible recuperative care facilities must enroll as a recuperative care provider with MHCP. Refer to the Recuperative Care Enrollment Criteria and Forms section under Provider Basics in the MHCP Provider Manual for complete enrollment information. Each setting needs to be enrolled as a recuperative care facility.
Recuperative Care Facility Services Requirements
Recuperative care may be provided in any setting, including, but not limited to, homeless shelters, congregate care settings, single-room occupancy settings, or supportive housing, if the recuperative care or housing provider can provide the following to the MHCP member within the designated setting:
- 24-hour access to a bathroom with a shower, sink and toilet. The bathroom may be shared.
- 24-hour access to a bed.
- We recommend one member per room.
- We do not recommend room sharing becauseprivacy, security,infection control purposes and depending on zone requirements.
- Access to three meals per day that are based on the member’s needs (included in per diem).
- Availability to environmental services (cleaning sanitation services).
- Access to a telephone located in the facility (cannot be the member’s personal cellphone or mobile device).
- Secure place to store the MHCP member’s belongings.
- Require that one staff member is available at the facility at all times (24 hours a day). This can be any staff member that is hired and trained to oversee the facility and occupants.
- Wellness Check:
- Staff available on site at the facility to provide an in-person wellness check as needed, or at the minimum of once every 24 hours. Provider must document that the wellness check was conducted
- The staff available to conduct the wellness check must be the appropriate providers based on the member’s plan of care; and listed on the Recuperative Care Provider Assurance Statement (DHS-8486) (PDF).
- The member needs to be checked on (for example, visited in-person) at least once every 24 hours.
- Providers do not get reimbursed for the wellness check because this is included in the room and board charge.
Additionally, providers and recuperative care facilities must ensure the following:
- City and county zone requirements (provider can contact the city or county) are fulfilled.
- Ability to provide recuperative care health services to members within the recuperative care facility.
